Zusammenfassung
Die durch den Begriff der Gesundheitskompetenz beschriebene Fähigkeit sowie der mit dem Ausdruck Empowerment gemeinte Anspruch kommen beide in der ärztlichen Konsultation zum Tragen. Beide Konzepte sind Teil eines emanzipatorisch-demokratischen Ideals, dem das Gesundheitswesen seit über einem halben Jahrhundert nachstrebt. Es ist aber nicht so, dass sich Verbesserungen für Mensch und System einstellen, wenn nur ausreichend Gesundheitskompetenz im Patienten vorhanden ist und Arzt und Patient übereinstimmen, dem Patienten Empowerment zuzugestehen. Problematisch wird das Verhältnis beider Konzepte, wenn eines reichlich vorhanden, das andere aber knapp ist. Hohe Gesundheitskompetenz ohne Empowerment dürfte Unzufriedenheit beim Patienten hervorrufen, der qualifiziert ist, mehr beizutragen als man ihn lässt. Hohes Empowerment bei geringer Kompetenz hingegen verlangt vom Patienten etwas, das er nicht kann. Ein Beispiel ist der Widerstand gegen Impfprogramme. Hier verfügen Patienten durchaus über Wissen, aber ein Teil davon wird nicht durch die medizinische Forschung gedeckt.
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Schulz, P.J., Hartung, U. (2022). Gesundheitskompetenz, Empowerment und Arzt-Patienten-Beziehung. In: Rathmann, K., Dadaczynski, K., Okan, O., Messer, M. (eds) Gesundheitskompetenz. Springer Reference Pflege – Therapie – Gesundheit . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62800-3_115-1
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