The Politics of Self-Craft: Expert Patients and the Public Health Management of Chronic Disease

SAGE Open

Sara M. Glasgow¹ 

关键词: noncommunicable disease;    governmentality;    public health governance;   

DOI  :  10.1177/2158244012452575

学科分类：社会科学、人文和艺术（综合）

来源: Sage Journals

【 摘 要 】

As the global challenges posed by chronic, noncommunicable diseases (NCDs) run into longer life expectancies and restrictive fiscal environments, public health programs must respond to these issues. In doing so, health practitioners have framed NCDs as apolitical and largely the product of an individual’s risk behavior. Consequently, governance strategies embraced by public health to address NCDs emphasize the role of the private sector, including opportunities for patient self-management of illness. The Expert Patients Programme (EPP), an initiative of the U.K. Department of Health, applies to a range of chronic conditions. Via a case analysis of the EPP, this article argues that public health governance of NCDs is increasingly a project of individuals’ self-governance, and that although the techniques of the EPP are constructed as politically neutral, they rather demonstrate a pervasive neoliberal political rationality: in devolving public health responsibilities to the private sector and in constructing the healthy, active participant whose primary aim is to return to an economically productive life.

【 授权许可】

CC BY