Empowering patients: Issues and strategies

Over the past few decades perspectives derived from critical social theory and other critical perspectives have infused the discourse on health, illness and healing, and have heightened awareness of the ways in which social and economic inequities experienced by particular groups determine their health. The influence of these paradigms in the health sciences occurs, simultaneously, with other movements in health care services and delivery. There has been major overhauling of health care delivery systems in many western nations with concomitant call for greater public participation and individual responsibility for health and health care (self-care). As these movements have gained momentum, ideas that suggest how people will be enabled both to attain greater social equality and to take increased responsibility for their health have flourished, and patient/consumer empowerment has become a central concept in the discourse on health.