Skip Navigation LinksHome > July/September 2014 - Volume 37 - Issue 3 > Self-Care: The New Principal Care
Journal of Ambulatory Care Management:
doi: 10.1097/JAC.0000000000000036
Original Articles

Self-Care: The New Principal Care

Nelson, Eugene C. DSc, MPH; Meyer, Gregg MD, MSc; Bohmer, Richard MBChB, MPH

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Abstract

We predict self-care will become the new principal source of care. People living with diverse chronic conditions spend more time on self-management than with their providers. The increasing burden of chronic disease and costs coupled with value-based payments and innovative care models will generate a shift away from expensive specialized care toward high-value self-care facilitated by information technology, social support, and clinical expertise. This predicted shift in the value stream carries with it risks and uncertainties but will likely prevail as society seeks to confer “agency” by enabling people to make decisions and engage effectively in care coproduction.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

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