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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
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Health Literacy01:21

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Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
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Updated: Sep 21, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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[Health democracy tested].

Henri Bergeron1

  • 1Directeur de recherche, Centre national de la recherche scientifique, Sciences Po, Paris, France.

La Revue Du Praticien
|May 31, 2022
PubMed
Summary

Health democracy faces challenges, particularly regarding patient rights like informed consent. Patient movements have unequal political influence, impacting health policy implementation and crisis management.

Area of Science:

  • Sociology
  • Political Science
  • Public Health

Background:

  • The implementation of the March 4, 2002 law on patient rights is assessed.
  • Focuses on the right to information and informed consent.
  • Examines the sociological and political science aspects of health democracy.

Purpose of the Study:

  • To formulate hypotheses on the implementation of patient rights.
  • To analyze the political influence of patient movements.
  • To identify how the COVID-19 crisis challenges health democracy.

Main Methods:

  • Non-exhaustive reviews in 2007, 2013, and 2015.
  • Sociological analysis of patient movements.
  • Reflections from an ongoing research project on French COVID-19 crisis management.
Keywords:
CoronavirusPatient Rights

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Main Results:

  • Hypotheses formulated on the conditions for implementing patient rights.
  • Findings on the unequal political influence of patient movements.
  • Identification of contemporary challenges to health democracy.

Conclusions:

  • Health democracy implementation faces hurdles, especially concerning patient rights.
  • Patient activism's political impact is uneven.
  • The COVID-19 pandemic presents new challenges to health democracy principles.