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Open AccessArticle

Considering Patients’ Empowerment in Chronic Care Management: A Cross-Level Approach

1
Health and Society Interfaculty Unit, University of Liège, 4000 Liège, Belgium
2
Social Sciences Research Institute, University of Liège, 4000 Liège, Belgium
3
Primary Care & Health Research Unit, University of Liège, 4000 Liège, Belgium
*
Author to whom correspondence should be addressed.
Eur. J. Investig. Health Psychol. Educ. 2020, 10(1), 134-142; https://doi.org/10.3390/ejihpe10010012
Received: 24 September 2019 / Revised: 14 October 2019 / Accepted: 16 October 2019 / Published: 18 October 2019
This paper consists of an analysis of the concept of empowerment—which is often defined as a key issue in health care—at the macro, meso, and micro levels by focusing on health care reform in Belgium. Three research teams collected data and combined them in an inductive secondary analysis. Our preliminary results demonstrate that patient empowerment does not always encompass the same scientific reality. At the macro level, this concept is linked to the authorities’ wish to support at-home care for chronic patients. At the meso level, the role of caregivers in maintaining patients’ autonomy, but also the social conditions of their lives, is a salient component of empowerment. At the micro level, individual and personal features such as identity can influence patient empowerment and behavior in the health care system. This cross-level research suggests that patient empowerment is not sufficiently clearly defined at each level of the care production chain, which could impede the reform of health care. This paper underlines the polysemy of a concept viewed as a milestone in European health care policy and the necessity of a clear, collective definition to operationalize and implement it. View Full-Text
Keywords: empowerment; patient; integrated care; cross-level analysis empowerment; patient; integrated care; cross-level analysis
MDPI and ACS Style

Tilkin, C.; De Winter, M.; Ketterer, F.; Etienne, A.-M.; Vanmeerbeek, M.; Schoenaers, F. Considering Patients’ Empowerment in Chronic Care Management: A Cross-Level Approach. Eur. J. Investig. Health Psychol. Educ. 2020, 10, 134-142.

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