本文探討大腸直腸癌的健康識能與病患培力對醫病關係的影響。以多重來源的資料蒐集，勾勒病患獲取疾病與照護資訊，增能自助與助人的過程。資料來源包括：社群媒體的大腸直腸癌抗癌日記與各大醫院網站之大腸直腸癌相關資訊；深入訪談醫院護理師（個案管理師）、大腸直腸癌病友及家屬；參與觀察網路大腸直腸癌病友社群的觀察紀錄。本文建議醫療端應鼓勵並強化互動層面及批判層面的疾病識能，使之成為病患培力增能的養分。民眾與病患端的疾病培力，則亟需納入主／被動疾病的身心與疾病經驗與分享，讓病患從各種來源獲取疾病與治療資訊與經驗後，讓醫護成為病患求證、諮詢與分享的角色。依此，醫病關係方可能有共享決策的可能。

This study examines the impact of health literacy and patient empowerment on doctor-patient relationships. Utilizing data from multiple sources, this paper outlines how patients acquire information about diseases and care to empower themselves to self-help and assist others. Data sources include colorectal cancer diaries on social media, colorectal cancer-related information from major hospital websites, in-depth interviews with hospital nurses, colorectal cancer patients and their families, and participatory observation records of online colorectal cancer patient communities. This study suggests that health care providers should encourage and enhance interactive and critical aspects of disease knowledge. Patient and public empowerment requires active and passive engagement in the management and sharing of physical, mental, and disease experiences. This enables patients to obtain information and experiences about diseases and treatments through various communication channels, positioning healthcare providers as consultants, advisors, and sharers. Consequently, shared decision-making in doctor-patient relationships becomes a possibility.