Figures & data
Figure 1 The mental mechanisms of patient adherence to long-term therapies: sites of action of patient education.
Notes: This figure represents the different mental states leading to patient adherence. They are the targets of patient education. PE: 1) explores the content of the patient’s different mental states (knowledge, skills, beliefs, emotions, and desires) as well as feelings such as pain and pleasure; 2) looks for events that could lead through emotions to a revision of beliefs and desires; and 3) investigates the patient’s resources. By clarifying the barriers to adherence, patient education can indirectly improve it. Reproduced from The Mental Mechanisms of Patient Adherence to Long-Term Therapies, Mind and Care, Foreword by Pascal Engel, Philosophy and Medicine Series, An intentionalist model of patient adherence, 2015, Reach G.Citation22 With permission of Springer.
Abbreviation: PE, patient education.
Abbreviation: PE, patient education.
Figure 2 Patient education as an ethical pathway.
Notes: How patient education paves the way between the three models (informative, interpretative, and deliberative) of the physician–patient relationshipCitation26 and eschews the paternalistic model. The HCP uses empathy in his or her attempt to clarify the patient’s preferences. He or she uses sympathy when telling the patient about his or her own preferences. Reproduced from Reach G. Patient autonomy in chronic care: solving a paradox. Patient Prefer Adherence. 2014;8:15–24.Citation27
Figure 3 The dynamic interplay between the 5As of patient education and trust: the bases of person-centered medicine.
Notes: A trust-based model of the patient–physician relationship: how patient education generates trust and indirectly improves the patients’ long-term adherence. Patient education leads to better care by providing technical information (safety and efficacy) and by improving patient long-term adherence. In this model, both the doctor and the patient act as persons. Patient education paves therefore the way to person-centered medicine, and trust is an essential constituent of this model.
