The non-development of the concept of patient knowledge empowerment for disease self-management and the non-development of the theory of patient knowledge empowerment in patients with chronic diseases, cause methodological inconsistency of patient empowerment theory and does not provide a methodological basis to present patient knowledge empowerment preconditions. Therefore, the aim of the present integrative review was to synthesize and critically analyze the patient knowledge enablers distinguished in the public health management theory, the knowledge sharing enablers presented in the knowledge management theory and to integrate them by providing a comprehensive framework of patient knowledge enablers. To implement the purpose of the study, in answering the study question of what patient knowledge empowerments are and across which levels of patient knowledge empowerment they operate, an integrative review approach was applied as proposed by Cronin and George. A screening process resulted in a final sample of 78 papers published in open access, peer-review journals in the fields of public health management and knowledge management theories. Based on the results of the study, the Enablers of Patient Knowledge Empowerment for Self-Management of Chronic Disease Framework was created. It revealed that it is important to look at patient knowledge empowerment as a pathway across the empowerment levels through which both knowledge enablers identified in public health management theory and knowledge sharing enablers singled out in knowledge management theory operate. The integration of these two perspectives across patient empowerment levels uncovers a holistic framework for patient knowledge empowerment.
This paper is a comprehensive review of the entrepreneurial learning literature and its engagement with the material aspects of entrepreneurship, as part of the "material turn" in the social sciences. Drawing on actor-network theory, we construct a classificatory scheme and an evaluative matrix to find that this field is dominated by an anthropocentric bias and cognitivist approaches which largely ignore issues of materiality in entrepreneurship. However we also identify some heterogeneous network-based conceptualisations of entrepreneurial learning which could provide the foundations for more materially aware approaches. We conclude by calling for a material turn in entrepreneurial learning and outline some possible avenues for it.
The study discloses the relationship between consumer ethnocentrism (CE) and behavior in the Lithuanian market of dietary supplements. The correlation between the CE level and consumers' demographic characteristics, as well as consumers' perceptions on quality and safety of local-made and imported dietary supplements are discussed. The relationship between the CE level and factors influencing purchase decisions is presented and discussed
Patient empowerment is an indispensable precondition for patients to self-manage their disease. The article takes the position that patients are empowered for disease self-management through patient knowledge empowerment when sharing knowledge. One of the most important instruments to successfully empower a patient to manage a chronic disease and maintain social relations, which are also a precondition for the prevention of chronic illnesses, is the possibility to access online health communities (OHCs) and participate in them. The aim of the article is to model possible development scenarios of OHCs as enablers of patient knowledge in relation to other digital health technologies (DHTs). A foresight methodology was used to achieve the goal, employing a technology scanning approach after selecting 10 foresight studies, which resulted in four future scenario models for the empowerment of patients wcith chronic diseases through digital health communities. They reveal options for the future interoperability of OHCs with other DHTs and highlight their importance and significance for the healthcare system as a technology for balancing patient self-efficacy and social relations as well as the need to maintain and develop them.
Sveikata 4.0 revoliucijos kontekste kuriamos ir diegiamos pažangiausios sveikatos priežiūros technologijos, o pasaulinė pandemija dar labiau išryškino virtualaus bendravimo ir žinių dalinimosi socialiniuose tinkluose reikšmę tiek pacientams, tiek sveikatos priežiūros sistemoms. Šių dviejų transformuojančių pokyčių sandūroje fizinį sveikatos priežiūros specialistų ir pacientų bendravimą kaip pagrindinę lėtinių ligų stebėjimo ir valdymo formą keičia sąveika per skaitmenines sveikatos technologijas. Įvairiais tyrimais pagrįsta, kad socialiniai santykiai sukuria teigiamą efektą, ypač vykdant lėtinių ligų prevenciją ir gydant jas. Numatoma, kad artimiausius penkerius metus sveikatos priežiūros modelis dar toliau nukryps nuo čia ir dabar sveikatos priežiūros valdymo ir koncentruosis į tęstinį sveikatos priežiūros procesą, pagrįstą technologijomis. Fizinį sveikatos priežiūros specialistų ir pacientų bendravimą pakeis skaitmeninės sveikatos technologijos – pacientų bendravimas naudojant programėlę ir pacientų stebėjimas bei diagnostika nuotoliniu būdu. Internetinių lėtinėmis ligomis sergančių pacientų bendruomenių reikšmė ta, kad palaikydamos socialinius santykius jos suteikia prieinamą būdą dalintis turimomis žiniomis ir taip kurti naujas žinias. Tokiu būdu žinios „auginamos“ ir didina pacientų galimybes adekvačiai savipriežiūrai kasdieniame gyvenime. Kas būdinga pacientų įgalinimui? Kokie yra pacientų žinių įgalintojai? Kokie yra lėtinėmis ligomis sergančių pacientų vaidmenys ir jų žinių dalinimosi elgsenos bruožai internetinėse sveikatos bendruomenėse? Kokia tikėtina skaitmeninių sveikatos technologijų ateitis ir kokie iššūkiai kyla suinteresuotiems skaitmenine sveikata? Šie ir daugelis kitų klausimų aptariami dr. Vestinos Vainauskienės ir dr. Rimgailės Vaitkienės parengtoje mokslo monografijoje „Pacientų žinių įgalinimas internetinėse sveikatos bendruomenėse“. Autorių mokslinės įžvalgos bus vertingos vadybos, visuomenės sveikatos specialistams, sveikatos politikos formuotojams, sveikatos technologijas kuriantiems ir vystantiems startuoliams. Monografija kaip mokslinių žinių šaltinis taip pat skirta vadybos ir visuomenės sveikatos magistrantūros ir doktorantūros studijoms.
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