Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
The European Journal of Health Economics
Published in: The European Journal of Health Economics 5/2018

01-06-2018 | Editorial

Patient empowerment in Europe: is no further research needed?

Authors: Livio Garattini, Anna Padula

Published in: The European Journal of Health Economics | Issue 5/2018

Login to get access

Excerpt

In economic theory, health care can be considered a clear example of ‘market failure’ caused by lack of price competition, which does not enjoy the basic conditions to work on both the demand and supply sides; this justifies health economics as a discipline. From the demand side, patients have hardly ever been considered common consumers in European health-care systems and thus expenses have been mostly funded by ‘third-party payers’ at the macro level [1]. Therefore, physicians respond to ‘payers’ for health-care expenditure at the micro level and are supposed to establish a ‘principal–agent relationship’ with patients, deciding therapies on their behalf to fill the ‘information asymmetry’ gap. …
Footnotes
1
Among the 129 European articles retrieved, 57 were clinical surveys and questionnaires, 33 editorials and commentaries, 29 reviews, and the remaining 10 various other.
 
Literature
1.
Garattini, L., Curto, A., Freemantle, N.: Pharmaceutical price schemes in Europe: time for a ‘continental’ one? Pharmacoeconomics 34(5), 423–426 (2016)CrossRefPubMed
2.
Holmström, I., Röing, M.: The relation between patient-centeredness and patient empowerment: a discussion on concepts. Patient Educ. Couns. 79(2), 167–172 (2010)CrossRefPubMed
3.
Cerezo, P.G., Juvé-Udina, M.E., Delgado-Hito, P.: Concepts and measures of patient empowerment: a comprehensive review. Rev. Esc. Enferm. USP. 50(4), 667–674 (2016)CrossRefPubMed
4.
5.
Aujoulat, I., d’Hoore, W., Deccache, A.: Patient empowerment in theory and practice: polysemy or cacophony? Patient Educ. Couns. 66(1), 13–20 (2007)CrossRefPubMed
6.
Bravo, P., Edwards, A., Barr, P.J., Scholl, I., Elwyn, G., McAllister, M.: Conceptualising patient empowerment: a mixed methods study. BMC Health Serv. Res. 15, 252 (2015)CrossRefPubMedPubMedCentral
7.
Anderson, R.M., Funnell, M.M., Butler, P.M., Arnold, M.S., Fitzgerald, J.T., Feste, C.C.: Patient empowerment. Results of a randomized controlled trial. Diabetes Care 18(7), 943–949 (1995)CrossRefPubMed
8.
Asimakopoulou, K., Gilbert, D., Newton, P., Scambler, S.: Back to basics: re-examining the role of PE in diabetes. Patient Educ. Couns. 86(3), 281–283 (2012)CrossRefPubMed
9.
Castro, E.M., Van Regenmortel, T., Vanhaecht, K., Sermeus, W., Van Hecke, A.: Patient empowerment, patient participation and patient-centeredness in hospital care: a concept analysis based on a literature review. Patient Educ. Couns. 99(12), 1923–1939 (2016)CrossRefPubMed
10.
11.
Funnell, M.M., Anderson, R.M., Arnold, M.S., Barr, P.A., Donnelly, M., Johnson, P.D., Taylor-Moon, D., White, N.H.: Empowerment: an idea whose time has come in diabetes education. Diabetes Educ. 17(1), 37–41 (1991)CrossRefPubMed
12.
Varming, A.R., Hansen, U.M., Andrésdóttir, G., Husted, G.R., Willaing, I.: Empowerment, motivation, and medical adherence (EMMA): the feasibility of a program for patient-centered consultations to support medication adherence and blood glucose control in adults with type 2 diabetes. Patient Prefer. Adherence 9, 1243–1253 (2015)PubMedPubMedCentral
13.
14.
Garcimartin, P., Comin-Colet, J., Delgado-Hito, P., Badosa-Marcé, N., Linas-Alonso, A.: Transcultural adaptation and validation of the patient empowerment in long-term conditions questionnaire. BMC Health Serv. Res. 17(1), 324 (2017)CrossRefPubMedPubMedCentral
15.
Anonymous. Patient empowerment—who empowers whom? Lancet. 2012;379(9827):1677
16.
Barr, P.J., Scholl, I., Bravo, P., Faber, M.J., Elwyn, G., McAllister, M.: Assessment of patient empowerment—a systematic review of measures. PLoS One 10(5), e0126553 (2015)CrossRefPubMedPubMedCentral
17.
Risling, T., Martinez, J., Young, J., Thorp-Froslie, N.: Evaluating Patient Empowerment in Association With eHealth Technology: scoping review. J. Med. Internet Res. 19(9), e329 (2017)CrossRefPubMedPubMedCentral
18.
Fumagalli, L.P., Radaelli, G., Lettieri, E., Bertele’, P., Masella, C.: Patient empowerment and its neighbours: clarifying the boundaries and their mutual relationships. Health Policy 119(3), 384–394 (2015)CrossRefPubMed
19.
Schulz, P.J., Nakamoto, K.: Health literacy and patient empowerment in health communication: the importance of separating conjoined twins. Patient Educ. Couns. 90(1), 4–11 (2013)CrossRefPubMed
20.
21.
Funnell, M.M.: Patient empowerment: what does it really mean? Patient Educ. Couns. 99(12), 1921–1922 (2016)CrossRefPubMed
22.
McAllister, M., Dearing, A.: Patient reported outcomes and patient empowerment in clinical genetics services. Clin. Genet. 88(2), 114–121 (2015)CrossRefPubMed
23.
Palumbo, R.: The Bright and the Dark Side of Patient Empowerment. Springer, New York (2017)CrossRef
24.
Lewin, D., Piper, S.: Patient empowerment within a coronary care unit: insights for health professionals drawn from a patient satisfaction survey. Intensive Crit. Care Nurs. 23(2), 81–90 (2007)CrossRefPubMed
25.
de Haes, H., Koedoot, N.: Patient centered decision making in palliative cancer treatment: a world of paradoxes. Patient Educ. Couns. 508(1), 43–49 (2003)CrossRef
26.
Loukanova, S., Molnar, R., Bridges, J.F.: Promoting patient empowerment in the healthcare system: highlighting the need for patient-centered drug policy. Expert Rev Pharmacoecon Outcomes Res. 7(3), 281–289 (2007)CrossRefPubMed
27.
Garattini, L., Casadei, G.: Health technology assessment: for whom the bell tolls? Eur J Health Econ. 9(4), 311–312 (2008)CrossRefPubMed
28.
Christensen, M., Hewitt-Taylor, J.: Patient empowerment: does it still occur in the ICU? Intensive Crit. Care Nurs. 23(3), 156–161 (2007)CrossRefPubMed
29.
Laverack, G., Wallerstein, N.: Measuring community empowerment: a fresh look at organizational domains. Health Promot. Int. 16(2), 179–185 (2001)CrossRefPubMed
30.
Lau, D.H.: Patient empowerment—a patient-centred approach to improve care. Hong Kong Med. J. 8(5), 372–374 (2002)PubMed
31.
Blackhall, L.J., Murphy, S.T., Frank, G., Michel, V., Azen, S.: Ethnicity and attitudes toward patient autonomy. JAMA 274(10), 820–825 (1995)CrossRefPubMed
32.
Toofany, S.: Patient empowerment: myth or reality? Nurs. Manag. (Harrow) 13(6), 18–22 (2006)CrossRef
33.
Jotterand, F., Amodio, A., Elger, B.S.: Patient education as empowerment and self-rebiasing. Med. Health Care Philos. 19(4), 553–561 (2016)CrossRefPubMed
34.
35.
Hewitt-Taylor, J.: Challenging the balance of power: patient empowerment. Nurs. Stand. 18(22), 33–37 (2004)CrossRefPubMed
36.
37.
Tomes, N.: Patient empowerment and the dilemmas of late-modern medicalisation. Lancet 369(9562), 698–700 (2007)CrossRefPubMed
38.
Colombo, C., Moja, L., Gonzalez-Lorenzo, M., Liberati, A., Mosconi, P.: Patient empowerment as a component of health system reforms: rights, benefits and vested interests. Intern. Emerg. Med. 7(2), 183–187 (2012)CrossRefPubMed
39.
Deccache, A., van Ballekom, K.: From patient compliance to empowerment and consumer’s choice: evolution or regression? An overview of patient education in French speaking European countries. Patient Educ. Couns. 78(3), 282–287 (2010)CrossRefPubMed
40.
Goldstein, M.M., Bowers, D.G.: The patient as consumer: empowerment or commodification? Currents in contemporary bioethics. J. Law Med. Ethics. 43(1), 162–165 (2015)CrossRefPubMed
41.
42.
43.
Domenighetti, G., Casabianca, A., Gutzwiller, F., Martinoli, S.: Revisiting the most informed consumer of surgical services. The physician-patient. Int. J. Technol. Assess. Health Care 9(4), 505–513 (1993)CrossRefPubMed
Metadata
Title
Patient empowerment in Europe: is no further research needed?
Authors
Livio Garattini
Anna Padula
Publication date
01-06-2018
Publisher
Springer Berlin Heidelberg
Published in
The European Journal of Health Economics / Issue 5/2018
Print ISSN: 1618-7598
Electronic ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-018-0965-3

Other articles of this Issue 5/2018

The European Journal of Health Economics 5/2018 Go to the issue

Original Paper

Health-related quality of life associated with bullying and aggression: a cross-sectional study in English secondary schools

Original Paper

Choice of reserve capacity by hospitals: a problem for prospective payment

Original Paper

The relationship between diabetes, diabetes-related complications and productive activities among older Europeans

Original Paper

Investigating the relationship between costs and outcomes for English mental health providers: a bi-variate multi-level regression analysis

Original Paper

Public acceptability of financial incentives to reward pregnant smokers who quit smoking: a United Kingdom–France comparison

Original Paper

Smoking, health-related quality of life and economic evaluation