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dc.contributor.authorFranklin, M
dc.contributor.authorWillis, K
dc.contributor.authorLewis, S
dc.contributor.authorRogers, A
dc.contributor.authorSmith, L
dc.date.accessioned2020-02-10T05:26:54Z
dc.date.available2020-02-10T05:26:54Z
dc.date.issued2019-11-22
dc.identifier.citationFranklin, M., Willis, K., Lewis, S., Rogers, A., & Smith, L. (2019). Between knowing and doing person-centredness: A qualitative examination of health professionals’ perceptions of roles in self-management support. Health. https://doi.org/10.1177/1363459319889087en_AU
dc.identifier.urihttps://hdl.handle.net/2123/21821
dc.description.abstractSelf-management is a contemporary model of chronic condition care that places expectations on, and roles for, both patients and health professionals. Health professionals are expected to form partnerships with their patients, and patients are expected to be active participants in their own care. In these new roles, control and responsibility for self-management are shared between people with chronic conditions and their health professionals. We still have limited knowledge about how these new roles are enacted in self-management support. In this article, we examine how health professionals perceive the roles of patients and professionals in chronic condition self-management, drawing on Bourdieu’s concepts of field, doxa and capital. In this qualitative study, 32 in-depth interviews were conducted with 11 health professionals in Sydney, Australia. Data were analysed thematically. Three themes were derived. First, there was incongruence between how participants characterised and enacted their roles. Second, participants compartmentalised clinical and nonclinical aspects of self-management support. Finally, the roles of health professionals entwined with emotions and judgements of patienthood revealed that the provision of self-management support was linked to a fit between individuals’ cultural health capital and the expectations governing the field. We argue that ‘taken for granted’ assumptions about self-management and self-management support must be challenged to mitigate negative social representations and unrealistic expectations placed on patients and health professionals, particularly those patients with less capital, who are more marginalised within clinical interactions.en_AU
dc.description.sponsorshipThis research was funded by the Australian Research Council (DP150101406) and Dr. Sophie Lewis's research is funded by the Australian Research Council (DE170100440).en_AU
dc.language.isoen_AUen_AU
dc.publisherSAGEen_AU
dc.relationAustralian Research Council (DP150101406) and Dr Sophie Lewis is funded by the Australian Research Council (DE170100440)en_AU
dc.subjectChronic conditionsen_AU
dc.subjectpatient centred careen_AU
dc.subjectself managementen_AU
dc.subjectBourdieuen_AU
dc.subjectgoal settingen_AU
dc.subjectself management supporten_AU
dc.subjectpatient professional interactionsen_AU
dc.subjectqualitative researchen_AU
dc.titleBetween knowing and doing person-centredness: A qualitative examination of health professionals’ perceptions of roles in self-management supporten_AU
dc.typeArticleen_AU
dc.subject.asrcHealthen_AU
dc.subject.asrcsociologyen_AU
dc.identifier.doihttps://doi.org/10.1177/1363459319889087
dc.type.pubtypePost-printen_AU


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