Title |
Self-management support interventions to reduce health care utilisation without compromising outcomes: a systematic review and meta-analysis
|
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Published in |
BMC Health Services Research, August 2014
|
DOI | 10.1186/1472-6963-14-356 |
Pubmed ID | |
Authors |
Maria Panagioti, Gerry Richardson, Nicola Small, Elizabeth Murray, Anne Rogers, Anne Kennedy, Stanton Newman, Peter Bower |
Abstract |
There is increasing interest in the role of 'self-management' interventions to support the management of long-term conditions in health service settings. Self-management may include patient education, support for decision-making, self-monitoring and psychological and social support. Self-management support has potential to improve the efficiency of health services by reducing other forms of utilisation (such as primary care or hospital use), but a shift to self-management may lead to negative outcomes, such as patients who feel more anxious about their health, are less able to cope, or who receive worse quality of care, all of which may impact on their health and quality of life. We sought to determine which models of self-management support are associated with significant reductions in health services utilisation without compromising outcomes among patients with long-term conditions. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 21 | 39% |
Australia | 5 | 9% |
Canada | 4 | 7% |
Spain | 2 | 4% |
New Zealand | 2 | 4% |
Finland | 1 | 2% |
Singapore | 1 | 2% |
Austria | 1 | 2% |
United States | 1 | 2% |
Other | 0 | 0% |
Unknown | 16 | 30% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 31 | 57% |
Scientists | 16 | 30% |
Practitioners (doctors, other healthcare professionals) | 6 | 11% |
Science communicators (journalists, bloggers, editors) | 1 | 2% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | <1% |
Spain | 1 | <1% |
Australia | 1 | <1% |
Unknown | 451 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 80 | 18% |
Researcher | 59 | 13% |
Student > Bachelor | 49 | 11% |
Student > Ph. D. Student | 48 | 11% |
Other | 26 | 6% |
Other | 84 | 18% |
Unknown | 109 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 96 | 21% |
Nursing and Health Professions | 84 | 18% |
Psychology | 47 | 10% |
Social Sciences | 32 | 7% |
Agricultural and Biological Sciences | 10 | 2% |
Other | 52 | 11% |
Unknown | 134 | 29% |