Justifying patient self-management--evidence based medicine or the primacy of the first person perspective.
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.
Holm
Søren
S
Health and Ethics, Cardiff Institute of Society, 53 Park Place, Cardiff, CF10 3AT, UK. HolmS@cardiff.ac.uk
D000223:Adaptation, Psychological; D019317:Evidence-Based Medicine; D007722:Health Knowledge, Attitudes, Practice; D006291:Health Policy; D006801:Humans; D010686:Philosophy, Medical; D012648:Self Care / Q000523:psychology; D006113:United Kingdom