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Empowering patients: issues and strategies
1School of Nursing, University of British Columbia, Vancouver, Canada.
Social Science & Medicine (1982)
|September 1, 1996
Summary
Critical social theory highlights how inequities impact health. This study examines patient empowerment, particularly for immigrant women with chronic illness, questioning if it addresses systemic social inequities.
Area of Science:
- Health social sciences
- Critical social theory in health
- Health equity research
Background:
- Critical social theory and perspectives increasingly influence health and illness discourse.
- Awareness of social and economic inequities determining health outcomes has grown.
- Health care systems are undergoing reform, emphasizing public participation and self-care.
Purpose of the Study:
- To interrogate the meaning of empowerment for patients with chronic illness, focusing on immigrant women in Canada.
- To examine the contextual layers influencing their illness experiences.
- To extend analysis of self-care ideologies to the concept of empowerment.
Main Methods:
- Drawing on multi-source research data.
- Analyzing the conceptual underpinnings of "empowerment".
- Examining unstated ideologies within the self-care movement.
Main Results:
- Patient/consumer empowerment is a central concept in health discourse.
- The study questions the unreflexive use of "consumer empowerment" in healthcare.
- Identifies potential deflection from structures perpetuating social inequities.
Conclusions:
- Advocates for a perspective addressing empowerment issues for all patients.
- Highlights the need to consider marginalized and disadvantaged patient groups.
- Calls for a nuanced understanding of empowerment beyond individual responsibility.
Keywords:
Health Care and Public Health