Patients are expected to demonstrate their will to be empowered and to act as user participants. On an organizational level, various systems of self-regulation have been introduced, such as quality assurance systems, self-evaluations, and different documentation practices. There is a need to explore whether self-regulation and the will to be empowered has become a prerequisite for receiving effective health care and the possible implications of such an ideology.
Dear Syed,
You try to read some texts from Noam Chomsky about that. I recommend the book from that author Power Systems - Conversations on Global Democratic Uprisings and the New Challenges to U. S. Empire.
I hope had useful to you.
Kind regards.
I totally agree with Brenda. Healthcare institutions do not endorse patient self-determination. The magnet hospital movement and its evaluation requirements have helped a little toward achieving that end. Even though patients fill out evaluation forms, they generally are already use to being in a submissive role to care givers. They believe that is normal and reflect that in their evaluations.
There is a growing movement toward billing doctors if patients wait too long for them to see you. I waited for one doctor for over an hour. I was told by the receptionist I was next to be placed in the exam room. I knew that was another 30 minute wait in that room. I walked out never to return. I should have billed him for my time.
One major research center I know of uses gray, shroud colored gowns for cancer patients awaiting mammograms. I have asked on numerous occasions for over 3 years that someone change the color of those depressing gowns. No action has been taken. If something that simple can't be done, what hope is there for a full program of self determination for patients?
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