The UK 鈥淓xpert Patient Program鈥?and self-care in chronic disease management: An analysis
- 作者：M. Vadiee
- 关键词：Chronic care ; Self-care ; Patient Expert Program
- 刊名：European Geriatric Medicine
- 出版年：2012
- 期刊代码：pca157_18787649
- 类别：med
- 出版时间：June, 2012
- 卷：3
- 期：3
- 页码：201-205
- 文件大小：276 K
摘要
The increase in chronic illness and co-morbidity has resulted in a shift in responsibility and self-care initiatives to the patient and away from the caregivers. The notion of self-care is internationally being recognized as a component of chronic disease management. In the recent decade, public health policymaker's and health services researchers likewise have been advocating a change in relationship between individual's health needs and responsibilities and the state. The Chronic Disease Self-Management Program, developed in the USA and adopted in UK as the Expert Patients Program, has an overall objective to encourage patients suffering from chronic conditions to become more involved in their own treatment process. Despite its potential in empowering patients, the Expert Patients Program has failed to reach those most in need and recognized as perpetuating the traditional orthodox medical model. The idea of 鈥淭he Expert Patient鈥?as is now faced with a number of contextual problems including clinicians鈥?lack of engagement with the program, recruitment, lack of course materials specifically designed for particular chronic condition. Additionally, the EPP has been blamed for its inability to foster alliance between professional and patient. The unanswered question is that if the current popularity in 鈥淪elf Care鈥?trend is an outcome of uniquely broken healthcare systems desperately seeking a fix or a genuine effort in resurrection of 鈥減atient-provider alliance鈥?for a better chronic disease care outcome?