Perspectives and Challenges for Implementing the Expert Patient Program: A Scoping Review

Abstract

Objective: to map diverse evidence on perspectives and challenges for implementing the Expert Patient Program. Method: this is a scoping review, guided by the method proposed by the JBI and which followed the recommendations set forth in the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews, with its research protocol registered in the Open Science Framework, with DOI:10.17605/OSF.IO/D7K6A. The search for studies was carried out in July 2022 in databases and in national and international portals of theses and dissertations. Results: the final sample consisted of six scientific articles, all written in English. Health professionals' qualification, to identify and qualify expert patients, management's commitment to the program, use of mobile technologies and Evidence-Based Practice are among the perspectives for implementation. The challenges are related to lack of understanding of the term "self-management" and to the deficit of public policies and financial investment. Conclusion: the results found emphasize the importance of implementing the Patient Expert Program for the public health context, mainly in relation to the population with chronic non-communicable diseases.

The expert patient's contribution to the empowerment of people with diabetes mellitus

“…Um paciente expert é escolhido mediante a sua capacidade crítica, reflexiva e experiência vivenciada com a doença. Essa escolha se dá pela adesão de pares, também doentes, a seguirem seus ensinamentos, ou mesmo pela indicação dos profissionais de saúde em identificar um paciente que atenda às recomendações específicas de seu tratamento e se comprometa em compartilhar suas experiências (4)(5) .…”