Self-care as care left undone? The ethics of the self-care agenda in contemporary healthcare policy
| Autor: | Sinead Flaherty, Anna-Marie Greaney |
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| Rok vydání: | 2019 |
| Předmět: |
media_common.quotation_subject
Blame 03 medical and health sciences 0302 clinical medicine Healthcare policy Political science Humans 030212 general & internal medicine health care economics and organizations media_common Self-management 030504 nursing Research and Theory business.industry Self Health Policy Rationing General Medicine Public relations Self Care Issues ethics and legal aspects Covert Personal Autonomy Self care 0305 other medical science business Autonomy |
| Zdroj: | Nursing philosophy : an international journal for healthcare professionalsREFERENCES. 21(1) |
| ISSN: | 1466-769X |
| Popis: | Self-care, or self-management, is presented in healthcare policy as a precursor to patient empowerment and improved patient outcomes. Alternatively, critiques of the self-care agenda suggest that it represents an over-reliance on individual autonomy and responsibility, without adequate support, whereby 'self-care' is potentially unachievable and becomes 'care left undone'. In this sense, self-care contributes to a blame culture where ill-health is attributed to personal behaviours or lack thereof. Furthermore, self-care may represent a covert form of rationing, as the fiscal means to enable effective self-care and supplement, or replace, self-care capacities, is not provided. This paper explores these arguments through a contemporary ethical analysis of the self-care agenda. The terms self-care and self-management are used interchangeably throughout whereby self-management is understood as a point in the wider self-care continuum. |
| Databáze: | OpenAIRE |
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