Negotiating ownership of chronic illness: An appropriate role for health professionals in chronic illness self-management programs

Staff perceptions of implementing health coaching as a tool for self management in chronic disease: A qualitative study

“…Despite this, the participants were slow to embrace the health coaching model in practice, which supports findings from other studies [18] .…”

Chronic disease self‐management: implementation with and within Australian general practice

“…Both generic and disease‐specific programs are often developed in parallel with general practice, whose staff members may lack knowledge of the effectiveness of these programs and the skills to appropriately reinforce them. Although some studies have reported changes in patient health‐seeking behaviour, 22 reduced demand on health service utilisation 23 and reduced health care costs, 24 there is still a lack of conclusive evidence of reduced demand on health services owing to self‐management programs. Interestingly, the strongest evidence for the impact of self‐management education on hospital admissions and use of emergency departments comes from studies from the United States and China, 25 ‐ 27 which have relatively less developed primary care gatekeeping, and therefore greater scope for self‐management to affect hospitalisation.…”

“…• A broader systemic approach is needed, including a collaborative approach between providers, a range of selfmanagement support options, training of general practice staff, and changes to the organisation of services and the way in which they relate to each other. costs, 24 there is still a lack of conclusive evidence of reduced demand on health services owing to self-management programs. Interestingly, the strongest evidence for the impact of self-management education on hospital admissions and use of emergency departments comes from studies from the United States and China, [25][26][27] which have relatively less developed primary care gatekeeping, and therefore greater scope for self-management to affect hospitalisation.…”

Clients with chronic and complex conditions: their experiences of community nursing services

“…The use of this strategy of self-management suggests nurses are focussing on building client capacity that can act to support the meaningfulness of life as conceptualized by Lindsey (1996) in the embodiment of health within illness. Community nurses caring for clients with chronic and complex conditions need to continue to place a strong emphasis on self-management, as Weeks et al (2003) indicated that it has a key role to play in improving the care of people with chronic illness, which is one of the essentials in improving the care of people with chronic disease. Further, self-management can enable increased client capacity and act to support the meaningfulness of life as conceptualized by Lindsey's (1996) in the embodiment of health within illness.…”