title: Changes in health care ideology in relation to self-care by families.
abstract: Health care is shifting from a professional-independent to a business-bureaucratic orientation. Both professional and business ideology have been unfavourable to the development of self-care and a strong health care role for families. But business ideology contains more loopholes for the emergence of a higher level of family self-care activity. The shift forces consumers to take a cautious posture in the marketplace, encouraging active management of their own health care. However, families will obtain government support for their self-care activities and a policy-influential role in health system governance only through organized political action.
mesh_terms: D001294:Attitude to Health; D003256:Community Participation; D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care; D005190:Family; D006699:Home Care Services; D006801:Humans; D009934:Organization and Administration; D011369:Professional-Patient Relations