Self-care as care left undone? The ethics of the self-care agenda in contemporary healthcare policy
Self-care as care left undone? The ethics of the self-care agenda in contemporary healthcare policy
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DOI：
10.1111/nup.12291
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发表时间：
2020-01-01
影响因子：
2.2
通讯作者：
Flaherty, Sinead
中科院分区：
文献类型：
--
作者：
Greaney, Anna-Marie;Flaherty, Sinead
Self-care, or self-management, is presented in healthcare policy as a precursor to patient empowerment and improved patient outcomes. Alternatively, critiques of the self-care agenda suggest that it represents an over-reliance on individual autonomy and responsibility, without adequate support, whereby 'self-care' is potentially unachievable and becomes 'care left undone'. In this sense, self-care contributes to a blame culture where ill-health is attributed to personal behaviours or lack thereof. Furthermore, self-care may represent a covert form of rationing, as the fiscal means to enable effective self-care and supplement, or replace, self-care capacities, is not provided. This paper explores these arguments through a contemporary ethical analysis of the self-care agenda. The terms self-care and self-management are used interchangeably throughout whereby self-management is understood as a point in the wider self-care continuum.
