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A situation An answer:
‘patient
empower-
ment’
A situation An answer:
‘Patient
Empower-
ment’
Serge
What changes
in the life of Serge
when he hears
that he's seriously ill?
Serge becomes
dependent
Dr. Dirk
Serge becomes dependent
on the resources of his doctor
De ‘resource dependency theory’
Patient dependency resources
Of the patient
• Information
• Knowledge
• Time
• Adherence
• Affection
• Skills
• Legal power
The dependence
on a ‘resource’
leads to power
The more valuable and rare the 'resource',
the greater the dependency.
What increases dependency?
• Directly
Uncertainty, perceived risk, perceived seriousness
and trust
• Indirectly
Ligitimized authority and charisma
The social power in the
patient-care provider relationship is
dependency power
Classical power
Loss of
control & autonomy
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
The importance of trust
Patients undergo less
• Symbolic resistance
• Real resistance
Mutual dependency
Of the patient
• Information
• Knowledge
• Time
• Adherence
• Affection
• Skills
• Legal power
Of the general practioner
• Information
• Time
• Adherence
• Affection
• Economic (reputation)
A situation An anwer:
‘Patient
Empower-
ment’
Exercise dependency power


Communication Power
Being in a position of power ꞊ having an
opportunity
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
Patiënt Empowerment =
•Have more control
•Have more sense of control
Feeling of control
Welcome &
Communication
Patient Empowerment =
share responsibility
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
• More than just apply communication techniques
• An attitude
Healing is also about
restoring a person's autonomy
Mutual respect
Respect
= “due regard for the feelings
or rights of others”
Concise Oxford English Dictionary, 2004
Together
For that reason…
•A book
•A non-profit association
And you feel better
Go to www.patientempowerment.be and become a member
And you feel better

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