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Tale of Two Courthouses: A Critique of the Underlying Assumptions in Chronic Disease Self-Management for Aboriginal People

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Author(s): Timothy Skinner | Isabelle Ellis

Journal: Australasian Medical Journal
ISSN 1836-1935

Volume: 1;
Issue: 14;
Start page: 239;
Date: 2009;
Original page

Keywords: Chronic Diseases | aboriginal | self management

ABSTRACT
This article reviews the assumptions that underpin thecommonly implemented Chronic Disease Self-Managementmodels. Namely that there are a clear set of instructions forpatients to comply with, that all health care providers agreewith; and that the health care provider and the patient agreewith the chronic disease self-management plan that wasdeveloped as part of a consultation. These assumptions areevaluated for their validity in the remote health care context,particularly for Aboriginal people. These assumptions havebeen found to lack validity in this context, therefore analternative model to enhance chronic disease care isproposed.
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