Issue | Traditional medical care | Patient-Professional Partnership | Full self management |
---|---|---|---|
Relationship patient - health professional | Professionals as experts - patients as passive | Shared expertise and two way relationship: professionals as disease experts - patients as 'life' experts | Patient as centre of a web linked with many other resources of which the professional is one |
Locus of Control | Professional | Patient and professional, shared responsibility | Patient, supported by professionals and other resources |
Problem identification | Professional: medical perspective | Patient: illness perspective | Patient: rebalancing perspective |
Problem solving | By professional | By patient, helped by professionals' teaching | By patient, helped by professionals, peers, technology (mastering) |
Technical resources | Focused on professional | Focused on professional | Focused on patient |
Behaviour influence through | External motivation | Internal Motivation | Motivation via different channels, internal and external |