Patient-perceived “capacity to change"

Article Factors Influencing Patient-Perceived Satisfaction With Comm...

Respectfully I don't think I agree that socio-economic status alone explains willingness to self-manage health or that the solution lies alone in the individual becoming empowered/educated. That said the outcomes you desire can occur. I'm very influenced by the chronic care model (Wagner) that sees roles for health care, the community and the patient/person themselves in changing approaches and ability to self-sustain changes in health knowledge and practices, in health services and in community resources that then support better management of chronic health conditions. Specific evidence-based interventions such as the chronic disease self-management program (Lorig) in turn offer both the tools and processes to build a sense of self-efficacy at the individual level to then best utilize the more system level supports argues for in the chronic care model.

Thanks Philip, it is informative. The approaches and tools you mentioned seem to have the enabling mechanisms to empower the patient to have the self efficacy and confidence to deal with chronic illness. I am not sure whether care givers would like to sustain the care or diminish their roles by giving more responsibility to the patient provided the patient is willing to do so, which means the care must have enabled the patient to be so. What I see in the health system is the tendency to make patients clients in the business sense; control the mid set of such clients and ultimately making them totally dependent on service /care givers. what do you think?