Conceptualisation of the ‘good’ self-manager: A qualitative investigation of stakeholder views on the self-management of long-term health conditions
dc.contributor.author | Ellis, J | |
dc.contributor.author | Boger, E | |
dc.contributor.author | Latter, S | |
dc.contributor.author | Kennedy, A | |
dc.contributor.author | Jones, F | |
dc.contributor.author | Foster, C | |
dc.contributor.author | Demain, Sara | |
dc.date.accessioned | 2019-06-06T16:00:59Z | |
dc.date.available | 2019-06-06T16:00:59Z | |
dc.date.issued | 2017-03 | |
dc.identifier.issn | 0277-9536 | |
dc.identifier.issn | 1873-5347 | |
dc.identifier.other | 0 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/14258 | |
dc.description | publisher: Elsevier articletitle: Conceptualisation of the ‘good’ self-manager: A qualitative investigation of stakeholder views on the self-management of long-term health conditions journaltitle: Social Science & Medicine articlelink: http://dx.doi.org/10.1016/j.socscimed.2017.01.018 content_type: article copyright: © 2017 Elsevier Ltd. All rights reserved. | |
dc.description.abstract |
Healthcare policy in developed countries has, in recent years, promoted self-management among people with long-term conditions. Such policies are underpinned by neoliberal philosophy, as seen in the promotion of greater individual responsibility for health through increased support for self-management. Yet still little is known about how self-management is understood by commissioners of healthcare services, healthcare professionals, people with long-term conditions and family care-givers. The evidence presented here is drawn from a two-year study, which investigated how self-management is conceptualised by these stakeholder groups. Conducted in the UK between 2013 and 2015, this study focused on three exemplar long-term conditions, stroke, diabetes and colorectal cancer, to explore the issue. Semi-structured interviews and focus groups were carried out with 174 participants (97 patients, 35 family care-givers, 20 healthcare professionals and 22 commissioners). The data is used to demonstrate how self-management is framed in terms of what it means to be a 'good' self-manager. The 'good' self-manager is an individual who is remoralised; thus taking responsibility for their health; is knowledgeable and uses this to manage risks; and, is 'active' in using information to make informed decisions regarding health and social wellbeing. This paper examines the conceptualisation of the 'good' self-manager. It demonstrates how the remoralised, knowledgeable and active elements are inextricably linked, that is, how action is knowledge applied and how morality underlies all action of the 'good' self-manager. Through unpicking the 'good' self-manager the problems of neoliberalism are also revealed and addressed here. | |
dc.format.extent | 25-33 | |
dc.format.medium | Print-Electronic | |
dc.language | en | |
dc.language.iso | en | |
dc.publisher | Elsevier BV | |
dc.subject | Long-term conditions | |
dc.subject | Neoliberalism | |
dc.subject | Person-centred care | |
dc.subject | Self-management | |
dc.subject | United Kingdom | |
dc.subject | Adolescent | |
dc.subject | Adult | |
dc.subject | Caregivers | |
dc.subject | Colorectal Neoplasms | |
dc.subject | Diabetes Mellitus | |
dc.subject | Disabled Persons | |
dc.subject | Disease Management | |
dc.subject | Female | |
dc.subject | Health Personnel | |
dc.subject | Health Policy | |
dc.subject | Humans | |
dc.subject | Male | |
dc.subject | Middle Aged | |
dc.subject | Qualitative Research | |
dc.subject | Self Efficacy | |
dc.subject | Self-Management | |
dc.subject | Stroke | |
dc.subject | United Kingdom | |
dc.title | Conceptualisation of the ‘good’ self-manager: A qualitative investigation of stakeholder views on the self-management of long-term health conditions | |
dc.type | journal-article | |
dc.type | Journal Article | |
dc.type | Research Support, Non-U.S. Gov't | |
plymouth.author-url | https://www.ncbi.nlm.nih.gov/pubmed/28126586 | |
plymouth.volume | 176 | |
plymouth.publication-status | Published | |
plymouth.journal | Social Science & Medicine | |
dc.identifier.doi | 10.1016/j.socscimed.2017.01.018 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/Users by role | |
dc.publisher.place | England | |
dcterms.dateAccepted | 2017-01-13 | |
dc.identifier.eissn | 1873-5347 | |
dc.rights.embargoperiod | Not known | |
rioxxterms.versionofrecord | 10.1016/j.socscimed.2017.01.018 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2017-03 | |
rioxxterms.type | Journal Article/Review |