Title |
Rethinking the patient: using Burden of Treatment Theory to understand the changing dynamics of illness
|
---|---|
Published in |
BMC Health Services Research, June 2014
|
DOI | 10.1186/1472-6963-14-281 |
Pubmed ID | |
Authors |
Carl R May, David T Eton, Kasey Boehmer, Katie Gallacher, Katherine Hunt, Sara MacDonald, Frances S Mair, Christine M May, Victor M Montori, Alison Richardson, Anne E Rogers, Nathan Shippee |
Abstract |
In this article we outline Burden of Treatment Theory, a new model of the relationship between sick people, their social networks, and healthcare services. Health services face the challenge of growing populations with long-term and life-limiting conditions, they have responded to this by delegating to sick people and their networks routine work aimed at managing symptoms, and at retarding - and sometimes preventing - disease progression. This is the new proactive work of patient-hood for which patients are increasingly accountable: founded on ideas about self-care, self-empowerment, and self-actualization, and on new technologies and treatment modalities which can be shifted from the clinic into the community. These place new demands on sick people, which they may experience as burdens of treatment. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 62 | 39% |
United States | 12 | 8% |
Canada | 9 | 6% |
Australia | 7 | 4% |
Spain | 4 | 3% |
Netherlands | 3 | 2% |
Brazil | 3 | 2% |
Ireland | 2 | 1% |
Comoros | 1 | <1% |
Other | 5 | 3% |
Unknown | 50 | 32% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 68 | 43% |
Scientists | 51 | 32% |
Practitioners (doctors, other healthcare professionals) | 34 | 22% |
Science communicators (journalists, bloggers, editors) | 5 | 3% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 5 | 1% |
United States | 2 | <1% |
Sweden | 2 | <1% |
Australia | 1 | <1% |
Denmark | 1 | <1% |
Argentina | 1 | <1% |
Unknown | 380 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 65 | 17% |
Student > Ph. D. Student | 57 | 15% |
Student > Master | 47 | 12% |
Student > Bachelor | 30 | 8% |
Other | 24 | 6% |
Other | 82 | 21% |
Unknown | 87 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 105 | 27% |
Nursing and Health Professions | 52 | 13% |
Social Sciences | 44 | 11% |
Psychology | 23 | 6% |
Business, Management and Accounting | 11 | 3% |
Other | 54 | 14% |
Unknown | 103 | 26% |