Patients' and healthcare professionals' perceptions of self-management support interactions: Systematic review and qualitative synthesis.
Chronic Illn
; 14(2): 79-103, 2018 06.
Article
en En
| MEDLINE
| ID: mdl-28530114
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.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Relaciones Profesional-Paciente
/
Autocuidado
/
Personal de Salud
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Atención a la Salud
/
Automanejo
Tipo de estudio:
Prognostic_studies
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Qualitative_research
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Systematic_reviews
Límite:
Female
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Humans
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Male
Idioma:
En
Revista:
Chronic Illn
Asunto de la revista:
MEDICINA
Año:
2018
Tipo del documento:
Article
País de afiliación:
Australia