Re-thinking the relationship between long-term condition self-management education and the utilisation of health services

被引:87
作者
Gately, Claire [1 ]
Rogers, Anne [1 ]
Sanders, Caroline [1 ]
机构
[1] Univ Manchester, Natl Primary Care Res & Dev Ctr, Manchester M13 9PL, Lancs, England
关键词
UK; self-care; self-management; health service utilisation; chronic illness;
D O I
10.1016/j.socscimed.2007.04.018
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Encouraging self-management has been viewed as one means of reducing health service utilisation and contributing to improved demand management. However, the processes and imputed relationship between self-management education skills and health service contact are poorly understood. This paper reports on data from an embedded qualitative study which ran alongside a randomised controlled trial in England designed to test the clinical and cost effectiveness of a self-care support policy which found no statistically significant reductions in health service utilisation. Drawing on concepts from the sociology of chronic illness, analyses suggest that the biographical and social context relevant to individuals' experience of living with a long-term condition, history of health service utilisation, and relationships with health professionals are relevant to understanding the impact of self-management education and related policies aimed at bringing about changes in service use. Our study suggests that future health policy assumptions about utilisation in the context of chronic disease management and self-care support polices may benefit by acknowledging the complex, contextual and recursive nature of health service utilisation operating in the life worlds of patients' experience of living with a long-term condition. (c) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:934 / 945
页数:12
相关论文
共 47 条
[1]   REVISITING THE BEHAVIORAL-MODEL AND ACCESS TO MEDICAL-CARE - DOES IT MATTER [J].
ANDERSEN, RM .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1995, 36 (01) :1-10
[2]  
[Anonymous], 2001, EXP PAT NEW APPR CHR
[3]   SELF-EFFICACY - TOWARD A UNIFYING THEORY OF BEHAVIORAL CHANGE [J].
BANDURA, A .
PSYCHOLOGICAL REVIEW, 1977, 84 (02) :191-215
[4]   COPING AND HELP-SEEKING IN THE UK ADULT-POPULATION [J].
BARKER, C ;
PISTRANG, N ;
SHAPIRO, DA ;
SHAW, I .
BRITISH JOURNAL OF CLINICAL PSYCHOLOGY, 1990, 29 :271-285
[5]   Giving voice to the lifeworld. More humane, more effective medical care? A qualitative study of doctor-patient communication in general practice [J].
Barry, CA ;
Stevenson, FA ;
Britten, N ;
Barber, N ;
Bradley, CP .
SOCIAL SCIENCE & MEDICINE, 2001, 53 (04) :487-505
[6]  
Blakeman T, 2006, BRIT J GEN PRACT, V56, P407
[7]  
Bury M, 1982, Sociol Health Illn, V4, P167, DOI 10.1111/1467-9566.ep11339939
[8]   QUALITATIVE RESEARCH ON CHRONIC ILLNESS - A COMMENTARY ON METHOD AND CONCEPTUAL DEVELOPMENT [J].
CONRAD, P .
SOCIAL SCIENCE & MEDICINE, 1990, 30 (11) :1257-1263
[9]  
Corbin J., 1985, Qualitative sociology, V8, P224, DOI DOI 10.1007/BF00989485
[10]  
*DEP HLTH, 1999, SAV LIV OUR HEALTH N