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The purpose of this study is to analyze patient empowerment and point out how it affects new approach to physician-patient management. It is also examined the role of empowered patients and Health Communities in giving new viability to healthcare organizations. The paper is based on a literature review of empowerment and in particular of patient empowerment. The emerging results are enforced by the discussion of RareConnect.org explanatory case study.The study investigates new patient decision-making ability, which involves a radical shift in healthcare management and communication. It also contributes to the definition of a “viable” approach to organization-patient relationship management, based on cooperation and new resources acquiring. The paper represents a first attempt to examine physician- patient relationship according to the model of viability cycle. El objetivo de este trabajo es evaluar el empowerment del paciente y senalar como afecta el nuevo enfoque de gestion medico-paciente. Tambien se examina la influencia que los pacientes y las comunidades de salud online tienen en la viabilidad de las organizaciones sanitarias. El presente articulo se basa en una revision bibliografica sobre el empowerment y, en particular, del empowerment del paciente. Los resultados emergentes son respaldados por el estudio de caso explicativo RareConnect.org. El articulo investiga la nueva capacidad de decision del paciente, lo que implica un cambio radical en la gestion de la asistencia y la comunicacion sanitaria. Tambien contribuye a la definicion de un enfoque “viable” para la gestion de la relacion medico-paciente, basada en la cooperacion y la adquisicion de nuevos recursos. El articulo constituye un primer intento en la investigacion sobre la relacion medico-paciente de acuerdo con el modelo de ciclo de viabilidad.

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Patient empowerment and health online community : two ways to give the new viability doctor-patient relationship = Cooperación y intercambio de conocimiento en la era de Internet : dos maneras de dar nueva viabilidad a la relación médico-paciente