Patient involvement in Europe--a comparative framework.

Pahor, Majda; Dent, Mike

doi:10.1108/JHOM-05-2015-0078

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Patient involvement in Europe--a comparative framework.

Author(s): Majda Pahor, Mike Dent

Publication date: 2015

Journal: Journal of health organization and management

Keywords: Choice, Co-production, Empowerment, Europe, Patient involvement, Patient participation, Professional involvement, Proto-professionalism, Voice

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Abstract

The purpose of this paper is to provide and explain the model that underlies most of the research reported within this special issue on "Patient involvement in health care across Europe".

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Most cited references 10

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Proto-professionalism: how professionalisation occurs across the continuum of medical education.

S Hilton, B Slotnick (2004)

Professionalism and its assessment across the medical education continuum have become prominent topics in recent years. We consider the nature of professionalism and how it emerges and relates to the work carried out by doctors and doctors-in-training. We suggest 6 domains in which evidence of professionalism can be expected: ethical practice; reflection/self-awareness; responsibility for actions; respect for patients; teamwork, and social responsibility. Furthermore, we propose that a defining characteristic is encapsulated by the Greek term phronesis, or practical wisdom. Phronesis is acquired only after a prolonged period of experience (and reflection on experience) occurring in concert with the professional's evolving knowledge and skills base. The prior period we have termed as one of 'proto-professionalism'. Influences on proto-professionalism are considered in terms of moral and psychosocial development and reflective judgement. Curricula that develop meta-skills will foster the acquisition and maintenance of professionalism. Adverse environmental conditions in the hidden curriculum may have powerful attritional effects.