© 2017

The Bright Side and the Dark Side of Patient Empowerment

Co-creation and Co-destruction of Value in the Healthcare Environment

  • Presents patient enablement as a requisite to patient empowerment

  • Rebalances healthcare provision through patient empowerment

  • Bridges the gap between the theory and practice of patient empowerment


Part of the SpringerBriefs in Public Health book series (BRIEFSPUBLIC)

Table of contents

  1. Front Matter
    Pages i-xix
  2. Rocco Palumbo
    Pages 1-21
  3. Rocco Palumbo
    Pages 23-45
  4. Rocco Palumbo
    Pages 47-61
  5. Back Matter
    Pages 79-85

About this book


Patient empowerment as a key component in the future of healthcare systems is the focus of this concise in-depth analysis. It begins by defining patient empowerment as a collaborative partnership linking patients, providers, and systems, and examines the roles of health literacy, provider-patient and system-patient communication, and patient-centered care in the empowerment process. Models of positive and negative empowerment identify optimum conditions when patient and provider participate in service design and delivery as well as pitfalls and risks to patient and system when goals and input are mismatched. The book also translates concepts into practice with guidelines for empowerment strategies at the provider and organization levels to improve patient outcomes and system sustainability.  

Included in the coverage:


·         Empowering healthcare organizations to empower patients

·         A re-design of the patient-provider partnership

·         Patient empowerment: a requisite for sustainability

·         The risks of value co-destruction in service systems

·         The need for enlightening and managing the dark side of patient empowerment

·         Disentangling the relationship between individual health literacy and patient empowerment


Straightforwardly written as a call for proactive change, The Bright Side and the Dark Side of Patient Empowerment is an illuminating text for scholars interested in patient empowerment and patient engagement, policymakers and managers operating in the healthcare field, and healthcare and social care providers.


patient empowerment initiatives value co-creation in the healthcare environment value co-destruction in the healthcare environment patient involvement patient enablement healthcare management healthcare service systems patient-centered approach to care healthcare reform traditional biomedical/industrial model of health care healthcare settings healthcare administration primary care hospital care patient participation health system reforms design and delivery of health services provision of care sustainable health care

Authors and affiliations

  1. 1.Department of Management and Innovation SystemsUniversity of SalernoFiscianoItaly

About the authors

Rocco Palumbo, PhD, is a research fellow in Organizational Studies in the Department of Management and Innovation Systems and adjunct professor of Organizational Structuring and Accounting at the University of Salerno in Salerno, Italy. Dr. Palumbo is also adjunct professor of Organizational Studies at the School of Medicine at the University of Naples, Italy. 

Bibliographic information

Industry Sectors
Health & Hospitals
Finance, Business & Banking


“Patient empowerment is the focus of this brief report, which attempts to define this concept and determine the gaps in knowledge regarding patient empowerment and how to implement it in clinical or research situations. … the author aims to attract readers interested in healthcare management and public health, including students, scholars, health professionals, policy makers, and senior management. … This book is a nice addition to healthcare literature.” (Carole A. Kenner, Doody's Book Reviews, July, 2017)