Self Management and Health Literacy

Taming the Jungle

Dr Graham Kramer

Time

Poor self-manager

Successful self-managerQuality

of

Life

66.7% Reduction in hospitalisation77.9% Reduction in average length of stay in hospital41.7% reduction in visits to doctor4% reduction in prescription items

WILLING

UNWILLING

ABLE UNABLE

WILLING

UNWILLING

ABLEUNABLE

Fundamental relationship change between person and HCP

“I am the leading partner in themanagement of my health”

Reducing the paternalism of HCPs

Lessening the infantalism of patients Increasing confidence and health literacy

Reducing paternalism

Promoting empowering relationships/avoiding disempowerment. Doctor Patient Partnerships

Consultation skills/ Person centeredness

Care Planning

CARE measure

Teach Back

Time

Increasing confidence and Health Literacy

• Sharing written information• Information prescriptions• Access to medical records • Meaningful information• Community supports for individuals and

their families

YOC commissioning model

Involvement

“Self care works, produces excellent outcomes, improves clinicians’ job satisfaction, reduces workload and savesmoney. Most importantly patients want it.”

Take home

• Shame free encounters• Universal• Simplicity

Thank-you

Graham.kramer@scotland.gsi.gov.uk

@KramerGraham

www.aliss.org