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Re-thinking the relationship between long-term condition self-management education and the utilisation of health services

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  • Gately, Claire
  • Rogers, Anne
  • Sanders, Caroline

Abstract

Encouraging self-management has been viewed as one means of reducing health service utilisation and contributing to improved demand management. However, the processes and imputed relationship between self-management education skills and health service contact are poorly understood. This paper reports on data from an embedded qualitative study which ran alongside a randomised controlled trial in England designed to test the clinical and cost effectiveness of a self-care support policy which found no statistically significant reductions in health service utilisation. Drawing on concepts from the sociology of chronic illness, analyses suggest that the biographical and social context relevant to individuals' experience of living with a long-term condition, history of health service utilisation, and relationships with health professionals are relevant to understanding the impact of self-management education and related policies aimed at bringing about changes in service use. Our study suggests that future health policy assumptions about utilisation in the context of chronic disease management and self-care support polices may benefit by acknowledging the complex, contextual and recursive nature of health service utilisation operating in the life worlds of patients' experience of living with a long-term condition.

Suggested Citation

  • Gately, Claire & Rogers, Anne & Sanders, Caroline, 2007. "Re-thinking the relationship between long-term condition self-management education and the utilisation of health services," Social Science & Medicine, Elsevier, vol. 65(5), pages 934-945, September.
    • Handle: RePEc:eee:socmed:v:65:y:2007:i:5:p:934-945
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    1. Stevenson, Fiona A. & Britten, Nicky & Barry, Christine A. & Bradley, Colin P. & Barber, Nick, 2003. "Self-treatment and its discussion in medical consultations: how is medical pluralism managed in practice?," Social Science & Medicine, Elsevier, vol. 57(3), pages 513-527, August.
    2. Lawton, Julia & Peel, Elizabeth & Parry, Odette & Araoz, Gonzalo & Douglas, Margaret, 2005. "Lay perceptions of type 2 diabetes in Scotland: bringing health services back in," Social Science & Medicine, Elsevier, vol. 60(7), pages 1423-1435, April.
    3. Barry, Christine A. & Stevenson, Fiona A. & Britten, Nicky & Barber, Nick & Bradley, Colin P., 2001. "Giving voice to the lifeworld. More humane, more effective medical care? A qualitative study of doctor-patient communication in general practice," Social Science & Medicine, Elsevier, vol. 53(4), pages 487-505, August.
    4. Conrad, Peter, 1990. "Qualitative research on chronic illness: A commentary on method and conceptual development," Social Science & Medicine, Elsevier, vol. 30(11), pages 1257-1263, January.
    5. Kendall, Elizabeth & Catalano, Tara & Kuipers, Pim & Posner, Natasha & Buys, Nicholas & Charker, Jill, 2007. "Recovery following stroke: The role of self-management education," Social Science & Medicine, Elsevier, vol. 64(3), pages 735-746, February.
    6. Pescosolido, Bernice A. & Gardner, Carol Brooks & Lubell, Keri M., 1998. "How people get into mental health services: Stories of choice, coercion and "muddling through" from "first-timers"," Social Science & Medicine, Elsevier, vol. 46(2), pages 275-286, January.
    7. Anne Rogers & Gerry Nicolaas, 1998. "Understanding the Patterns and Processes of Primary Care Use: A Combined Quantitative and Qualitative Approach," Sociological Research Online, , vol. 3(4), pages 1-13, December.
    8. Robinson, Ian, 1990. "Personal narratives, social careers and medical courses: Analysing life trajectories in autobiographies of people with multiple sclerosis," Social Science & Medicine, Elsevier, vol. 30(11), pages 1173-1186, January.
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    1. Rogers, Anne & Kirk, Sue & Gately, Claire & May, Carl R. & Finch, Tracy, 2011. "Established users and the making of telecare work in long term condition management: Implications for health policy," Social Science & Medicine, Elsevier, vol. 72(7), pages 1077-1084, April.
    2. Sanders, Caroline & Rogers, Anne & Gately, Claire & Kennedy, Anne, 2008. "Planning for end of life care within lay-led chronic illness self-management training: The significance of 'death awareness' and biographical context in participant accounts," Social Science & Medicine, Elsevier, vol. 66(4), pages 982-993, February.
    3. Atkin, Karl & Stapley, Sally & Easton, Ava, 2010. "No one listens to me, nobody believes me: Self management and the experience of living with encephalitis," Social Science & Medicine, Elsevier, vol. 71(2), pages 386-393, July.
    4. Wyke, Sally & Adamson, Joy & Dixon, Diane & Hunt, Kate, 2013. "Consultation and illness behaviour in response to symptoms: A comparison of models from different disciplinary frameworks and suggestions for future research directions," Social Science & Medicine, Elsevier, vol. 86(C), pages 79-87.
    5. Allen, Dawn & Wainwright, Megan & Hutchinson, Thomas, 2011. "'Non-compliance' as illness management: Hemodialysis patients' descriptions of adversarial patient-clinician interactions," Social Science & Medicine, Elsevier, vol. 73(1), pages 129-134, July.
    6. Sunil Sahadev & Neeru Malhotra & Avinandan (Avi) Mukherjee, 2020. "Segmenting Excessive Alcohol Consumers: Implications for Social Marketing," IIM Kozhikode Society & Management Review, , vol. 9(2), pages 213-225, July.

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