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Table 1 Differences between different models of care (adapted from [29])

From: The growing caseload of chronic life-long conditions calls for a move towards full self-management in low-income countries

Issue

Traditional medical care

Patient-Professional Partnership

Full self management

Relationship patient - health professional

Professionals as experts - patients as passive

Shared expertise and two way relationship: professionals as disease experts - patients as 'life' experts

Patient as centre of a web linked with many other resources of which the professional is one

Locus of Control

Professional

Patient and professional, shared responsibility

Patient, supported by professionals and other resources

Problem identification

Professional: medical perspective

Patient: illness perspective

Patient: rebalancing perspective

Problem solving

By professional

By patient, helped by professionals' teaching

By patient, helped by professionals, peers, technology (mastering)

Technical resources

Focused on professional

Focused on professional

Focused on patient

Behaviour influence through

External motivation

Internal Motivation

Motivation via different channels, internal and external