Service user involvement and repositioning of healthcare professionals: A framework for examining implications of different forms of involvement

T. Andreassen
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引用次数: 10

Abstract

Models or measures to strengthen the position of service users not only change the position of the users, they also alter the position of the professionals involved. However, different forms of involvement alter the position of professionals differently. The aim of this article is to present an analytical framework that allows for an examination of different, ideal types of involvement, and their implications for the positioning of professionals. Three basic forms of involvement are identified: involvement as a) self-determination and self-management, b) sharing of lived experience, and c) co-management and mediation of causes and concerns. Within each of these basic forms, different models or measures are classified according to the positions of patients and professionals respectively. The framework shows that professionals are repositioned as facilitators, not only therapists; as partners and co-workers, rather than sole experts; as learners, rather than experts and teachers; and as recipients rather than in the position of offering knowledge and skills. While detailed and long-term investigation is necessary to determine the impact of involvement in actual cases, the presence of models and measures to strengthen the position of the users in various ways transforms the context of professional work, as well as the classic meaning of professionalism.
服务用户参与和医疗保健专业人员的重新定位:一个审查不同形式参与影响的框架
强化服务用户地位的模式或措施不仅改变了用户的地位,也改变了相关专业人员的地位。然而,不同的参与形式会不同地改变专业人员的地位。本文的目的是提出一个分析框架,允许对不同的、理想的参与类型进行检查,以及它们对专业人员定位的影响。确定了三种基本的参与形式:参与a)自决和自我管理,b)分享生活经验,c)共同管理和调解原因和关注点。在这些基本形式中,根据患者和专业人员的位置,分别分类了不同的模型或措施。该框架表明,专业人员被重新定位为促进者,而不仅仅是治疗师;作为合作伙伴和同事,而不是唯一的专家;作为学习者,而不是专家和教师;作为接受者而不是提供知识和技能的人。虽然需要详细和长期的调查来确定参与实际案例的影响,但以各种方式加强用户地位的模式和措施的存在改变了专业工作的背景,也改变了专业的经典含义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
1.20
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