OBJECTIVES: To understand social processes underpinning support for self-management of long-term conditions in primary care. METHODS: Comparative analysis of observational and interview data concerning the management of long-term conditions in UK primary-care consultations. Analysis of recordings of primary care consultations (n = 86) was conducted in conjunction with analysis of semi-structured interviews with health professionals (n = 17) and patients (n = 12) living with a long-term condition. RESULTS: A key finding was the infrequency with which self-management topics became legitimate objects for discussion in consultations. Analysis suggested that the maintenance of self-other relations was a prime objective for both patients and professionals, and the introduction of self-management topics threatened this process. Technology and the division of labour among primary-care professionals reinforced this tension. DISCUSSION: In order for self-management support to become embedded and integrated into primary care, interventions concerning long-term condition management need to take into account this tension underpinning care.
OBJECTIVES: To understand social processes underpinning support for self-management of long-term conditions in primary care. METHODS: Comparative analysis of observational and interview data concerning the management of long-term conditions in UK primary-care consultations. Analysis of recordings of primary care consultations (n = 86) was conducted in conjunction with analysis of semi-structured interviews with health professionals (n = 17) and patients (n = 12) living with a long-term condition. RESULTS: A key finding was the infrequency with which self-management topics became legitimate objects for discussion in consultations. Analysis suggested that the maintenance of self-other relations was a prime objective for both patients and professionals, and the introduction of self-management topics threatened this process. Technology and the division of labour among primary-care professionals reinforced this tension. DISCUSSION: In order for self-management support to become embedded and integrated into primary care, interventions concerning long-term condition management need to take into account this tension underpinning care.
Authors: Peter A Coventry; Rebecca Hays; Chris Dickens; Christine Bundy; Charlotte Garrett; Andrea Cherrington; Carolyn Chew-Graham Journal: BMC Fam Pract Date: 2011-03-22 Impact factor: 2.497
Authors: Neesha R Patel; Anne Kennedy; Christian Blickem; Anne Rogers; David Reeves; Carolyn Chew-Graham Journal: Health Expect Date: 2014-01-20 Impact factor: 3.377
Authors: Jenny Newbould; Jenni Burt; Peter Bower; Tom Blakeman; Anne Kennedy; Anne Rogers; Martin Roland Journal: BMC Fam Pract Date: 2012-07-25 Impact factor: 2.497