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Rheumatology 2001; 40: 1-4
© 2001 British Society for Rheumatology

Editorials

What is meant by self-management and how can its efficacy be established?

S. Newman, K. Mulligan and L. Steed

Unit of Health Psychology, Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, 48 Riding House Street, London W1N 8AA, UK

The first 150 words of the full text of this article appear below.

There has been a significant shift in recent years towards patients being seen as consumers of health-care. This has been accompanied by changes in the amount of patient involvement in health-care. At the macro level, patients and patient organizations are increasingly involved in consultation and the setting of health-care priorities. At the level of direct patient care, approaches have been developed where patients are more closely involved in decisions regarding their treatment [1]. There has been an increased recognition of the need for patients' involvement in, and commitment to, their treatment regimens in chronic illness. In addition there has been increased appreciation of the broader ramifications of the impact of chronic illness on psychological and social well-being. These factors, amongst others, have led to an increase in patient participation in care. Historically, this involved providing patients with information about their condition, which was commonly integrated with clinical care . . . [Full Text of this Article]


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Response to an Editorial on self-management
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