Enhancing Consumer Involvement in Health Care: The Dynamics of Control, Empowerment, and Trust

The author presents a value-based model of consumer involvement and preventive health care behavior. Through in-depth interviews, consumer views were elicited on three health care policy issues—health information use, the patient-physician relationship, and health compliance. Value maps are developed that explain the motivations and desired outcomes underlying consumer health care involvement and behavior. The author discusses the dynamics of control, empowerment, and trust and introduces a value-based conceptual model of health care involvement and preventive behavior incorporating these values. He concludes by offering implications for enhancing comsumer involvement in social marketing health care programs.

[1]  C. Moorman,et al.  A Model of Consumers' Preventive Health Behaviors: The Role of Health Motivation and Health Ability , 1993 .

[2]  N. Hollenberg,et al.  Quality of Life and Antihypertensive Therapy in Men -- A Comparison of Captopril with Enalapril , 1993 .

[3]  S. Oparil Antihypertensive therapy--efficacy and quality of life. , 1993, The New England journal of medicine.

[4]  Darrel D. Muehling,et al.  Defining, Operationalizing, and Using Involvement in Advertising Research: A Review , 1993 .

[5]  Barnes Jh,et al.  Modeling physicians' prescribing decisions for patients with panic disorder. , 1993 .

[6]  S. Gould,et al.  Consumer illness careers: an investigation of allergy sufferers and their universe of medical choices. , 1993, Journal of health care marketing.

[7]  Louis A. Morris,et al.  A Segmentation Analysis of Prescription Drug Information-Seeking Motives among the Elderly , 1992 .

[8]  A. Burns The expanded health belief model as a basis for enlightened preventive health care practice and research. , 1992, Journal of health care marketing.

[9]  E L Hannan,et al.  Coronary Artery Bypass Surgery: The Relationship Between Inhospital Mortality Rate and Surgical Volume After Controlling For Clinical Risk Factors , 1991, Medical care.

[10]  James B. Hunt,et al.  The Protection Motivation Model: A Normative Model of Fear Appeals: , 1991 .

[11]  Kenneth R. Lord,et al.  Picture-Based Persuasion Processes and the Moderating Role of Involvement , 1991 .

[12]  N. Hollenberg,et al.  Assessment of quality of life by patient and spouse during antihypertensive therapy with atenolol and nifedipine gastrointestinal therapeutic system. , 1991, American journal of hypertension.

[13]  J. C. Andrews,et al.  A Framework for Conceptualizing and Measuring the Involvement Construct in Advertising Research , 1990 .

[14]  D. Kessler,et al.  The federal regulation of prescription drug advertising and promotion. , 1990, JAMA.

[15]  Sanford Grossbart,et al.  Mothers' Communication Orientation and Consumer-Socialization Tendencies , 1990 .

[16]  L. Fallowfield,et al.  What are the Psychological Factors Influencing Attendance, Non-Attendance and Re-Attendance at a Breast Screening Centre? , 1990, Journal of the Royal Society of Medicine.

[17]  Joan Meyers-Levy,et al.  The Influence of Message Framing and Issue Involvement , 1990 .

[18]  W. Schain Physician-patient communication about breast cancer. A challenge for the 1990s. , 1990, The Surgical clinics of North America.

[19]  D. Smith,et al.  Prescription drug abuse. Patient, physician, and cultural responsibilities. , 1990, The Western journal of medicine.

[20]  J. Baron,et al.  Preliminary trial of the effect of general practice based nutritional advice. , 1990, The British journal of general practice : the journal of the Royal College of General Practitioners.

[21]  H. Spiro,et al.  Informed consent for colonoscopy. A prospective study. , 1990, Archives of Internal Medicine.

[22]  S. Kopp,et al.  Advertising Prescription Drugs to the Public: Headache or Relief? , 1990 .

[23]  I. Robinson,et al.  Personal narratives, social careers and medical courses: analysing life trajectories in autobiographies of people with multiple sclerosis. , 1990, Social science & medicine.

[24]  U Gerhardt,et al.  Qualitative research on chronic illness: the issue and the story. , 1990, Social science & medicine.

[25]  R Maisiak,et al.  Users of a public arthritis information service and their needs. , 1989, The Journal of rheumatology.

[26]  H. Nickens The physician‐patient dyad: an important unit for analysis , 1989, Academic medicine : journal of the Association of American Medical Colleges.

[27]  Philip Kotler,et al.  Social Marketing: Strategies for Changing Public Behavior , 1989 .

[28]  A. Bissonnette,et al.  Social marketing of nutrition education to cardiac patients in acute care. , 1989, Journal of the American Dietetic Association.

[29]  R. Rippey,et al.  A short form for clinical assessment of quality of life among hypertensive patients. , 1989, American journal of preventive medicine.

[30]  T. Schwenk,et al.  Physician and patient determinants of difficult physician-patient relationships. , 1989, The Journal of family practice.

[31]  S. J. Gould,et al.  Consumer Attitudes toward Health and Health Care: A Differential Perspective. , 1988 .

[32]  I. Rosenstock,et al.  Social Learning Theory and the Health Belief Model , 1988, Health education quarterly.

[33]  Meera Venkatraman,et al.  Investigating Differences in the Roles of Enduring and Instrumentally Involved Consumers in the Diffusion Process , 1988 .

[34]  S. Chaiken,et al.  The effect of message framing on breast self-examination attitudes, intentions, and behavior. , 1987, Journal of personality and social psychology.

[35]  M. Rubin,et al.  Stages of Involvement With Alcohol and Heroin: Analysis of the Effects of Marketing on Addiction , 1987 .

[36]  Alice Henderson The CBS Consumer Model , 1986 .

[37]  S. Beatty,et al.  Alternative Measurement Approaches to Consumer Values: The List of Values (LOV) and Values and Life Style (VALS) , 1986 .

[38]  A. Masson,et al.  Plugs for drugs. , 1986, Regulation.

[39]  George R. Franke,et al.  Correspondence Analysis: Graphical Representation of Categorical Data in Marketing Research , 1986 .

[40]  G. Klerman,et al.  The effects of antihypertensive therapy on the quality of life. , 1986, The New England journal of medicine.

[41]  L. Garro Intracultural Variation in Folk Medical Knowledge: A Comparison Between Curers and Noncurers , 1986 .

[42]  John W. Payne,et al.  Cognitive Considerations in Designing Effective Labels for Presenting Risk Information , 1986 .

[43]  P. Rubin Matching Prescription Drugs and Consumers: The Benefits of Direct Advertising , 1985, The New England journal of medicine.

[44]  M. Becker Patient adherence to prescribed therapies. , 1985, Medical care.

[45]  G. Harrell,et al.  Marketing ambulatory care to women: a segmentation approach. , 1985, Journal of health care marketing.

[46]  R. Clarke,et al.  Theory and Applications of Correspondence Analysis , 1985 .

[47]  S. Weller Consistency and Consensus among Informants: Disease Concepts in a Rural Mexican Village , 1984 .

[48]  E. Paykel,et al.  Life stress and symptom pattern in out-patient depression , 1984, Psychological Medicine.

[49]  M. Becker,et al.  The Health Belief Model: A Decade Later , 1984, Health education quarterly.

[50]  M. Calnan,et al.  The health belief model and participation in programmes for the early detection of breast cancer: a comparative analysis. , 1984, Social science & medicine.

[51]  David Mazursky,et al.  A Longitudinal Assessment of Consumer Satisfaction/Dissatisfaction: The Dynamic Aspect of the Cognitive Process , 1983 .

[52]  J. Cacioppo,et al.  Central and Peripheral Routes to Advertising Effectiveness: The Moderating Role of Involvement , 1983 .

[53]  C. Jenkins,et al.  Coronary artery bypass surgery. Physical, psychological, social, and economic outcomes six months later. , 1983 .

[54]  Joel B. Cohen Involvement and You: 1000 Great Ideas , 1983 .

[55]  D. Altman,et al.  The rest of the challenge: Position statement on employment opportunities. , 1983 .

[56]  R. Pierloot Different models in the approach to the doctor-patient relationship. , 1983, Psychotherapy and psychosomatics.

[57]  L. Uusitalo Environmental Impact of Changes in Consumption Styles , 1982 .

[58]  J. Gutman A Means-End Chain Model Based on Consumer Categorization Processes , 1982 .

[59]  S. Folkman,et al.  Relationship of daily hassles, uplifts, and major life events to health status , 1982 .

[60]  R. Lau,et al.  Refinements in the Measurement of Health-Specific Locus-of-Control Beliefs , 1981, Medical care.

[61]  Sullivan Gl,et al.  The impact of preventive health education programs on beliefs, attitudes and behavioral intentions: experimental investigation of a breast self-examination program. , 1981 .

[62]  L. Freiberg Hospital utilization: estimation and stimulation tools for the development of systematic plans and marketing strategies. , 1981, Journal of health care marketing.

[63]  R. Oliver A Cognitive Model of the Antecedents and Consequences of Satisfaction Decisions , 1980 .

[64]  H. Kelman,et al.  The Ethics of social intervention , 1979 .

[65]  Baruch Fischhoff,et al.  Accident probabilities and seat belt usage: A psychological perspective☆ , 1978 .

[66]  James H. Johnson,et al.  Assessing the impact of life changes: development of the Life Experiences Survey. , 1978, Journal of consulting and clinical psychology.

[67]  R. Rose,et al.  Health Change in Air Traffic Controllers: A Prospective Study. I. Background and Description , 1978, Psychosomatic medicine.

[68]  Alan R. Andreasen,et al.  A Taxonomy of Consumer Satisfaction/Dissatisfaction Measures , 1977 .

[69]  Barton A. Weitz,et al.  Time horizon effects on product evaluation strategies. , 1977 .

[70]  Donald E. Vinson,et al.  The Role of Personal Values in Marketing and Consumer Behavior , 1977 .

[71]  J. Rabkin,et al.  Live events, stress, and illness. , 1976, Science.

[72]  W. Henry Cultural Values do Correlate with Consumer Behavior , 1976 .

[73]  A. Vinokur,et al.  Desirable versus undesirable life events: their relationship to stress and mental distress. , 1975, Journal of personality and social psychology.

[74]  R. Rahe,et al.  Psychosocial factors and sudden cardiac death: a pilot study. , 1971, Journal of psychosomatic research.

[75]  A. Wyler,et al.  Magnitude of Life Events and Seriousness of Illness , 1971, Psychosomatic medicine.

[76]  B. Korsch,et al.  Gaps in doctor-patient communication. Patients' response to medical advice. , 1969, The New England journal of medicine.

[77]  R. Rahe Life-Change Measurement as a Predictor of Illness , 1968, Proceedings of the Royal Society of Medicine.

[78]  R. Gorsuch,et al.  Beliefs, attitudes, and values , 1968 .

[79]  T. H. Holmes,et al.  The Social Readjustment Rating Scale. , 1967, Journal of psychosomatic research.

[80]  I. Rosenstock Why people use health services. , 1966, The Milbank Memorial Fund quarterly.

[81]  S. Cobb,et al.  Health behavior, illness behavior, and sick-role behavior. II. Sick-role behavior. , 1966, Archives of environmental health.

[82]  S. Cobb,et al.  Health behavior, illness behavior, and sick role behavior. I. Health and illness behavior. , 1966, Archives of environmental health.

[83]  E. Rogers,et al.  Diffusion of Innovations , 1964 .

[84]  H. Hyman,et al.  Some Reasons Why Information Campaigns Fail , 1947 .