Core principles of self-management
A person-centred approach
- Places the individual at the centre of all services they receive
- Respects the individual’s choice and autonomy, and supports their self-determination
- Encourages and supports individuals to actively participate in their own management
- Involves collaboration and negotiation between all sectors, service providers, family, carers and the individual
- Recognises that the individual is an expert in his or her own experience
- Takes a holistic view of the individual
- Respects the diversity and unique cultural and social context of each individual
- Ensures that information from health professionals about an individual’s care contributes to the decision-making process of the individual
- Makes sure that appropriate and meaningful information is in place to promote the autonomy and self-efficacy of the individual.
Promoting health and wellbeing
- Encourages and supports individuals to develop the knowledge, confidence and skills to change risk behaviour/s and sustain a healthy lifestyle
- Promotes health across the whole-life continuum and across the various stages of treatment
- Engages health promotion strategies irrespective of the treatment or setting
- Acknowledges the differing health issues that emerge across the whole-of-life continuum, within different environments (for example, in rural and remote settings and across diverse cultures)
A capacity-building approach
- Engages local communities in health activities that build on existing services and supports
- Acknowledges that the circumstances of service providers and individuals/families in rural and remote communities may differ from those in urban communities
- Develops strategies based on local needs, knowledge and expertise
- Increases the capacity of the health system to support self-management through education and training
- Promotes integration and collaboration across services and sectors to ensure that all services promote self-management
- Supports the provision of resources, policies, infrastructure and educational programs that are responsive to the changing needs of the community.
The following chronic diseases have been identified as the focus for initial action under The Queensland Strategy for Chronic Disease 2005 - 2015
Cardiovascular disease
Diabetes and renal
Chronic respiratory disease
Mental health problems, particularly depression, often co-occur with chronic disease. Depression as a co-morbidity of the above chronic diseases is considered within the Strategy.
Combined, coronary heart disease, stroke, type 2 diabetes mellitus, COPD and asthma accounted for about a quarter of the burden of disease and injury in Queensland in 20031.
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