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Rethinking ‘risk' and self-management for chronic illness

Self-management for chronic illness is a current high profile UK healthcare policy. Policy and clinical recommendations relating to chronic illnesses are framed within a language of lifestyle risk management. This article argues the enactment of risk within current UK self-management policy is intim...

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Detalles Bibliográficos
Autores principales: Morden, Andrew, Jinks, Clare, Ong, Bie Nio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Palgrave Macmillan 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3500834/
https://www.ncbi.nlm.nih.gov/pubmed/23226974
http://dx.doi.org/10.1057/sth.2011.20
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author Morden, Andrew
Jinks, Clare
Ong, Bie Nio
author_facet Morden, Andrew
Jinks, Clare
Ong, Bie Nio
author_sort Morden, Andrew
collection PubMed
description Self-management for chronic illness is a current high profile UK healthcare policy. Policy and clinical recommendations relating to chronic illnesses are framed within a language of lifestyle risk management. This article argues the enactment of risk within current UK self-management policy is intimately related to neo-liberal ideology and is geared towards population governance. The approach that dominates policy perspectives to ‘risk' management is critiqued for positioning people as rational subjects who calculate risk probabilities and act upon them. Furthermore this perspective fails to understand the lay person's construction and enactment of risk, their agenda and contextual needs when living with chronic illness. Of everyday relevance to lay people is the management of risk and uncertainty relating to social roles and obligations, the emotions involved when encountering the risk and uncertainty in chronic illness, and the challenges posed by social structural factors and social environments that have to be managed. Thus, clinical enactments of self-management policy would benefit from taking a more holistic view to patient need and seek to avoid solely communicating lifestyle risk factors to be self-managed.
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spelling pubmed-35008342012-12-07 Rethinking ‘risk' and self-management for chronic illness Morden, Andrew Jinks, Clare Ong, Bie Nio Soc Theory Health Original Article Self-management for chronic illness is a current high profile UK healthcare policy. Policy and clinical recommendations relating to chronic illnesses are framed within a language of lifestyle risk management. This article argues the enactment of risk within current UK self-management policy is intimately related to neo-liberal ideology and is geared towards population governance. The approach that dominates policy perspectives to ‘risk' management is critiqued for positioning people as rational subjects who calculate risk probabilities and act upon them. Furthermore this perspective fails to understand the lay person's construction and enactment of risk, their agenda and contextual needs when living with chronic illness. Of everyday relevance to lay people is the management of risk and uncertainty relating to social roles and obligations, the emotions involved when encountering the risk and uncertainty in chronic illness, and the challenges posed by social structural factors and social environments that have to be managed. Thus, clinical enactments of self-management policy would benefit from taking a more holistic view to patient need and seek to avoid solely communicating lifestyle risk factors to be self-managed. Palgrave Macmillan 2012-02 2011-12-14 /pmc/articles/PMC3500834/ /pubmed/23226974 http://dx.doi.org/10.1057/sth.2011.20 Text en Copyright © 2012 Palgrave Macmillan, a division of Macmillan Publishers Ltd http://creativecommons.org/licenses/by-nc-nd/3.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivative Works 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/3.0/
spellingShingle Original Article
Morden, Andrew
Jinks, Clare
Ong, Bie Nio
Rethinking ‘risk' and self-management for chronic illness
title Rethinking ‘risk' and self-management for chronic illness
title_full Rethinking ‘risk' and self-management for chronic illness
title_fullStr Rethinking ‘risk' and self-management for chronic illness
title_full_unstemmed Rethinking ‘risk' and self-management for chronic illness
title_short Rethinking ‘risk' and self-management for chronic illness
title_sort rethinking ‘risk' and self-management for chronic illness
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3500834/
https://www.ncbi.nlm.nih.gov/pubmed/23226974
http://dx.doi.org/10.1057/sth.2011.20
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