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Balancing between power and powerlessness: Patient empowerment as the basis for equivalence in the patient-doctor relationship (EN)

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Mr Edgard Eeckman, Communication Manager, PhD Media and Communication Studies - UZ Brussel

Published in: Health & Medicine
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Balancing between power and powerlessness: Patient empowerment as the basis for equivalence in the patient-doctor relationship (EN)

  1. 1. A situation An answer: ‘patient empower- ment’
  2. 2. A situation An answer: ‘Patient Empower- ment’
  3. 3. Serge
  4. 4. What changes in the life of Serge when he hears that he's seriously ill?
  5. 5. Serge becomes dependent
  6. 6. Dr. Dirk
  7. 7. Serge becomes dependent on the resources of his doctor De ‘resource dependency theory’
  8. 8. Patient dependency resources Of the patient • Information • Knowledge • Time • Adherence • Affection • Skills • Legal power
  9. 9. The dependence on a ‘resource’ leads to power The more valuable and rare the 'resource', the greater the dependency.
  10. 10. What increases dependency? • Directly Uncertainty, perceived risk, perceived seriousness and trust • Indirectly Ligitimized authority and charisma
  11. 11. The social power in the patient-care provider relationship is dependency power
  12. 12. Classical power
  13. 13. Loss of control & autonomy
  14. 14. How does loss of control feel? Loss of control ➢ Can create helplessness & make you sick ➢ Can create resistance and anger  Patients (society!) ask to be involved
  15. 15. The importance of trust
  16. 16. Patients undergo less • Symbolic resistance • Real resistance
  17. 17. Mutual dependency Of the patient • Information • Knowledge • Time • Adherence • Affection • Skills • Legal power Of the general practioner • Information • Time • Adherence • Affection • Economic (reputation)
  18. 18. A situation An anwer: ‘Patient Empower- ment’
  19. 19. Exercise dependency power   Communication Power
  20. 20. Being in a position of power ꞊ having an opportunity
  21. 21. What is ‘Patient Empowerment’? “An empowered patient has management control of his condition in daily life” EPF, 2015 The patient must want & be able to have control
  22. 22. Patiënt Empowerment = •Have more control •Have more sense of control
  23. 23. Feeling of control Welcome & Communication
  24. 24. Patient Empowerment = share responsibility
  25. 25. 3 communication objectives  3 communication approaches Purpose of communication Communication approach Inform and create knowledge Influence To avoid: exercise power Empowering Sharing information, knowledge and experience Creating intrinsic motivation by exchanging arguments To support and strengthen the patient's self-efficacy
  26. 26. • More than just apply communication techniques • An attitude Healing is also about restoring a person's autonomy
  27. 27. Mutual respect Respect = “due regard for the feelings or rights of others” Concise Oxford English Dictionary, 2004
  28. 28. Together
  29. 29. For that reason… •A book •A non-profit association And you feel better
  30. 30. Go to www.patientempowerment.be and become a member And you feel better

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