Patients' and healthcare professionals' perceptions of self-management support interactions: Systemic review and qualitative synthesis
Journal article
Franklin, Marika, Lewis, Sophie, Willis, Karen, Bourke-Taylor, Helen and Smith, Lorraine. (2018). Patients' and healthcare professionals' perceptions of self-management support interactions: Systemic review and qualitative synthesis. Chronic Illness. 14(2), pp. 79 - 103. https://doi.org/10.1177/1742395317710082
Authors | Franklin, Marika, Lewis, Sophie, Willis, Karen, Bourke-Taylor, Helen and Smith, Lorraine |
---|---|
Abstract | Objective: To review studies examining the experience of self-management support in patient–provider interactions and the shaping of goals through interactions. Methods: We undertook a systematic review and thematic synthesis of the qualitative literature. We searched six databases (2004–2015) for published studies on the provision of self-management support in one-to-one, face-to-face, patient–provider interactions for obesity, type 2 diabetes mellitus and chronic obstructive pulmonary disease, with 14 articles meeting inclusion criteria. Results: Themes identified from studies were (1) dominance of a traditional model of care, encompassing the provision of generic information, exclusion of the psychosocial and temporal nature of interactions and (2) a context of individual responsibility and accountability, encompassing self-management as patients’ responsibility and adherence, accountability and the attribution of blame. Interactions were constrained by consultation times, patient self-blame and guilt, desire for autonomy and beliefs about what constitutes ‘effective’ self-management. Discussion: Encounters were oriented towards a traditional model of care delivery and this limited opportunity for collaboration. These findings suggest that healthcare professionals remain in a position of authority, limiting opportunities for control to be shared with patients and shared understandings of social context to be developed. |
Keywords | patient–provider interactions; self-management support; chronic conditions; type 2 diabetes mellitus; chronic obstructive pulmonary disease; obesity |
Year | 2018 |
Journal | Chronic Illness |
Journal citation | 14 (2), pp. 79 - 103 |
Publisher | Chronic Illness |
ISSN | 1745-9206 |
Digital Object Identifier (DOI) | https://doi.org/10.1177/1742395317710082 |
Page range | 79 - 103 |
Publisher's version | File Access Level Controlled |
Grant ID | arc/DP150101406 |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/89zqq/patients-and-healthcare-professionals-perceptions-of-self-management-support-interactions-systemic-review-and-qualitative-synthesis
Restricted files
Publisher's version
174
total views0
total downloads2
views this month0
downloads this month