Literature
There is evidence that self-management programmes have been embraced by health policymakers as one way to decrease. Health costs by having empowered and healthier 'patients' accessing health services with less frequency
However close,, Analysis of the literature revealed that a medical prescriptive approach to self-management, is widespreadEmphasizing adherence to directions given by health care professionals. The 'self' in self-management has, been ignored. And the person has been objectified as the 'patient'.
Asthma self-management literature has focused on the need for patients. To 'adhere', to prescribed therapies in particular taking medications monitoring respiratory, function or recognizing and. Avoiding triggers.Other terms such as, compliance and concordance have been used with similar intent.
Education has been advocated as being. Important in ensuring 'compliance', with self-management and has most often been described in terms of delivering a prescribed. Package of information either to groups or individually. And a 'management plan', which is a proactive attempt to provide. ,, education supportClinical care and monitoring as a partnership between patients and health care professionals.
Bodenheimer have argued. That self-management is important to living well with chronic illness because people, have an improved chance for a rewarding. Lifestyle when they are educated about the disease and take part in their own care.
, HoweverDespite the evidence of cost-benefits and improved health outcomes for people who participate in established self-management. Programmes they reach, only a small number of people with chronic illness.
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