Participation and chronic disease self-management: are we risking inequitable resource allocation?

Foster, Michele and Kendall, Elizabeth and Dickson, Paul and Chaboyer, Wendy and Hunter, Beth and Gee, Travis (2003) Participation and chronic disease self-management: are we risking inequitable resource allocation? Australian Journal of Primary Health, 9 (2-3). pp. 132-140. ISSN 1448-7527

Abstract

The Ottawa Charter for Health Promotion supported the empowerment of individuals to participate in their health care and have control over their health. For older adults with chronic conditions, the Chronic Disease Self-Management Program has been widely adopted as an adjunct to existing healthcare options. A growing body of literature has supported the positive impact of self-management programs on outcomes for people with a range of chronic conditions. However, evidence also suggests that participation in these programs is biased. This paper draws on pilot data to describe the profile of those people who inquire, enrol, attend, and complete CDSM courses in Queensland, Australia. As expected, there was evidence that males, Indigenous people, people of non-English speaking background, and those with multiple responsibilities were less likely to participate. Most importantly, participation was affected by a self-selection bias associated with health status. Those who were either unwell or well at the time of the course were unlikely to attend, minimising the preventative value of the CDSM program. Further, CDSM evaluation studies are likely to be inherently flawed and the distribution of health resources can become inequitable.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Author version not held.
Depositing User: Dr Travis Gee
Faculty / Department / School: Historic - Faculty of Sciences - Department of Psychology
Date Deposited: 02 May 2010 04:30
Last Modified: 02 Jul 2013 23:51
Uncontrolled Keywords: equitable healthcare; health promotion; participation; self-management
Fields of Research (FOR2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111709 Health Care Administration
Socio-Economic Objective (SEO2008): C Society > 92 Health > 9202 Health and Support Services > 920205 Health Education and Promotion
Identification Number or DOI: doi: 10.1071/PY03037
URI: http://eprints.usq.edu.au/id/eprint/7802

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