Lay and health care professional understandings of self-management: A systematic review and narrative synthesis:

SAGE Open Medicine

EuanSadler¹ 

关键词: Self-management;    long-term conditions;    health care professionals;    lay people;    narrative synthesis;   

DOI  :  10.1177/2050312114544493

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objectives:Self-management is widely promoted but evidence of effectiveness is limited. Policy encourages health care professionals to support people with long-term conditions to learn self-management skills, yet little is known about the extent to which both parties share a common understanding of self-management. Thus, we compared health care professional and lay understandings of self-management of long-term conditions.Methods:Systematic review and narrative synthesis of qualitative studies identified from relevant electronic databases, hand-searching of references lists, citation tracking and recommendations by experts.Results:In total, 55 studies were included and quality was assessed using a brief quality assessment tool. Three conceptual themes, each with two subthemes were generated: traditional and shifting models of the professional–patient relationship (self-management as a tool to promote compliance; different expectations of responsibility); quality of relationship between health care profess...

【 授权许可】

CC BY