A
whole systems approach to self management: what works and what
doesn't
Professor
Anne Rogers
National Primary Care Research & Development Centre
University of Manchester.
Although teaching patients self-care skills may be a necessary condition for
effective self-care, it is
unlikely to be sufficient. As the architects of the Chronic Care Model argue,
'self-management
support can't begin and end with a class'.
- A whole systems perspective, that considers patient, practitioner
and service organisation
levels in the delivery of self-care support
- Widening the evidence base, to acknowledge recent research on
the way in which patients
and professionals respond to long term conditions
A whole systems perspective on self-care has been utilized in
a programme developed at the
University of Manchester and is characterized by intervention at
all three levels:
- Providing patients with an information guidebook based on both
current best evidence and
patients' perspectives about their illness and its management
- Training clinicians in patient-centered consultation skills to
address the impact of the
disease on the patient and establish a collaborative approach to
decision making about
management
- Changing service organization to allow patients open access to
outpatient clinic
appointments and other sources of assistance
This workshop will explore evidence for what worked well and why,
and what didn't and why? |