Patient empowerment as a patient-centered strategy to increase patient satisfaction

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Eman Salman Taie


Aim: To explore the effect of patient empowerment on patient satisfaction. Method: This study is a quasi-experimental study. The studywas conducted in two university hospitals (Ain Shams Specialized Hospital and El-Demerdash Hospital) and in two Health Insurance Hospitals (El-Nasr Hospital affiliated to the health insurance sector in the Helwan governorate and Nasr City Insurance Hospital). Study subjects consisted of two groups: surgical patients (400) and staff (nurses and physicians) (400). Four tools were used for collecting data.Results:There was a highly significant statistically difference (p<0.001) between the four of the studied hospitals regarding their patients scores in PES before awareness sessions for their staff. A highly statistically significant difference was also found between staff knowledge about different items of patient empowerment before and after awareness sessions. Staff in different hospitals differed significantly in terms of how they empowered their patients post-awareness sessions.Conclusion: The correlation between patient satisfaction and empowerment scores was strongly positive (r = 0.781).

Article Details

Person-centered medicine and patient satisfaction


Agency for Healthcare Research and Quality. (2002).Research in action:Expanding Patient-Centered Care to Empower Patients and Assist Providers. Issue 5.

Tasneem, A., Shaukat, S., Amin, F. & Mahmood, K.T. (2010).Patient Satisfaction, A Comparative Study At Teaching Versus DHQ Level Hospital In Lahore, Pakistan. Journal of Pharmaceutical Sciences & Research 2 (11), 767-774.

Altringer, B. (2010):The emotional experience of patient care: a case for innovation in health care design. Journal of Health Services Reseach & Policy 15 (3),174-177.

Atwal, A. & Caldwell, K. (2005). "Do all health and social care professionals interact equally: a study of interactions in multidisciplinary teams in the United Kingdom." Scandinavian Journal of Caring Sciences 19 (3), 268-273.

Australian Commission on Safety and Quality in Healthcare. (2010).Patient-centred care: improving quality and safety by focusing care on patients and consumers.Discussion

Bellchambers, H. &Penning, C. (2007). Person-centered approach to care (PCA): a philosophy of care and management for carers. Contemporary Nurse 26 (2),196-197.

Burns, K. (2008). Canadian patient safety champions: collaborating on improving patient safety. Healthcare Quarterly 11 (Supplement), 95-100.

Bann, C.M., Sirois, F.M. & Walsh, E.G. (2010).Provider Support in Complementary and Alternative Medicine: Exploring the Role of Patient Empowerment. Journal of Alternative and Complementary Medicine16 (7), 745–752.

Charles, C., Gafni, A. & Whelan, T. (1999). Decision-Making in the Physician-Patient Encounter: Revisiting the Shared Treatment Decision-Making Model. Social Science & Medicine 49 (5), 651-661.

Charmel, P. & Frampton, S. (2008).Building the business case for patient-centered care.Healthcare Financial Management 62 (3), 80-85.

Coulter, A. (2002). After Bristol: Putting Patients at the Centre. British Medical Journal 321, 648-650.

Samoocha, D., Bruinvels, D.J., Elbers, N.A., Anema, J.R. & van der Beek, A.J. (2010).Effectiveness of Web-based Interventions on Patient Empowerment: A Systematic Review and Meta-analysis Journal of Medical Internet Research 12 (2), e23.

Dayasiri, M.B.K.C. & Lekamge, E.L.S (2010). Predictors of patient satisfaction with quality of health care in Asian. Australasian Medical Journal 3 (11), 739-744.

Wagner, D. & Bear, M. (2008).Patient satisfaction with nursing care: a concept analysis within a nursing framework. Journal of Advanced Nursing 65 (3), 692–701.

Milutinovic, D., Brestovacki, B. & Cvejin, M.M. (2010).Patients` satisfaction with nursing care as an indicator of quality of hospital service. HealthMED 3 (4), 412-419.

Elwyn, G., Edwards, A., Wensing, M., Hood, K., Atwell, C. & Grol, R. (2003). Shared decision making: developing the OPTION scale for measuring patient involvement. Quality & Safety in Healthcare 12 (2), 93-99.

Faulkner, M. (2001).A measure of patient empowerment in hospital environments catering for older people.Journal of Advanced Nursing 34 (5), 676-686.

Goodrich J.(2009). Exploring the wide range of terminology used to describe care that is patient centered. Nursing Times 105 (20),14-17.

Groene, O., Skau, J.K.H. & Frølich, A.(2008).An international review of projects on hospital performance assessment.International Journal for Quality in Health Care 20 (3), 162-171.

Grol, R. (2001).Improving the quality of medical care. Building bridges among professional pride, payer profit, and patient satisfaction. Journal of the American Medical Association 286, 2578-2585.

Hibbard, J.H., Stockard, J., Mahoney, E.R. & Tusler, M. (2004). Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers. Health Services Research 39 (4), 1005-1026.

Iacono, S. (2001).Planetree philosophy: a study of the relationship of patient satisfaction and utilization of a Planetree model in care delivery. PlaneTalk 2001.

Rohrer, J.E., Wilshusen, L., Adamson, S.C. & Merry, S. (2006). Patient-centredness, self-rated health, and patient empowerment: should providers spend more time communicating with their patients? Journal of Evaluation in Clinical Practice 14, 548–551.

Miles, A. and Mezzich, J.E. (2011), The care of the patient and the soul of the clinic: person-centered medicine as an emergent model of modern clinical practice. International Journal of Person Centered Medicine 1 (2), 207-222.

Lau, D.H. (2002).Patient empowerment – a patient centred approach to improve care.Hong Kong Medical Journal 8 (5), 372-374.

Lenert, L. (2009).Transforming healthcare through patient empowerment.Information Knowledge Systems Management 8 (1-4), 159–175.

Liu, Y. & Wang, G. (2007).Inpatient satisfaction with nursing care and factors influencing satisfaction in a teaching hospital in China.Journal of Nursing Care Quality 22 (3), 266–271.

Johnson, M.O. (2011).The Shifting Landscape of Health Care: Toward a Model of Health Care Empowerment. American Journal of Public Health 101 (2), 265-270.

Stineman, M.G., Kurz, A.E., Kelleher, D. K. & Kennedy, B.L. (2008).The patient’s view of recovery: An emerging tool for empowerment through self-knowledge. Disability and Rehabilitation 30 (9), 679 – 688.

McCarley, P. (2009).Patient Empowerment and Motivational Interviewing: Engaging Patients To Self-Manage Their Own Care. Nephrology nursing journal 36 (4), 409-413.

Mead, N., Bower, P. & Hann, M. (2002).The impact of general practitioners’ patient-centeredness on patients’ post-consultation satisfaction and enablement.Social Science & Medicine 55 (2), 283–299.

Abedrabo, M. & Fawzi, R. (2009).Patient satisfaction with nursing care in Jordan.Journal of Nursing Management 17 (6), 749–758.

Berman, P.C. (2007). Patient empowerment and efficient health outcomes.Financing sustainable healthcare in Europe.(European Health Management Association).

Roberts, K.J. (1999).Patient empowerment in the United States: a critical commentary Health Expectations 2 (2), 82-92.

Rohrer, J., Young, R., Sicola, V. & Houston, M. (2007). Overall self rated health: a new quality indicator for primary care. Journal of Evaluation in Clinical Practice 13 (1), 150–153.

Stewart, M., Brown, J., Donner, A., McWhinney, I. R., Oates, J., Weston, W.W. & Jordan, J. (2000).The impact of patient-centered care on outcomes.The Journal of Family Practice 49 (9), 796–804.

Stone, S. (2007).A Retrospective Evaluation of the Planetree Patient-Centered Model of Care Program's Impact on Inpatient Quality Outcomes (dissertation). University of San Diego, 2007.

Torrey, T. (2010).Wise Patient's Guide to Being an Empowered Patient. Why is Patient Empowerment So Important? Guide Updated April 08, 2010.

Wagner, D. & Bear, M. (2008). Patient satisfaction with nursing care: a concept analysis within a nursing framework. Journal of Advanced Nursing 65 (3), 692-701.

Yamada, S. & Suzuki, K. (2007).Application of Empowerment Scale to patients with schizophrenia: Japanese experience. Psychiatry and Clinical Neurosciences 61, 594–601