Related Experiment Video
Updated: Apr 28, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
26.2K
Self-care: the new principal care.
Eugene C Nelson1, Gregg Meyer, Richard Bohmer
1The Dartmouth Institute for Health Policy and Clinical Practice and Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire (Drs Nelson and Meyer); Harvard Business School, Cambridge, Massachusetts and The Kings Fund, London, United Kingdom (Dr Bohmer).
The Journal of Ambulatory Care Management
|June 3, 2014
Summary
Self-care is predicted to become the primary care source as chronic disease management shifts towards patient empowerment. Technology and support will facilitate this move from specialized, costly interventions to accessible self-management strategies.
Area of Science:
- Healthcare innovation
- Chronic disease management
- Health services research
Background:
- Individuals with chronic conditions dedicate significant time to self-management, often exceeding clinical interaction.
- Rising chronic disease prevalence and healthcare costs necessitate more sustainable and efficient care models.
- Current healthcare systems face pressures from value-based payments and the adoption of novel care delivery approaches.
Purpose of the Study:
- To predict the future landscape of healthcare, emphasizing the growing role of self-care.
- To analyze the drivers shifting care from specialized services to patient-centered self-management.
- To explore the implications of empowering patients in the coproduction of their healthcare.
Main Methods:
- This study is a predictive analysis based on current trends in healthcare.
- It synthesizes information on chronic disease burden, economic factors, and technological advancements.
- The analysis considers the societal value placed on patient agency and shared decision-making.
Main Results:
- Self-care is projected to emerge as the principal source of healthcare.
- A significant shift is anticipated from expensive, specialized care towards high-value self-care.
- Information technology, social support networks, and clinical expertise will be key facilitators of this transition.
Conclusions:
- The future of healthcare will likely involve a paradigm shift towards empowered self-care.
- This transition, while presenting challenges, aligns with societal goals of increasing patient agency.
- Effective self-care models will be crucial for managing chronic conditions and optimizing healthcare value.
Related Concept Videos
01:30Primary Healthcare Services
2.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.9K
01:13Patient-centered Care
3.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K
01:11Secondary Healthcare System
2.1K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.1K
01:29Documentation in Long-Term and Home Healthcare Setting
1.5K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.5K
01:30Preventive Healthcare Services
2.3K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
2.3K
01:21Interdisciplinary Care: The Health Care Team-I
2.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.6K