Full engagement in health
http://www.100md.com
《英国医生杂志》
EDITOR—In their editorial on full engagement in health Coulter and Rozansky refer to the benefits of chronic disease self management and the need to build health literacy among patients.1
In England the expert patient programme is one route to realise the benefits of such management and the skilled for health programme a route to build health literacy (S Gupta, seventh European health forum, Gastein, October 2004).2
Coulter and Rozansky also refer to the role of patient empowerment in public health. However, self efficacy, which underlies chronic disease self management, is also associated with a healthy lifestyle. Thus the principles underlying the expert patient programme could be extended to the whole population. Promoting such self regulation of health related behaviour could have enormous benefits in improving health outcomes and containing healthcare costs.3 This is also entirely consistent with the philosophy underlying the new white paper Choosing Health, which aims to support individuals to make informed choices about their health.4
Sunjai Gupta, senior medical officer
Department of Health, Room 503a, Skipton House, London SE1 6LH sunjai.gupta@dh.gsi.gov.uk
Competing interests: AG is the former chair of the Expert Patient Programme Implementation Group.
References
Coulter A, Rozansky D. Full engagement in health. BMJ 2004;329: 1197-8. (20 November.)
Donaldson L. Expert patients usher in a new era of opportunity for the NHS. BMJ 2003;326: 1279-80.
Wanless D. Securing our future health: taking a long-term view. Final report. London: Treasury, 2002.
Department of Health. Choosing health. Making healthy choices easier. London: Stationery Office, 2004.
In England the expert patient programme is one route to realise the benefits of such management and the skilled for health programme a route to build health literacy (S Gupta, seventh European health forum, Gastein, October 2004).2
Coulter and Rozansky also refer to the role of patient empowerment in public health. However, self efficacy, which underlies chronic disease self management, is also associated with a healthy lifestyle. Thus the principles underlying the expert patient programme could be extended to the whole population. Promoting such self regulation of health related behaviour could have enormous benefits in improving health outcomes and containing healthcare costs.3 This is also entirely consistent with the philosophy underlying the new white paper Choosing Health, which aims to support individuals to make informed choices about their health.4
Sunjai Gupta, senior medical officer
Department of Health, Room 503a, Skipton House, London SE1 6LH sunjai.gupta@dh.gsi.gov.uk
Competing interests: AG is the former chair of the Expert Patient Programme Implementation Group.
References
Coulter A, Rozansky D. Full engagement in health. BMJ 2004;329: 1197-8. (20 November.)
Donaldson L. Expert patients usher in a new era of opportunity for the NHS. BMJ 2003;326: 1279-80.
Wanless D. Securing our future health: taking a long-term view. Final report. London: Treasury, 2002.
Department of Health. Choosing health. Making healthy choices easier. London: Stationery Office, 2004.