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Centre for Policy on Ageing | |
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| Chronic illness, expert patients and care transition | | Author(s) | David Taylor, Michael Bury |
| Journal title | Sociology of Health & Illness, vol 29, no 1, January 2007 |
| Pages | pp 27-45 |
| Source | http://www.blackwellpublishing.com |
| Keywords | Chronic illness ; Patients ; Self care capacity ; National Health Service ; General practice ; Social policy. |
| Annotation | During the last century, demographic and epidemiological transitions have had a radical impact upon health and health service provision. A considerable body of research on the sociological aspects of living with chronic illness has accumulated. Debate has focused on how social environments shape disability-related experiences, and the extent to which individual responses define health outcomes. Through the establishment of the Expert Patients Programme (EPP) in 2001, the Department of Health (DH) has sought to enhance NHS patients' self-management capacities. This paper discusses three areas relevant to this: the policy formation process leading up to the EPP's present stage of development; the evidence base supporting claims made for its effectiveness; and the significance of psychological concepts such as self-efficacy in approaches to improving public health. NHS developments in primary care and public involvement in health and healthcare are discussed, and the implications that EPP carry for the future. It is argued that to facilitate a constructive process of "care transition" in response to epidemiological and allied change, awareness of cognitive/psychological factors involved in illness behaviours should not draw attention away from the social determinants and contexts of health. (RH). |
| Accession Number | CPA-070508221 A |
| Classmark | CI: LF: CA: L4: L5: TM2 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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