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Article

Core Values that Influence the Patient—Healthcare Professional Power Dynamic: Steering Interaction towards Partnership

1
Department of Social Sciences, Institute for Research on Sociology and Economic Inequalities (IRSEI), University of Luxembourg, 4365 Esch-sur-Alzette, Luxembourg
2
Department of Health Psychology, Metz Saulcy Campus, University of Lorraine, 54395 Grand Est, France
3
Department of Public Health, University of Liège, 4000 Liège, Belgium
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(22), 8458; https://doi.org/10.3390/ijerph17228458
Received: 28 August 2020 / Revised: 6 November 2020 / Accepted: 10 November 2020 / Published: 15 November 2020
(This article belongs to the Special Issue Health Literacy, Patient Empowerment and Preventive Medicine)
Healthcare has long been marked by the authoritative-physician–passive-patient interaction, with patients seeking help and physicians seeking to restore patients back to health. However, globalisation, social movements, and technological advancements are transforming the nature of this relationship. We aim to identify core values that influence the power dynamic between patients and healthcare professionals, and determine how to steer these interactions towards partnership, a more suitable approach to current healthcare needs. Patients with chronic diseases (10 men, 18 women) and healthcare professionals (11 men, 12 women) were interviewed, sessions transcribed, and the framework method used to thematically analyse the data. Validation was done through analyst triangulation and member check recheck. Core values identified as influencing the patient-healthcare professional power dynamic include: (A) values that empower patients (acceptance of diagnosis and autonomy); (B) values unique to healthcare professionals (HCPs) (acknowledging patients experiential knowledge and including patients in the therapeutic process); and (C) shared capitals related to their interactions (communication, information sharing and exchange, collaboration, and mutual commitment). These interdependent core values can be considered prerequisites to the implementation of the patient-as-partner approach in healthcare. Partnership would imply a paradigm shift such that stakeholders systematically examine each other’s perspective, motivations, capabilities, and goals, and then adapt their interactions in this accord, for optimal outcome. View Full-Text
Keywords: patient-as-partner; power; patient empowerment; chronic diseases; patient participation; qualitative analysis; NVivo; core values patient-as-partner; power; patient empowerment; chronic diseases; patient participation; qualitative analysis; NVivo; core values
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MDPI and ACS Style

Odero, A.; Pongy, M.; Chauvel, L.; Voz, B.; Spitz, E.; Pétré, B.; Baumann, M. Core Values that Influence the Patient—Healthcare Professional Power Dynamic: Steering Interaction towards Partnership. Int. J. Environ. Res. Public Health 2020, 17, 8458. https://doi.org/10.3390/ijerph17228458

AMA Style

Odero A, Pongy M, Chauvel L, Voz B, Spitz E, Pétré B, Baumann M. Core Values that Influence the Patient—Healthcare Professional Power Dynamic: Steering Interaction towards Partnership. International Journal of Environmental Research and Public Health. 2020; 17(22):8458. https://doi.org/10.3390/ijerph17228458

Chicago/Turabian Style

Odero, Angela; Pongy, Manon; Chauvel, Louis; Voz, Bernard; Spitz, Elisabeth; Pétré, Benoit; Baumann, Michèle. 2020. "Core Values that Influence the Patient—Healthcare Professional Power Dynamic: Steering Interaction towards Partnership" Int. J. Environ. Res. Public Health 17, no. 22: 8458. https://doi.org/10.3390/ijerph17228458

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