The determinants of time spent on self-care
The determinants of time spent on self-care
Purpose: More input from the individual into the management of their health has the potential to reduce demand on the formal care system and improve health outcomes. A variety of interventions have been developed to encourage such ‘self-care', particularly for populations with long-term conditions. However the equity consequences of such initiatives are relatively unknown as there is little evidence on the social and economic determinants of time spent on self-care.
Key methods: We estimate the social and economic determinants of time spent on self-care. We also examine whether patients spend time on self-care because they are compensating for lack of access to formal health care. We undertook regression analyses of eight self-care and formal care measures from a dedicated survey of 300 patients with long-term conditions.
Main results: We found that higher income is associated with less time spent on self-care. Various measures of access to formal health care are found to not be associated with time spent on self-care.
Main conclusion: People from a lower socioeconomic position spend more time managing their condition even when there is universal entitlement to health care.
self-care, long-term condition, socioeconomic background, time, informal care
1-8
Forbes, H.
bf957cc0-8db7-4f3d-af51-b091dab0f0e3
Sutton, M.
46ded5ff-6a17-4b95-87c1-4558d7f2cb14
Richardson, G.
edb47fd2-6071-4300-8734-77da4f139b7d
Rogers, A.
105eeebc-1899-4850-950e-385a51738eb7
8 December 2015
Forbes, H.
bf957cc0-8db7-4f3d-af51-b091dab0f0e3
Sutton, M.
46ded5ff-6a17-4b95-87c1-4558d7f2cb14
Richardson, G.
edb47fd2-6071-4300-8734-77da4f139b7d
Rogers, A.
105eeebc-1899-4850-950e-385a51738eb7
Abstract
Purpose: More input from the individual into the management of their health has the potential to reduce demand on the formal care system and improve health outcomes. A variety of interventions have been developed to encourage such ‘self-care', particularly for populations with long-term conditions. However the equity consequences of such initiatives are relatively unknown as there is little evidence on the social and economic determinants of time spent on self-care.
Key methods: We estimate the social and economic determinants of time spent on self-care. We also examine whether patients spend time on self-care because they are compensating for lack of access to formal health care. We undertook regression analyses of eight self-care and formal care measures from a dedicated survey of 300 patients with long-term conditions.
Main results: We found that higher income is associated with less time spent on self-care. Various measures of access to formal health care are found to not be associated with time spent on self-care.
Main conclusion: People from a lower socioeconomic position spend more time managing their condition even when there is universal entitlement to health care.
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Accepted/In Press date: 27 August 2015
Published date: 8 December 2015
Keywords:
self-care, long-term condition, socioeconomic background, time, informal care
Organisations:
Faculty of Health Sciences
Identifiers
Local EPrints ID: 388226
URI: http://eprints.soton.ac.uk/id/eprint/388226
ISSN: 1742-3953
PURE UUID: a353da89-b5b6-4406-867f-2f21689ea6e8
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Date deposited: 22 Feb 2016 16:46
Last modified: 14 Mar 2024 22:54
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Author:
H. Forbes
Author:
M. Sutton
Author:
G. Richardson
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