Justifying patient self-management – evidence based medicine or the primacy of the first person perspective


Abstract
Patient self-management programs have become increasingly popular and are now also receiving official endorsements. This paper analyses two possible types of positive justifications for promoting patient self-management: evidence-based and patient-centred justifications. It is argued that evidence-based justifications, although important politically are deficient and that the primary justification for patient self-management must be a patient-centred justification focusing on the patient’s privileged access to his or her own lived body
Keywords expert patient  lived body  self-care  self-management
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DOI 10.1007/s11019-005-2280-x
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References found in this work BETA

Phenomenology of Perception.Aron Gurwitsch, M. Merleau-Ponty & Colin Smith - 1964 - Philosophical Review 73 (3):417.
What is Wrong with Compliance?S. Holm - 1993 - Journal of Medical Ethics 19 (2):108-110.
Managing One's Body Using Self-Management Techniques: Practicing Autonomy.Dick Willems - 2000 - Theoretical Medicine and Bioethics 21 (1):23-38.

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