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Supporting patients to self-manage chronic disease: clinicians' perspectives and current practices


Phillips, RL and Short, A and Dugdale, P and Nugus, P and Greenfield, D, Supporting patients to self-manage chronic disease: clinicians' perspectives and current practices, Australian Journal of Primary Health, 20 pp. 257-265. ISSN 1836-7399 (2014) [Refereed Article]

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Copyright 2014 La Trobe University

DOI: doi:10.1071/PY13002


This study investigated: clinicians’ perspectives of the scope of self-management, which self-management support initiatives are used, and the factors clinicians consider when deciding which initiative to use with individual patients. Three phases of data collection were used. First, clinicians were interviewed about their attitudes toward self-management (n = 14). Second, clinicians and managers completed a survey about the support initiatives they use (n = 38). Third, in interviews clinicians described the applications of initiatives (n = 6). Data were descriptively and thematically analysed. Clinicians believed that supporting self-management involved a holistic approach. However, some also thought that not all patients had the capacity to self-manage. This idea may be at odds with the underlying notion of self-management and impact on the support provided. Clinicians reported using 54 initiatives to support self-management and identified a range of situations when each initiative may or may not be suitable. This suggests that clinicians need to be familiar with a range of support initiatives as one will not suit everyone. Deciding which initiative is most appropriate may be aided by the development of guidelines.

Item Details

Item Type:Refereed Article
Keywords:chronic disease, health personnel, qualitative research, questionnaires, self care
Research Division:Medical and Health Sciences
Research Group:Other Medical and Health Sciences
Research Field:Medical and Health Sciences not elsewhere classified
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Health and Support Services not elsewhere classified
ID Code:110950
Year Published:2014
Web of Science® Times Cited:5
Deposited By:TSBE
Deposited On:2016-08-24
Last Modified:2017-10-20

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