A study of key factors that influence and enable patient empowerment: A systems approach

Global crises have forced the healthcare sector to advance the way they practise. Patient empowerment has emerged as one of the solutions to face these challenges. Nevertheless, patient empowerment is still lacking for accepted conditions, making it difficult to effectively promote within the healthcare system. This study aims to systemically map the concept of patient empowerment using principles of systems thinking with the Boardman Soft Systems Methodology that enables a graphical visualization (i.e., Systemigrams). This includes levels of patient empowerment and their relationship with other concepts such as health literacy, health providers, self-management, patient characteristics and healthcare outcomes. This study contributes to the literature by (a) articulating a set of conditions to enable patient empowerment, (b) identifying the key concept that might influence the level of patient empowerment and (c) providing guidance and propositions for future research that can promote and further study patient empowerment.