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Health Education pp 118–155Cite as

Health Care Contexts

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Abstract

In 1974 the President’s Committee on Health Education in the USA described health education as an integral part of high quality health care [1]. Hospitals and other health care institutions were focal points of community health care, it said, and had obligations to promote, organize, implement and evaluate health education programmes. This chapter will examine health education in primary care and hospital care around themes already addressed in this book: the conceptions of health education held in these contexts, the debates on philosophical approaches, the organization and delivery of health education and the types of evaluation carried out. As in the previous chapter it is not intended to provide comprehensive reviews of evaluative studies, of which several already exist [2, 3, 4] but to highlight some of the issues which have arisen. While the immediate focus of concern is the health care service in the UK, much should be relevant to other countries. The chapter as a whole will draw quite heavily on literature from the USA since it was there that education in health care (especially in hospitals) developed more rapidly than in other countries.

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References

  1. President’s Committee on Health Education (1974) Report of the Presidents Committee on Health Education, Department of Health Education and Welfare, New York City.

    Google Scholar 

  2. Green, L., Squyres, W. D., D’Altroy, L. H. and Hebert, B. (1980) What do recent evaluations of patient education tell us? in: Patient Education: An Enquiry Into the State of the Art, (ed. W. D. Squyres), Springer Publishing Company, New York.

    Google Scholar 

  3. Mullen, P. D., Green, L. W. and Persinger, M. S. (1985) Clinical trials of patient education for chronic conditions: a comparative analysis of intervention types. Preventive Medicine, 14, 753–81.

    Article  PubMed  CAS  Google Scholar 

  4. Rimer, B., Keitz, M. K. and Glassman, M. A. (1985) Cancer patient education reality and potential. Preventive Medicine, 14, 801–18.

    Article  PubMed  CAS  Google Scholar 

  5. Bartlett, E. E. (1985) Editorial: At last, a definition. Patient Education and Counseling, 7, 323–4.

    Article  Google Scholar 

  6. Wüson-Barnett, J. (1988) Patient teaching or patient counselling? Journal of Advanced Nursing, 13, 215–22.

    Article  Google Scholar 

  7. Fahrenport, M. (1987) Patient emancipation by health education: an impossible goal. Patient Education and Counseling, 10, 26–37.

    Google Scholar 

  8. Savage, W. (1986) A Savage Enquiry: Who Controls Childbirth? Virago, London.

    Google Scholar 

  9. Holohan, A. (1977) Diagnosis: the end of transition, in: Medical Encounters: The Experience of Illness and Treatment (eds A. Davis and G. Horobin) Croom Helm, London.

    Google Scholar 

  10. Szasz, T. S. and Hollender, M. H. (1956) The basic models of the doctor-patient relationship. Archives of Internal Medicine, 97, 587–92.

    Article  Google Scholar 

  11. Steele, D. J., Blackwell, B., Guttman, M. C. and Jackson, J. C. (1987) Beyond advocacy: a review of the Active Patient Concept. Patient Education and Counseling, 10, 3–23.

    Article  PubMed  CAS  Google Scholar 

  12. Roter, D. (1987) An exploration of health education’s responsibility for a partnership model of client-provider relations. Patient Education and Counseling, 9, 25–31.

    Article  PubMed  CAS  Google Scholar 

  13. Bartlett, E. E. (1988) Preparing for strategic planning Patient Education and Counseling, 11, 1–2.

    Article  Google Scholar 

  14. Becker, M. H. and Maiman, L. A. (1980) Strategies for enhancing patient compliance. Journal of Community Health, 6, 113–35.

    Article  PubMed  CAS  Google Scholar 

  15. Leventhal, H. and Cameron, L. (1987) Behavioural theories and the problem of compliance. Patient Education and Counseling, 10, 117–38.

    Article  Google Scholar 

  16. Haynes, B. R. (1987) Guest Editorial: Patient compliance then and now. Patient Education and Counseling, 10, 103–5.

    Article  Google Scholar 

  17. Apostolides, A. Y., Hebel, J. R. and McDill, M. S. (1974) High blood pressure: its care and consequences, in urban centres. International Journal of Epidemiology, 3, 105–18.

    Article  PubMed  CAS  Google Scholar 

  18. Birket, N. J., Evans, E., Taylor, D. W. et al. (1986) Hypertension control hi two Canadian communities: evidence for better treatment and overlabelling. Journal of Hypertension, 4, 369–74.

    Article  Google Scholar 

  19. Cameron, R. and Best, A. J. (1987) Promoting aherence to health behaviour change interventions: recent findings from behavioural research. Patient Education and Counseling, 10, 139–54.

    Article  Google Scholar 

  20. Haynes, B. R., Wang, E. and Mota Gomes, M. (1987) A critical review to improve compliance with prescribed medications. Patient Education and Counseling, 10, 155–66.

    Article  Google Scholar 

  21. Green, C. A. (1987) What can patient educators learn from 10 years of compliance research? Patient Education and Counseling, 10, 167–74.

    Article  PubMed  CAS  Google Scholar 

  22. Epstein, L. H. and Class, P. A. (1982) A behavioural medicine perspective on adherence to long term medical regimes. J. Consult. Clin. Psychol., 50, 950–71.

    Article  PubMed  CAS  Google Scholar 

  23. Colcher, D. S. and Bass, J. W. (1972) Penicillin treatment of streptococcal pharyngitis, a comparison of schedules and the role of specific counselling. JAMA, 222, 657–9.

    Article  PubMed  CAS  Google Scholar 

  24. Tinkelman, D. G., Vanderpool, G. E. and Carroell, M. S. (1980) Compliance differences following administration of theophylline at 6 and 12 hour intervals. Am. Allergy, 44, 283–6.

    CAS  Google Scholar 

  25. Linkewich, J. A., Catalano, R. B. and Flack, H. L. (1974) The effect of packaging and instruction on outpatient compliance with medication regimes. Drug Intell. Clin. Pharm., 8, 10–15.

    Google Scholar 

  26. Sackett, D. L. et al. (1975) Randomised trial of strategies for improving medication compliance in primary hypertension. Lancet, i, 1205–7.

    Article  Google Scholar 

  27. Takala, J., Niemela, N., Rosti, J. and Sivers, K. (1979) Improving compliance with therapeutic regimes in hypertension patients in a community health centre. Circulation, 59, 540–3.

    Article  PubMed  CAS  Google Scholar 

  28. Ley, P. (1977) Psychological studies of doctor-patient communication, in: Contributions to Medical Psychology, (ed. S. Richman) Pergamon Press, Oxford.

    Google Scholar 

  29. Byrne, P. S. and Long, B. E. L. (1976) Doctors Talking to Patients, HMSO, London.

    Google Scholar 

  30. Pendleton, D. and Hasler, J. (eds) (1983) Doctor-Patient Communication, Academic Press, London.

    Google Scholar 

  31. Di Matteo, M. R. and Di Nicola, D. A. (1982) Achieving Patient Compliance, Pergamon Press, Oxford.

    Google Scholar 

  32. Visser, A. Ph. (1984) Patient education in Dutch hospitals. Patient Education and Counseling, 6, 178–89.

    Article  PubMed  CAS  Google Scholar 

  33. Dekkers, F. (1980) Patient education between right and practice, (I, II, III and IV). Med. Contact, 35, 640–3, 674–7, 709–12, 737–40.

    Google Scholar 

  34. Korsch, B. M. and Negrete, V. F. (1972) Doctor-patient communication. Scientific American, 227, 66–73.

    Article  PubMed  CAS  Google Scholar 

  35. Taylor, K. M. and Kilner, M. (1987) Informed consent: the physician’s perspective. Social Science and Medicine, 24, 135–43.

    Article  PubMed  CAS  Google Scholar 

  36. Davis, F. (1963) Passage Through Crisis: Polio Victims and Their Families, Bobbs, Merrill, New York.

    Google Scholar 

  37. Elian, M. and Dean, G. (1985) To tell or not to tell the diagnosis of multiple sclerosis, Lancet, ii, 27–8.

    Article  Google Scholar 

  38. Editorial (1985) Telling patients with multiple sclerosis, Lancet, ii, 26.

    Google Scholar 

  39. Cassileth, B. R., Zupkis, R. V., Sutton Smith, K. and March, V. (1980) Information and participation preferences among cancer patients. Annals of Internal Medicine, 92, 832–6.

    Article  PubMed  CAS  Google Scholar 

  40. Tuckett, D., Boulton, M., Olson, C. and Williams, A. (1985) Meetings Between Experts; An Approach to Sharing Ideas in Medical Consultations, Tavistock Publications, London.

    Google Scholar 

  41. Wallace, L. M. Psychological Studies of the Development and Evaluation of Preparatory Procedures for Women undergoing Minor Gynaecological Surgery, PhD thesis, University of Birmingham, England.

    Google Scholar 

  42. Melamed, B. (1977) Psychological preparation for hospitalisation, in : Contributions to Medical Psychology, (éd. S. Rachman) Volume 1, Pergamon Press, Oxford.

    Google Scholar 

  43. Williams, C. L. and Kendall, P. C. (1985) Psychological Aspects of Patient Education for Stressful Medical Procedures, Health Education Quarterly, 12, 135 – 50.

    Article  PubMed  CAS  Google Scholar 

  44. Metcalfe, D. (1980) Why not let patients keep their own records? Journal of the Royal College of General Practitioners, 30, 420.

    PubMed  CAS  Google Scholar 

  45. Fischbach, R., Sionolo-Bayog, A., Needle, A. et al. (1980) The patient and practitioners as co-authors of the medical record, Patient Education and Counseling, 2(1), 1–5.

    Article  CAS  Google Scholar 

  46. Tomson, P. (1985) Sharing problem cards with patients. Journal of the Royal College of Practitioners, 35, 534–5.

    CAS  Google Scholar 

  47. Greenfield, S., Kaplan, S. and Ware, J. (1985) Expanding patient involvement in care. Annals of Internal Medicine, 102, 520–8.

    Article  PubMed  CAS  Google Scholar 

  48. Slack, W. (1977) The patients’ right to decide. Lancet, ii, 240.

    Article  Google Scholar 

  49. Morris, J. and Royle, G. T. (1988) Offering patients a choice of surgery for early breast cancer: a reduction in anxiety and depression in patients and their husbands. Social Science and Medicine, 6, 583–5.

    Google Scholar 

  50. Roter, D. (1977) Patient participation in the patient-provider interaction. The effects of patient question asking on the quality of interaction satisfaction and compliance. Health Education Monographs, Winter, 281–315.

    Google Scholar 

  51. Speedling, E. J. and Rose, D. N. (1985) Building an effective doctor-patient relationship: from patient satisfaction to patient participation. Social Science and Medicine, 21, 115–20.

    Article  PubMed  CAS  Google Scholar 

  52. Department of Education and Science (1981) Care in Action: A Handbook of Policies and Priorities for the Health and Personal Social Services in England, HMSO, London.

    Google Scholar 

  53. Royal College of General Practitioners (1981a) Health and Prevention in Primary Care: Reports from General Practice, RCGP, London.

    Google Scholar 

  54. Royal College of General Practitioners (1981b) Prevention of Psychiatric Disorders in General Practice, 20, RCGP, London.

    Google Scholar 

  55. DHSS (1986) Primary Health Care: An Agenda for Discussion, HMSO, London.

    Google Scholar 

  56. DHSS (1987) Neighbourhood Nursing — a Focus for Care: Report of the Community Nursing Review, HMSO, London.

    Google Scholar 

  57. United Kingdom Central Council for Nursing, Midwifery and Health Visiting (1986) Project 2000: A New Preparation for Practice, UICC, London.

    Google Scholar 

  58. Government White Paper (1987) Promoting Better Health; Government Programme for Improving Primary Health Care, HMSO, London.

    Google Scholar 

  59. Department of Health and Social Security (1976a) Prevention and Health: Everybody’s Business, HMSO, London.

    Google Scholar 

  60. Watt, A. (1986) Community Health Initiatives and their relationship to General Practice, Journal of the Royal College of General Practitioners, 36, 72–3.

    PubMed  CAS  Google Scholar 

  61. Bluck, M. E. (1975) Public and Professional Opinions on Preventive Medicine (unpublished), Tenovus Cancer Education Centre, Cardiff.

    Google Scholar 

  62. Calnan, M., Boulton, M. and Williams, A. (1986) Health education and General Practitioners: a critical appraisal, in: The Politics of Health Education (eds S. Rodmell and A. Watt) Routledge and Kegan Paul, London.

    Google Scholar 

  63. Boulton, M. and Williams, A. (1983) Health education in the general practice consultation: doctor’s advice on diet, alcohol and smoking. Health Education Journal, 42, 57–63.

    Article  PubMed  CAS  Google Scholar 

  64. Sullivan, D. (1988) Opportunistic health promotion: do patients like it? Journal of the Royal College of General Practitioners, 38, 24–5.

    PubMed  CAS  Google Scholar 

  65. Russell, M. A. H., Wilson, C, Taylor, C. and Baker, C. D. (1979) Effect of general practitioners, advice against smoking, British Medical Journal, 2, 231–5.

    Article  PubMed  CAS  Google Scholar 

  66. Calnan, M. W. and Johnson, B. M. (1983) Influencing health behaviour: how significant is the general practitioner? Health Education Journal, 42, 39–45.

    Article  PubMed  CAS  Google Scholar 

  67. Russe U. M. A. H., Stapleton, J. A., Hajek, P. et al. (1988) District programme to reduce smoking: can sustained intervention by general practitioners affect prevalence? Journal of Epidemiology and Community Health, 42, 111–15.

    Article  Google Scholar 

  68. Bird, A., Cobb, J.and Walji, M. T. I. (1988) Increasing patient participation using an extended consultation: an inner city study. Journal of the Royal College of General Practitioners, 38, 212–14.

    PubMed  CAS  Google Scholar 

  69. American Hospital Association (1964) Health Education: Role and Responsibilities of Health Care Institutions, AHA, Chicago.

    Google Scholar 

  70. American Hospital Association (1972) A Patients’ Bill of Rights, American Hospital Association, Chicago.

    Google Scholar 

  71. Blue Cross (1974) White Paper on Patient Health Education, Blue Cross Association, Chicago.

    Google Scholar 

  72. American Hospital Association (1981) The Hospital’s Responsibility for Patient Education Services, AHA, Chicago.

    Google Scholar 

  73. Mary on Davis, A. (1984) Health Education in the Surgery. Health Education Journal, 43, 4.

    Article  Google Scholar 

  74. Ridgeway, V. and Mathews, A. (1982) Psychological preparation for surgery: a comparison of methods. British Journal of Clinical Psychology, 21, 271–80.

    Article  PubMed  Google Scholar 

  75. Webb, C. (1985) Sexuality, Nursing and Health, John Wiley and Sons, Chichester.

    Google Scholar 

  76. Pack, B. E., Hendrick, R. M., Murdock, R. B. and Palma, L. M. (1983) Factors affecting criteria met by hospital based patient education programs, Patient Education and Counseling, 5, 76–84.

    Article  PubMed  CAS  Google Scholar 

  77. Ozbolt Goodwin, J. (1979) Programmed instruction for self care following pulmonary surgery, Int. J. Nurs. Stud., 16, 29–40.

    Article  Google Scholar 

  78. Bartlett, E. E. (1988) Which patient education strategies will pay off under prospective pricing? Patient Education and Counseling, 12, 51–91.

    Article  PubMed  CAS  Google Scholar 

  79. Van den Borne, H. W., Pruyn, J. F. A. and Van den Heuvel, W. J. A. (1987) Effects of contacts between cancer patients on their psychosocial problems, Patient Education and Counseling, 9, 33–51.

    Article  Google Scholar 

  80. Parrinello, K. (1984) Patients’ evaluation of a teaching booklet for arterial bypass surgery. Patient Education and Counseling, 4, 183–9.

    Article  Google Scholar 

  81. Mullen, P. D. and Zapka, J. G. (1981) Health promotion and education, in: Services in HMO’s, US Public Health Service, Washington, DC.

    Google Scholar 

  82. Bartlett, E. E. (1985) Social consumption or social investment? Patient Education and Counseling, 7, 223–5.

    Article  PubMed  CAS  Google Scholar 

  83. Close, A. (1988) Patient education: a literature review. Journal of Advanced Nursing, 13, 203–13.

    Article  PubMed  CAS  Google Scholar 

  84. Bartlett, E. E. (1985) Forum: patient education: eight principles from patient education research. Preventive Medicine, 14, 667–9.

    Article  Google Scholar 

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Authors
  1. Keith Tones
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  2. Sylvia Tilford
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  3. Yvonne Keeley Robinson
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© 1990 Tones, Tilford and Robinson

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Tones, K., Tilford, S., Robinson, Y.K. (1990). Health Care Contexts. In: Health Education. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3230-3_5

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  • DOI: https://doi.org/10.1007/978-1-4899-3230-3_5

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-412-32980-7

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