Silver Ian
Self Management UK, London, UK.
Future Healthc J. 2018 Oct;5(3):188-191. doi: 10.7861/futurehosp.5-3-188.
Placing the person at the centre of their health and care has been a key part of health and care policy for nearly 2 decades. Fundamental to this approach is the role self-management support plays in increasing the confidence, skills and knowledge of a person in manging their health and wellbeing. This practical review article sets out to explore the historical context of self-management in England, its current status and the challenges faced in delivering self-management programmes. The demand on the health and care system continues to grow and so the need to move to a more holistic system of care with the person at its centre is greater than it has ever been before. With an increasingly fiscally restricted environment with which to operate, how can commissioners, health specialists and service providers work together to develop integrated pathways of care that provide the right care, at the right time and in the right place.
将个人置于其健康与护理的中心，近20年来一直是健康与护理政策的关键部分。这种方法的核心是自我管理支持在增强个人管理自身健康和幸福的信心、技能及知识方面所发挥的作用。这篇实用性综述文章旨在探讨英国自我管理的历史背景、现状以及实施自我管理项目所面临的挑战。对健康与护理系统的需求持续增长，因此转向以个人为中心的更全面护理系统的必要性比以往任何时候都更为迫切。在日益受到财政限制的运营环境下，专员、健康专家和服务提供者如何共同努力，制定综合护理路径，以便在正确的时间、正确的地点提供恰当的护理。
