PARADIGM TENSION IN MANAGEMENT OF CHRONIC DISEASE

Abstract

Health promotion and rehabilitation models of care are valuable for persons with chronic health conditions, but when these individuals are dependent on a life-maintaining technology, such as kidney dialysis, a cure-oriented model may dominate the system within which they receive care. Providers can preserve their monopoly over expert treatment knowledge by defining the key care issues, by limiting patients’ access to expert knowledge, and by discrediting the patient as a responsible actor. Multiple care paradigms can benefit patients with chronic conditions, however, empowering the patient-actor to collaborate with the clinician to maximize functioning and well-being as well as patient survival.

Citation

Kutner, N.G. (2003), "PARADIGM TENSION IN MANAGEMENT OF CHRONIC DISEASE", Jacobs Kronenfeld, J. (Ed.) Reorganizing Health Care Delivery Systems: Problems of Managed (Research in the Sociology of Health Care, Vol. 21), Emerald Group Publishing Limited, Leeds, pp. 107-123. https://doi.org/10.1016/S0275-4959(03)21006-1