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Title: A qualitative study exploring support for self-management of long-term conditions in general practice consultations
Author: Blakeman, Thomas Martin
ISNI:       0000 0004 2697 8461
Awarding Body: University of Manchester
Current Institution: University of Manchester
Date of Award: 2010
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This doctoral study sought greater understanding of support for self-management in general practice consultations for people living with long-term conditions, and aimed to understand and help address the gap between policy and practice. Methods: Informed by a review of theoretical and methodological literature, a qualitative mixed methods study was undertaken, involving generation and comparative analysis of empirical data arising from three main sources: 1) observations of general practice consultations (n=86); 2) qualitative interviews with health professionals in general practice (n=17); and 3) qualitative interviews with patients with a long-term condition (n=12). Results: The thesis presents key discourse and discursive practices underpinning long-term condition management in general practice consultations. Coping with the disruption of living with a long-term condition was a key theme and identified to be of importance for both patients and health professionals. However, although a shared value, there was little evidence of this coping with the disruption being discussed during consultations. Patients and professionals had difficulty raising and addressing self-management topics whilst attempting to maintain social relations. Structural factors including the use computer templates as well as the division of labour among primary care professionals reinforced this tension. Discussion: In order for self-management support to become normalised into primary care, policy interventions concerning long-term condition management need to take into account of these tensions underpinning the care of patients with long-term conditions. A framework for embedding and integrating support for self-management of long-term conditions within primary care is proposed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available