کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
10472000 927567 2010 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Can patient self-management explain the health gradient? Goldman and Smith's “Can patient self-management help explain the SES health gradient?” (2002) revisited
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
پیش نمایش صفحه اول مقاله
Can patient self-management explain the health gradient? Goldman and Smith's “Can patient self-management help explain the SES health gradient?” (2002) revisited
چکیده انگلیسی
In their much-cited paper, “Can patient self-management help explain the SES health gradient?” Goldman and Smith (2002) use samples of diabetic and HIV+ patients in the United States to conclude that disease self-management is an important explanation for the much-documented positive gradient in education and health outcomes. In this paper, I revisit their analysis and point to some fundamental difficulties in interpreting their results as conclusive evidence in favor of self-management. I also argue that for individuals for whom self-management might be expected to matter -i.e. populations of patients managing complex conditions - economic factors such as resource availability and insurance access might be a more important mechanism behind the gradient than medical compliance. The impact of self-management, though it might matter, is likely to be small.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Social Science & Medicine - Volume 70, Issue 6, March 2010, Pages 802-812
نویسندگان
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