ArticleHealth care analysis : HCA : journal of health philosophy and policy2018
Why Health and Social Care Support for People with Long-Term Conditions Should be Oriented Towards Enabling Them to Live Well.
Article in Health care analysis : HCA : journal of health philosophy and policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.
- Psychoeducational interventions for people living with chronic communicable disease: a systematic review.BMJ open · 2024Pooled it
- Implementing and evaluating care and support planning: a qualitative study of health professionals' experiences in public polyclinics in Singapore.BMC primary care · 2023Trial
- One size does not fit all: Participants' experiences of the selfBACK app to support self-management of low back pain-a qualitative interview study.Chiropractic & manual therapies · 2022Trial
- Rethinking Empowerment in Healthcare: A Dynamic Continuum.Nursing inquiry · 2026Article
- Supportive Outpatient-Provider Communication-A Scoping Review About Expectations, Experiences, and Actual Behaviours Regarding Healthcare Visits.Journal of evaluation in clinical practice · 2026Review
- Development of BreeZe: a self-management support intervention for burn survivors informed by evidence, theory, and stakeholder co-creation.BMC health services research · 2025Article
- From Self-Management to Shared-Management: A Relational Approach for Equitable Chronic Care.Public health ethics · 2024Article
- Characteristics of Existing Online Patient Navigation Interventions: Scoping Review.JMIR medical informatics · 2024Article
- Telephone consulting for 'Personalised Care and Support Planning' with people with long-term conditions: a qualitative study of healthcare professionals' experiences during COVID-19 restrictions and beyond.BMC primary care · 2024Article
- Tackling disrespect in health care: The relevance of socio-relational equality.Journal of health services research & policy · 2024Article
- A lowered threshold to partnerships: a mixed methods process evaluation of participants' experiences of a person-centred eHealth intervention.BMC health services research · 2023Article
- Patient Safety and the Question of Dignitary Harms.The Journal of medicine and philosophy · 2023Article
- Perception among NHIS-HMO Enrolees of the Attitudes of Medical Personnel during Outpatient Care in Lagos Hospitals.International journal of environmental research and public health · 2023Article
- Developing a global practice-based framework of person-centred care from primary data: a cross-national qualitative study with patients, caregivers and healthcare professionals.BMJ global health · 2022Article
- How do nurses support chronically ill clients' participation and self-management in primary care? A cross-country qualitative study.BMC primary care · 2022Article
- Vagueness and variety in person-centred care.Wellcome open research · 2022Article
- Editorial: Challenging the concept of self-management support in unique and diverse populations.Frontiers in rehabilitation sciences · 2022Article
- Article
- Telehealth-delivered, Cardioprotective Diet and Exercise Program for Liver Transplant Recipients: A Randomized Feasibility Study.Transplantation direct · 2021Article
- Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
There are various reasons why efforts to promote "support for self-management" have rarely delivered the kinds of sustainable improvements in healthcare experiences, health and wellbeing that policy leaders internationally have hoped for. This paper explains how the basis of failure is in some respects built into the ideas that underpin many of these efforts. When (the promotion of) support for self-management is narrowly oriented towards educating and motivating patients to adopt the behaviours recommended for disease control, it implicitly reflects and perpetuates limited and somewhat instrumental views of patients. It tends to: restrict the pursuit of respectful and enabling 'partnership working'; run the risk of undermining patients' self-evaluative attitudes (and then of failing to notice that as harmful); limit recognition of the supportive value of clinician-patient relationships; and obscure the practical and ethical tensions that clinicians face in the delivery of support for self-management. We suggest that a focus on enabling people to live (and die) well with their long-term conditions is a promising starting point for a more adequate conception of support for self-management. We then outline the theoretical advantages that a capabilities approach to thinking about living well can bring to the development of an account of support for self-management, explaining, for example, how it can accommodate the range of what matters to people (both generally and more specifically) for living well, help keep the importance of disease control in perspective, recognize social influences on people's values, behaviours and wellbeing, and illuminate more of the rich potential and practical and ethical challenges of supporting self-management in practice.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.