Looking after yourself: Clinical understandings of chronic-care self-management strategies in rural and urban contexts of the United Kingdom and Australia

SAGE Open Medicine
Susan Mary CarrCatharine Death

Abstract

This article reports on the outcomes of two similar projects undertaken during 2011-2012 in Australia (Rural Northern New South Wales) and the United Kingdom (Urban Northern United Kingdom) that sought to identify the strategies that health professionals employ to actively involve patients with chronic conditions in the planning and delivery of their care. In particular, this study explored understandings and contexts of care that impacted on the participants' practices. This study was informed by the global shift to partnership approaches in health policy and the growing imperative to deliver patient or client-centred care. An ethnomethodological design was used, as ethnomethodology does not dictate a set of research methods or procedures, but rather is congruent with any method that seeks to explore what people do in their routine everyday lives. Focus groups and interviews were employed to explore the strategies used by a range of primary health-care providers, such as general practitioners, nurses, social workers, diabetes educators, dieticians and occupational therapists, to support clients to effectively manage their own chronic conditions. Data from both studies were synthesised and analysed thematically, with the themes...Continue Reading

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Citations

May 28, 2016·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·María J Pumar-MéndezAnne Rogers
Feb 24, 2017·International Journal of Nursing Studies·Eric Mayor, Lucas Bietti
Nov 7, 2018·British Journal of Community Nursing·Mandy McKendry, Helen Green

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