Show simple item record

dc.contributor.authorEllis, J
dc.contributor.authorBoger, E
dc.contributor.authorLatter, S
dc.contributor.authorKennedy, A
dc.contributor.authorJones, F
dc.contributor.authorFoster, C
dc.contributor.authorDemain, Sara
dc.date.accessioned2019-06-06T16:00:59Z
dc.date.available2019-06-06T16:00:59Z
dc.date.issued2017-03
dc.identifier.issn0277-9536
dc.identifier.issn1873-5347
dc.identifier.other0
dc.identifier.urihttp://hdl.handle.net/10026.1/14258
dc.descriptionpublisher: 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.extent25-33
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherElsevier BV
dc.subjectLong-term conditions
dc.subjectNeoliberalism
dc.subjectPerson-centred care
dc.subjectSelf-management
dc.subjectUnited Kingdom
dc.subjectAdolescent
dc.subjectAdult
dc.subjectCaregivers
dc.subjectColorectal Neoplasms
dc.subjectDiabetes Mellitus
dc.subjectDisabled Persons
dc.subjectDisease Management
dc.subjectFemale
dc.subjectHealth Personnel
dc.subjectHealth Policy
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectQualitative Research
dc.subjectSelf Efficacy
dc.subjectSelf-Management
dc.subjectStroke
dc.subjectUnited Kingdom
dc.titleConceptualisation of the ‘good’ self-manager: A qualitative investigation of stakeholder views on the self-management of long-term health conditions
dc.typejournal-article
dc.typeJournal Article
dc.typeResearch Support, Non-U.S. Gov't
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/28126586
plymouth.volume176
plymouth.publication-statusPublished
plymouth.journalSocial Science & Medicine
dc.identifier.doi10.1016/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.placeEngland
dcterms.dateAccepted2017-01-13
dc.identifier.eissn1873-5347
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1016/j.socscimed.2017.01.018
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2017-03
rioxxterms.typeJournal Article/Review


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record


All items in PEARL are protected by copyright law.
Author manuscripts deposited to comply with open access mandates are made available in accordance with publisher policies. Please cite only the published version using the details provided on the item record or document. In the absence of an open licence (e.g. Creative Commons), permissions for further reuse of content should be sought from the publisher or author.
Theme by 
Atmire NV