Chronic kidney disease was closely related with unhealthy lifestyle;therefore a strategy focused both on daily life and medical process,like the Expert Patients Program,was of great value in the prevention and treatme...Chronic kidney disease was closely related with unhealthy lifestyle;therefore a strategy focused both on daily life and medical process,like the Expert Patients Program,was of great value in the prevention and treatment of chronic kidney disease.In China,however,obstacles still existed in the process of implementing the program.Adding traditional Chinese medical interventions to the program assisted both patients and physicians to understand and to accept this new trend in management of chronic disease better.The combination with traditional Chinese medical interventions showed a solution for successfully implementing the Expert Patients Program and provided a new strategy for prevention and control of chronic kidney disease.展开更多
This paper seeks to explore the relevance between the Western 'expert patient' rhetoric and the reality of non-communicable diseases (NCDs) control and management in low and middle income settings from the hea...This paper seeks to explore the relevance between the Western 'expert patient' rhetoric and the reality of non-communicable diseases (NCDs) control and management in low and middle income settings from the health sociological perspective.It firstly sets up a conceptual framework of the 'expert patient' or the patient self-management approach, showing the rhetoric of the initiative in the developed countries.Then by examining the situation of NCDs control and management in low income settings, the paper tries to evaluate the possibilities of implementing the 'expert patient' approach in these countries.Kober and Van Damme's study on the relevance of the 'expert patient' for an HIV/AIDS program in low income settings is critically studied to show the relevance of the developed countries' rhetoric of the 'expert patient' approach for the reality of developing countries.In addition, the MoPoTsyo diabetes peer educator program is analyzed to show the challenges faced by the low income countries in implementing patient selfmanagement programs.Finally, applications of the expert patient approach in China are discussed as well, to remind us of the possible difficulties in introducing it into rural settings.Copyright 2015, Chinese Medical Association Production.Production and hosting by Elsevier B.V.on behalf of KeAi Communications Co., Ltd.This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/ by-nc-nd/4.0/).展开更多
基金Supported by Special Fund for Traditional Chinese Medicine provided by State Administration of Traditional Chinese Medicine of China(No.201007005)
文摘Chronic kidney disease was closely related with unhealthy lifestyle;therefore a strategy focused both on daily life and medical process,like the Expert Patients Program,was of great value in the prevention and treatment of chronic kidney disease.In China,however,obstacles still existed in the process of implementing the program.Adding traditional Chinese medical interventions to the program assisted both patients and physicians to understand and to accept this new trend in management of chronic disease better.The combination with traditional Chinese medical interventions showed a solution for successfully implementing the Expert Patients Program and provided a new strategy for prevention and control of chronic kidney disease.
文摘This paper seeks to explore the relevance between the Western 'expert patient' rhetoric and the reality of non-communicable diseases (NCDs) control and management in low and middle income settings from the health sociological perspective.It firstly sets up a conceptual framework of the 'expert patient' or the patient self-management approach, showing the rhetoric of the initiative in the developed countries.Then by examining the situation of NCDs control and management in low income settings, the paper tries to evaluate the possibilities of implementing the 'expert patient' approach in these countries.Kober and Van Damme's study on the relevance of the 'expert patient' for an HIV/AIDS program in low income settings is critically studied to show the relevance of the developed countries' rhetoric of the 'expert patient' approach for the reality of developing countries.In addition, the MoPoTsyo diabetes peer educator program is analyzed to show the challenges faced by the low income countries in implementing patient selfmanagement programs.Finally, applications of the expert patient approach in China are discussed as well, to remind us of the possible difficulties in introducing it into rural settings.Copyright 2015, Chinese Medical Association Production.Production and hosting by Elsevier B.V.on behalf of KeAi Communications Co., Ltd.This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/ by-nc-nd/4.0/).
