📋 Empowerment, Accountability & Care: Understanding Primary Healthcare Dynamics 🏛️
In English primary care coordination 🏥, the debate between empowerment and responsibilisation is becoming increasingly important. Empowerment focuses on supporting patients with knowledge, resources, and shared decision-making so they can actively participate in their healthcare journey 🌿. In contrast, responsibilisation shifts more responsibility onto patients, expecting them to manage appointments, treatments, and follow-ups with limited structural support. Understanding this balance is crucial for delivering equitable and patient-centered care. From the patients’ perspective 👩⚕️👨⚕️, care coordination often involves complex “articulation work” — the behind-the-scenes effort required to organize appointments, communicate between services, and ensure continuity of care 📋. While some patients feel empowered when given autonomy and information, others may feel overwhelmed by administrative burdens and fragmented systems. Vulnerable groups, in particular, can experience st...