Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl


Preferences help
enabled [disable] Abstract
Number of results


2008 | 3 | 1 | 105-110

Article title

Empowerment in medicine: An analysis of publication trends 1980–2005


Title variants

Languages of publication



This paper draws attention to the rapid increase in the number of published articles in medicine devoted to issues of empowerment. While our main aim is to identify populations to which empowerment has been applied, we have also offered a brief overview of the literature. A Medline search was used to identify all articles relating to empowerment published between 1980 and 2005. A total of 4496 articles were identified, but after the deletion of articles with non-human applications (n=409) and those published in languages other than English (n=145), a total of 3942 were reviewed. Based on this review, we present a taxonomy of the literature, based on the primary foci, including patients (n=1742, 44%), providers (n=1162, 29%), and society (n=1038, 27%). Over the study period, we document a rapid increase in the numbers of articles devoted to all three categories, but a significant increase in the proportion of papers devoted to patient empowerment (P < 0.0001). We conclude by juxtaposing some recent European health care policy reforms that have had mixed consequences for the empowerment of patients and argue for a more scientific approach to the study of empowerment.










Physical description


1 - 3 - 2008
1 - 3 - 2008


  • Department of Tropical Hygiene and Public Health, University of Heidelberg, Heidelberg, Germany


  • [1] Deepa N., Empowerment, J. Ambulatory Care Manage., 2007, 30, 120–125
  • [2] Loukanova S., Molnar R., Bridges J., Promoting patient empowerment in the health care system: Highlighting the need for patient-centered drug policy, Exp. Rev. Pharm. Outcomes Res., 2007, 7, 281–289
  • [3] Chamberlin J., 1997. A working definition of empowerment, Psychiatr. Rehabil. J., 20, 43–46
  • [4] Perkins D.D., Speaking truth to power: empowerment ideology as social intervention and policy, Am. J. Comm. Psych., 1995, 23, 765–794 http://dx.doi.org/10.1007/BF02506991[Crossref]
  • [5] Christensen M., Hewitt-Taylor J., Empowerment in nursing: paternalism or maternalism?, Br. J. Nurs., 2006, 15, 695–699
  • [6] Valentine F., Empowerment: family-centered care, Paediatr. Nurs., 1998, 10, 24–27
  • [7] Finfgeld D., Empowerment of individuals with enduring mental health problems. Results from concept analyses and qualitative investigations, Adv. Nurs. Sci., 2004, 27, 44–52 [Crossref]
  • [8] Man D.W., Lam C.S., Bard C.C., Development and application of the Family Empowerment Questionnaire in brain injury, Brain Inj. 2003, 17, 437–450 http://dx.doi.org/10.1080/0269905031000070152[Crossref]
  • [9] Anderson R., Funnel M., Fitzgerald J., Marrero D., The diabetes empowerment scale, Diabetes Care, 2000, 23, 739–743 http://dx.doi.org/10.2337/diacare.23.6.739[Crossref]
  • [10] Rogers E.S., Chamberlin J., Ellison M.L., Crean T., A consumer-constructed scale to measure empowerment among users of mental health services, Psychiatr. Serv., 1997, 48, 1042–1047 [PubMed]
  • [11] Calnan M., Gabe J., From consumerism to partnership? Britain’s National Health Service at the turn of the century, Int. J. Health Services, 2001, 31, 119–131 http://dx.doi.org/10.2190/7H2Q-NX5H-5CU9-MCK2[Crossref]
  • [12] Bridges J.F., Hanson R., Little M., Flannigan A., Fairley M., Haywood L., Ethical relationship in paediatric emergency medicine: moving beyond the dyad, Emerg. Med. 2001, 13, 344–350 http://dx.doi.org/10.1046/j.1035-6851.2001.00238.x[Crossref]
  • [13] Gibson C.H., A concept analysis of empowerment, J. Adv. Nurs., 1991, 16, 354–361 http://dx.doi.org/10.1111/j.1365-2648.1991.tb01660.x[Crossref]
  • [14] Rappaport J., Studies in empowerment: Introduction to the issue, Prev. Hum. Serv., 1984, 3, 1–7 [Crossref]
  • [15] Rappaport J., Terms of empowerment/exemplars of prevention: Toward a theory for community psychology, Am. J. Community Psychol., 1987, 15, 121–148 http://dx.doi.org/10.1007/BF00919275[Crossref]
  • [16] Zimmerman M.A., Taking aim on empowerment research: On the distinction between individual and psychological conceptions, Am. J. Community Psychol., 1990, 18, 169–177 http://dx.doi.org/10.1007/BF00922695[Crossref]
  • [17] Zimmerman M.A., Psychological empowerment: Issues and illustrations, Am. J. Community Psychol., 1995, 23, 581–599 http://dx.doi.org/10.1007/BF02506983[Crossref]
  • [18] Linhorst D.M., Hamilton G., Young E., Eckert A., Opportunities and barriers to empowering people with severe mental illness through participation in treatment planning, Soc. Work, 2002, 47, 425–434 [Crossref][PubMed]
  • [19] Hibbard J.H., Stockard J., Mahoney E.R., Tusler M., Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers, Health Serv. Res., 2004, 39, 1005–1026 http://dx.doi.org/10.1111/j.1475-6773.2004.00269.x[Crossref]
  • [20] Bridges J.F., Jones C., Patient-based health technology assessment: a vision of the future, Int. J. Technol. Assess. Health Care, 2007, 23, 30–35 http://dx.doi.org/10.1017/S0266462307051549[Crossref]
  • [21] Beaulaurier R.L., Taylor S.H., Social work practice with people with disabilities in the era of disability rights, Soc. work in health care, 2001, 32, 67–91 http://dx.doi.org/10.1300/J010v32n04_04[Crossref]
  • [22] Newman J., Kuhlmann E., Consumers enter the political stage? The modernization of health care in Britain and Germany, J. Eur. Soc. Policy, 2007, 17, 99–111 http://dx.doi.org/10.1177/0958928707075191[Crossref]
  • [23] Brown L.D., Eagan E., The paradoxical politics of provider. J. Health Polit. Policy Law, 2004, 29, 1045–1071 http://dx.doi.org/10.1215/03616878-29-6-1045[Crossref]
  • [24] Rhodes P., Nocon A., Booth M., Chowdrey M.Y., Fabian A., Lambert N., et al., A service users’ research advisory group from the perspectives of both service users and researchers, Health Soc. Care Community, 2002, 10, 402–409 http://dx.doi.org/10.1046/j.1365-2524.2002.00376.x[Crossref]
  • [25] Querimit D., Connor L., Empowerment psychotherapy with adolescent females of color, J. Clin. Psychol., 2003, 59, 1215–1224 http://dx.doi.org/10.1002/jclp.10212[Crossref]
  • [26] Vogt F., Schwappach D., Bridges J.F., Accounting for tastes: A German perspective on the inclusion of patient preferences in health care, PharmacoEconomics, 2006, 24, 419–423 http://dx.doi.org/10.2165/00019053-200624050-00001[Crossref]
  • [27] Akkazieva B., Gulacsi L., Brandtmuller A., Pentekk M., Bridges J.F., Patients’ Preferences for Health Care System Reforms in Hungary: A Conjoint Analysis, Appl. Health Econ. Health Policy, 2006, 5, 189–198 http://dx.doi.org/10.2165/00148365-200605030-00005[Crossref]
  • [28] Coulter A., Jenkinson C., European patients’ views on the responsiveness of health systems and healthcare providers, Eur. J. Public Health, 2005, 15, 355–360 http://dx.doi.org/10.1093/eurpub/cki004[Crossref]
  • [29] Saltman R.B., Dimensions of citizen involvement in health care, Eurohealth, 2000, 6, 22–25.
  • [30] Mierzewski P., Patients’ empowerment: the East side story, BMJ, 2005, 331, 226–227 http://dx.doi.org/10.1136/bmj.331.7510.226[Crossref]

Document Type

Publication order reference


YADDA identifier

JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.