Gone are the days when people can rely solely on their family doctor with the help of a nurse to take charge of their health care. To obtain the best health care today, people must participate actively in the process. Active participation means many things:

• Learning about health care issues (including how care can be paid for)
• Visiting a health care practitioner regularly
• Communicating effectively with health care practitioners
• Obtaining appropriate preventive care (see Prevention: Introduction)
• Remaining watchful for signs of ill health or bodily changes (such as a change in the color of a mole or detection of a lump in a breast or testis)
• Keeping a record of personal medical information

For people with a specific disorder, active participation also means monitoring their health. For example, people with hypertension regularly measure their blood pressure, and people with diabetes regularly measure their blood sugar level.

Good communication—open, honest sharing of information—with health care practitioners is crucial because it can mean better health. With good communication, practitioners better understand the problems a person is having and the person better understands how problems should be treated. It also fosters trust and confidence between the practitioner and the person, making the person more likely to follow the treatment regimen.

Last full review/revision May 2007 by Marjorie A. Bowman, MD, MPA