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Chronic Illn. 2016 Jun;12(2):98-115. doi: 10.1177/1742395315614380. Epub 2015 Dec 8.

The determinants of time spent on self-care.

Author information

1
Manchester Centre for Health Economics, University of Manchester, Manchester, UK Hannah.forbes@manchester.ac.uk.
2
Manchester Centre for Health Economics, University of Manchester, Manchester, UK.
3
Centre for Health Economics, University of York, York, UK.
4
NIHR CLAHRC Wessex, Faculty of Health Sciences, University of Southampton, Southampton, UK.

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.

KEYWORDS:

Self-care; informal care; long-term condition; socioeconomic background; time

PMID:
26661332
DOI:
10.1177/1742395315614380
[Indexed for MEDLINE]

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