scholarly journals Sisyphus and self-management: the chronic condition self-management paradox

2007 ◽  
Vol 31 (2) ◽  
pp. 184 ◽  
Author(s):  
Peter W Harvey ◽  
Barbara M Docherty
Keyword(s):  
Health Care ◽  
Health System ◽  
Chronic Condition ◽  
Chronically Ill ◽  
Medical Intervention ◽  
Self Management ◽  
Ageing Population ◽  
Economic Determinants ◽  
Ideological Perspective ◽  
Management Approaches

Chronic condition self-management is promoted internationally as not only a possible solution to the health problems of our increasingly chronically ill and ageing population, but as part of a new wave of consumer-led and volunteer-managed health care initiatives. Consumers are now indicating that they want to be more involved in the management of their lives and their health care options, while, especially in rural and smaller communities in Australia, a shortage of clinicians means that health care is rapidly changing. This emphasis on self-management raises crucial questions about where consumer action and control in health care should end and where clinical and medical intervention might begin. Hence, as in the case of Sisyphus and his rock, the self-management process is a difficult and demanding one that poses major challenges and loads for health system reformers and represents a struggle in which new difficulties are constantly emerging. This paper examines some implications of new self-management approaches to chronic illness from an ideological perspective and highlights key elements that underpin the effort to promote health-related lifestyle change. While peer-led self-management programs may assist certain individuals to live engaged and meaningful lives, the essential social and economic determinants of health and wellbeing mean that these programs are not the answer to our urgent need for major reform in the health care arena. Rather, selfmanagement, from an ideological perspective, represents a minor adjustment to the fabric of our health system.

An evaluation of the self-management support capacity of providers of chronic condition primary care

2012 ◽  
Vol 18 (2) ◽  
pp. 112 ◽  
Author(s):  
Tracy E. Cheffins ◽  
Julie A. Twomey ◽  
Jane A. Grant ◽  
Sarah L. Larkins
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Chronic Condition ◽  
Health Care Services ◽  
Readiness To Change ◽  
Structured Interview ◽  
Self Management ◽  
Management Support ◽  
Primary Health

Self-management support (SMS) is an important skill for health professionals providing chronic condition management in the primary health care sector. Training in SMS alone does not always lead to its utilisation. This study aimed to ascertain whether SMS is being used, and to identify barriers and enablers for SMS in practice. Health professionals who underwent SMS training were invited to participate in a semi-structured interview. A response rate of 55% (14 of 24) was achieved. All interviewees rated their understanding of the principles of SMS as moderate or better. In relation to how much they use these principles in their practice, several (5 of 14) said minimally or not at all. The tools they were most likely to use were SMART goals (8 of 14) and decision balance (5 of 14). Core skills that were being used included problem solving (11 of 14), reflective listening (13 of 14), open-ended questions (12 of 14), identifying readiness to change (12 of 14) and goal setting (10 of 14). The most important barriers to implementing SMS were current funding models for health care, lack of space and staff not interested in change. The most highly rated enabling strategies were more training for general practitioners and more training for practice nurses; the lowest rated was more training for receptionists. The increasing prevalence of chronic conditions due to ageing and lifestyle factors must be addressed through new ways of delivering primary health care services. Self-management support is a necessary component of such programs, so identified barriers to SMS must be overcome.

Enhancing Safety via Medication Self-Management and Timely Reporting

2021 ◽  
Author(s):  
Yun Jiang ◽  
Yang Gong
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Side Effects ◽  
Medication Errors ◽  
Chronic Condition ◽  
Self Management ◽  
Prevention Strategies ◽  
Major Threat ◽  
Outpatient Settings ◽  
Rapid Shift

Medication errors have been a major threat to patient safety. Current research on medication errors is largely dependent on in-hospital reports. With the rapid shift of health care to chronic condition management, there is an urgent need to investigate medication errors in the community. In this paper, we discuss that the model of medication self-management developed for outpatient settings may be used to guide the development of prevention strategies for medication errors beyond hospitals. Further, timely reporting medication errors from patients in the communities may be helpful in mitigating the severity of side effects and reducing preventable safety events.

scholarly journals Integration, Coordination and Multidisciplinary Care: What can These Approaches Offer to Australian Primary Health Care?

2007 ◽  
Vol 13 (2) ◽  
pp. 56 ◽  
Author(s):  
J. Tieman ◽  
G. Mitchell ◽  
T. Shelby-James ◽  
D. Currow ◽  
B. Fazekas ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Complex Interventions ◽  
Multidisciplinary Care ◽  
Chronically Ill ◽  
Multidisciplinary Teams ◽  
Coordinated Care ◽  
Care Needs ◽  
Primary Health

Australia's population is ageing and the consequential burden of chronic disease increasingly challenges the health system. This has raised interest in, and awareness of, approaches built on multidisciplinary teams and integrated and coordinated care in managing the complex care needs of patient groups such as the chronically ill or frail aged. A systematic investigation of the literature relating to these approaches provided the opportunity to explore the meaning of these terms and their potential application and relevance to the Australian primary health care setting. Five systematic reviews of a sentinel condition and an exemplar approach to coordinated and multidisciplinary care were completed. Common learnings from the individual reviews were identified. The literature suggests that approaches encouraging a coordinated and multidisciplinary plan of care for individual patients and/or particular populations may improve a variety of outcomes. There are many methodological considerations in conducting reviews of complex interventions and in assessing their applicability to the Australian health system.

The Diabetic's Guide to the Health Care System

1978 ◽  
Vol 72 (9) ◽  
pp. 348-353
Author(s):  
John F. Muldoon
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care System ◽  
Chronic Condition ◽  
Psychological Aspects ◽  
Know How ◽  
Personal Management ◽  
Care System

The author believes that in order to obtain the care he needs, the diabetic must assume responsibility for the treatment of his condition, in that he must understand the physical and psychological aspects of diabetes, know how the health system works, including some of the needs and problems of his own physician, and use this knowledge in the personal management of his diabetes. The diabetic is viewed as a person with a chronic condition in a health system designed to care for acute illnesses.

scholarly journals The Reform of Primary Health Care / PHC in Algeria : A First Step Towards a More Equitable and Efficient Health System

2021 ◽  
Vol 2 ◽  
Author(s):  
Nasreddine AISSAOUI
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Care Service ◽  
Quality Care ◽  
Health Care Service ◽  
Chronically Ill ◽  
Poor Quality ◽  
Primary Health ◽  
Mother And Child

Primary care in the national health care service in Algeria plays an important role: the execution of the National Immunization Schedule for infants, the care of mother and child, the monitoring of chronically ill patients, etc. However, offering modern primary health care to cover the real health needs of the population requires responsible and courageous self-criticism, either by health officials or by health economists.This is a descriptive and analytical study that highlights the reality of primary health care in the Algerian health system, which aims to make a constructive critique in relation to the pillars and principles of modern and effective primary health care. We have arrived that the sine qua none conditions must be realized in order to boost the role of primary health care in Algeria, among them: organizational non-accessibility, medium or poor quality care, non-availability of resources early detection of some pathologies… are recurring problems which push the care-seeker to desert primary health care structures, as well as non-compliance with the organization of care.

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