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Characteristics of self-management among patients with complex health needs: a thematic analysis review

Gobeil-Lavoie Annie-Pier, Chouinard Maud-Christine, Danish Alya et Hudon Catherine. (2019). Characteristics of self-management among patients with complex health needs: a thematic analysis review. BMJ Open, 9, (5), e028344.

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URL officielle: http://dx.doi.org/10.1136/bmjopen-2018-028344

Résumé

Objective: There is a gap of knowledge among healthcare providers on characteristics of self-management among patients with chronic diseases and complex healthcare needs. Consequently, the objective of this paper was to identify characteristics of self-management among patients with chronic diseases and complex healthcare needs.

Design: Thematic analysis review of the literature.

Methods: We developed search strategies for the MEDLINE and CINAHL databases, covering the January 2000–October 2018 period. All articles in English or French addressing self-management among an adult clientele (18 years and older) with complex healthcare needs (multimorbidity, vulnerability, complexity and frequent use of health services) were included. Studies that addressed self-management of a single disease or that did not have any notion of complexity or vulnerability were excluded. A mixed thematic analysis, deductive and inductive, was performed by three evaluators as described by Mileset al.

Results: Twenty-one articles were included. Patients with complex healthcare needs present specific features related to self-management that can be exacerbated by deprived socioeconomic conditions. These patients must often prioritise care based on one dominant condition. They are at risk for depression, psychological distress and low self-efficacy, as well as for receiving contradictory information from healthcare providers. However, the knowledge and experiences acquired in the past in relation to their condition may help them improve their self-management skills.

Conclusions: This review identifies challenges to self-management for patients with complex healthcare needs, which are exacerbated in contexts of socioeconomic insecurity and proposes strategies to help healthcare providers better adapt their self-management support interventions to meet the specific needs of this vulnerable clientele.

Type de document:Article publié dans une revue avec comité d'évaluation
Volume:9
Numéro:5
Pages:e028344
Version évaluée par les pairs:Oui
Date:2019
Sujets:Sciences de la santé
Sciences de la santé > Sciences infirmières
Sciences de la santé > Sciences médicales
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module des sciences infirmières
Mots-clés:Self-management, chronic diseases, complex healthcare needs, healthcare providers
Déposé le:03 juin 2019 18:24
Dernière modification:03 juin 2019 18:24
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