scholarly journals Section 3 Introduction: System Change

2003 ◽  
Vol 9 (3) ◽  
pp. 101

Institutional change is required if the Australian health care system is to systematically provide support for chronic disease self-management. This section is introduced by a Guest Editorial (Frendin) in which the Commonwealth Government?s strategy to bring about change is discussed.

2003 ◽  
Vol 9 (3) ◽  
pp. 9

The terms ?self-management? and ?chronic disease self-management? frequently have different meanings for the multiple actors in a health care system. Furthermore, the practice of self-management by clients of the health care system requires a reexaminatio


2002 ◽  
Vol 25 (6) ◽  
pp. 42 ◽  
Author(s):  
Johannes U. Stoelwinder

Private Health Insurance (PHI) is an integral part of the financing of the Australian health care system. PHI is popular and has strong political support because it is perceived to give choice of access and responsiveness. However, in the past increasing premiums have led to a progressive decline in membership. A package of reforms by the Commonwealth Government in support of the private health insurance has reinvigorated the industry over the last three years. Some strategies for achieving a sustainable PHI industry are described. The key challenge is to control claims cost to maintain affordable premiums. Many techniques to do this compromise choice and challenge the very rationale for purchasing the product. Funds and providers will have to establish a new level of relationship to meet this challenge.


2021 ◽  
pp. 174239532110354
Author(s):  
Marieke van der Gaag ◽  
Monique Heijmans ◽  
Cristina Spoiala ◽  
Jany Rademakers

Objectives Self-management of chronic diseases is rather complex, especially for patients with limited health literacy. In this review, we aim to disentangle the specific difficulties patients with limited health literacy face in relation to self-management and their associated needs with respect to self-management support. Methods We performed a literature search in five databases. We used a broad definition of health literacy and self-management was categorized into four types of activities: medical management, changing lifestyle, communicating and navigating through the health care system and coping. Included reviews described the relationship between health literacy and different domains of self-management and were published after 2010. Results A total of 28 reviews were included. Some clear difficulties of patients with limited health literacy emerged, predominantly in the area of medical management (especially adherence), communication and knowledge. Other associations between health literacy and self-management were inconclusive. Barriers from the patients’ perspective described mainly medical management and the communication and navigation of the health care system. Discussion Patients with limited health literacy experience difficulties with specific domains of self-management. For a better understanding of the relationship between health literacy and self-management, a broader conceptualization of health literacy is warranted, including both cognitive and behavioural aspects.


JAMA ◽  
1996 ◽  
Vol 276 (24) ◽  
pp. 1944 ◽  
Author(s):  
John W. Peabody

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