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Biomedical subjects

B E Giloth

Publications and source records attributed to B E Giloth.

7 recordsLinked to original sources

Promoting patient involvement: educational, organizational, and environmental strategies.

The chronic nature of disease in the late 20th century, the issues of health resource constraint, and substantial ethical concerns associated with high technology medical care require the identification of efficient and effective ways to involve patients and families in ongoing health decision making and self-management. While only a limited number of comprehensive approaches have been identified, a wide range of more limited interventions by hospitals and other health care providers suggest the practicality of these strategies. Although the research base is weak with regard to the combination of the interventions, more evidence suggests the value of such strategies as changes in the physical environments of health care institutions, interventions to promote a healthier organizational culture, changes in the care delivery process, increasing patient/family responsibility for care delivery, and helping patients adapt regimens to their own lifestyles.

Health Facility Environment↗

Management of patient education in US hospitals: evolution of a concept.

While patient education has been an integral part of health care for centuries, the management of this process is a relatively new concept for US hospitals. Beginning in the late 1960s, documentation of patient education coordinator positions, policies, committee mandates, and other management structures began to appear. National surveys and projects documented the growth of these structures and provided some evidence that their existence positively impacted the number of programs and their effectiveness. Financial pressures on hospitals including the advent of the prospective pricing system, other actions by government and business to control health care costs, and changes in technology have resulted in budget cuts, staff reductions, and reorganizations that have posed new challenges for the development of patient education management. This paper discusses these developments and their impact on management of patient education programs in hospitals.

Decision Making, Organizational↗