Between knowing and doing person-centredness

A qualitative examination of health professionals' perceptions of roles in self-management support

Dados Bibliográficos

ID4218375
AutoresM Franklin (0000-0002-7894-8956, La Trobe University, autor correspondente), Karen Willis (0000-0001-8036-8814, La Trobe University), Sophie Lewis (0000-0003-4639-217X, University of New South Wales, Sydney, Australia), Anne Rogers (0000-0002-7231-790X, University of Southampton), Lorraine Smith (0000-0002-3499-1514, The University of Sydney)
Ano2021
Volume25
Fascículo3
Páginas339-356
Data de publicação2021-05-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL)
Identificadores do periódicoISSN: 1363-4593 • E-ISSN: 1461-7196
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/1363459319889087
PMID31755319
OpenAlexW2990371907
IdiomaEN
Citações recebidas8
Referências citadas46

Self-management is a contemporary model of chronic condition care that places expectations on, and roles for, both patients and health professionals. Health professionals are expected to form partnerships with their patients, and patients are expected to be active participants in their own care. In these new roles, control and responsibility for self-management are shared between people with chronic conditions and their health professionals. We still have limited knowledge about how these new roles are enacted in self-management support. In this article, we examine how health professionals perceive the roles of patients and professionals in chronic condition self-management, drawing on Bourdieu's concepts of field, doxa and capital. In this qualitative study, 32 in-depth interviews were conducted with 11 health professionals in Sydney, Australia. Data were analysed thematically. Three themes were derived. First, there was incongruence between how participants characterised and enacted their roles. Second, participants compartmentalised clinical and non-clinical aspects of self-management support. Finally, the roles of health professionals entwined with emotions and judgements of patienthood revealed that the provision of self-management support was linked to a fit between individuals' cultural health capital and the expectations governing the field. We argue that 'taken for granted' assumptions about self-management and self-management support must be challenged to mitigate negative social representations and unrealistic expectations placed on patients and health professionals, particularly those patients with less capital, who are more marginalised within clinical interactions

Health care · Perception · Political science · Public relations · Qualitative research · Self-management · Sociology · Chronic Disease Management Strategies · Diabetes Management and Education · Medicine · Mental Health and Patient Involvement · Nursing · Psychology · Social Psychology