Evidence map›Paper›PMID 40311140›Full record

ArticleJournal of medical Internet research2025

The Evolution of Patient Empowerment and Its Impact on Health Care's Future.

Bertalan Mesko, Dave deBronkart, Pranavsingh Dhunnoo, Nora Arvai, Gellért Katonai, Sara Riggare

Abstract readHistorical Article
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  16. [Digital transformation in healthcare to strengthen patient autonomy].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Bertalan MeskoThe Medical Futurist Institute, Budapest, Hungary.ORCID 0000-0002-7005-7083
Dave deBronkarte-Patient Dave, LLC, Nashua, NH, United States.ORCID 0000-0001-8240-7557
Pranavsingh DhunnooDepartment of Computing, Atlantic Technological University, Donegal, Ireland.ORCID 0000-0001-6843-4874
Nora ArvaiThe Medical Futurist Institute, Budapest, Hungary.ORCID 0009-0009-8292-4859
Gellért KatonaiThe Medical Futurist Institute, Budapest, Hungary.ORCID 0009-0003-5699-8199
Sara RiggareParticipatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-2256-7310

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the 21st century, health care has been going through a paradigm shift called digital health. Due to major advances and breakthroughs in information technologies, most recently artificial intelligence, the patriarchy of the doctor-patient relationship has started evolving toward an equal-level partnership with initial signs of patient autonomy. Being an underused resource for centuries, patients have started to contribute to their care with information, data, insights, preferences, and knowledge. It is important to recognize that at its core, digital health represents a cultural transformation, where patient empowerment has likely played the most significant role in driving these changes. This viewpoint paper traces the remarkable journey of patient empowerment from its nascent stages to its current prominence in shaping health care's future. Spanning over two and a half decades, we explore pivotal moments and technological advancements that have revolutionized the patient's role in health care. We dive into a few historical milestones, mainly in the United States, that have challenged and redefined societal norms around agency, drawing parallels between patient empowerment and broader social movements, such as the women's suffrage and civil rights movements. Through these lenses, we argue that patient empowerment is not solely a function of knowledge or technology but requires a fundamental shift in societal attitudes, policies, health care culture, and practices. As we look to the future, we posit that the continued empowerment of patients will play a pivotal role in the development of more equitable, effective, and personalized health care systems. This paper calls for an ongoing commitment to fostering environments that support patient agency, access to resources, and the realization of patient potential in navigating and contributing to their health outcomes with an emphasis on the emerging significance of patient design.

Indexed as

Delivery of Health CareEmpowermentPatient ParticipationArtificial IntelligenceHistory, 20th CenturyHistory, 21st CenturyHumansPhysician-Patient RelationsPower, PsychologicalUnited Statesforesightfuture studieshealth care futurepatient autonomypatient designpatient empowerment

Identifiers

PMID40311140
PMCPMC12082052

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.