Expert Patients and Human Agency: Long-term Conditions and Giddens' Structuration Theory

Social Theory and Health

Volumn 6, Issue 4, 2008, Pages 273-290

  Greener, Ian ^a  

^a DURHAM UNIVERSITY   (United Kingdom)

Author keywords

Agency; Hoggett; Long term conditions; Self care; Structure

Indexed keywords

EID: 69849131255     PISSN: 14778211     EISSN: 1477822X     Source Type: Journal    
DOI: 10.1057/sth.2008.11     Document Type: Article

References (63)

1. Archer M (1995). Realist Social Theory: The Morphogenetic Approach. Cambridge University Press: Cambridge
2. Baker C, Stern P (1993). Finding meaning in chronic illness as the key to self care. Canadian Journal of Nursing 25: 23-26
3. Barlow J, Barefoot J (1996). Group education for people with arthritis. Patient Education and Counselling 27: 257-267
4. Barlow J, Williams B (1999). ''I now feel that I'm not just a bit of left luggage'': the experiences of older women with arthritis attending a Personal Independence Course. Disability and Society 14: 53-67
5. Barlow J, Williams B, Wright C (1999). Instilling the strength to fight pain and get on with life: learning to become and arthritis self-manager through an adult education programme. Health Education Research 14: 533-544
6. Bernstein R (1989). Social theory as critique. In: Held D, Thompson JB (eds). Social Theory of Modern Societies: Anthony Giddens and His Critics. Cambridge University Press: Cambridge, pp 19-33
7. Bourdieu P (1990). The Logic of Practice. Polity Press: Cambridge
8. Bourdieu P (1991). Language and Symbolic Power. Polity Press: Cambridge
9. Bourdieu P (1998). Practical Reason: On the Theory of Action. Polity Press: Cambridge
10. Burrows R, Nettleton S (2000). Reflexive modernisation and the emergence of wired self-help. In: Burrows R, Pleace N (eds). Wired Welfare? Essays on the Rhetoric and Reality of e-Social Policy. Centre For Housing Policy Discussion Paper: York, pp 9-22
11. Clarke J, Newman J (1997). The Managerial State. Sage: London
12. Craib I (1992). Anthony Giddens. Routledge: London
13. Deacon A, Mann K (1999). Agency, modernity and social policy. Journal of Social Policy 28: 413-435
14. Department of Health (1999). Our Healthier Nation-Saving Lives. Department of Health: London
15. Department of Health (2001a). NHS Performance Ratings: Acute Trusts 2000/2001. Department of Health: London
16. Department of Health (2001b). The Expert Patient: A New Approach to Chronic Disease Management for the 21st Century. Department of Health: London
17. Department of Health (2002). Shifting the Balance of Power within the NHS: Securing Delivery. Department of Health: London
18. Department of Health (2004). Choosing Health: Making Healthier Choices Easier. HMSO: London
19. Donaldson L (2003). Expert patients usher in a new era of opportunity for the NHS. British Medical Journal 326: 1279-1280
20. Field F (1997). Self-interest and collective welfare. In: Field F (ed). Reforming Welfare. Social Market Foundation: London, pp 11-34
21. Fox NJ, Ward KJ, O'Rourke AJ (2005). The 'expert patient': empowerment or medical dominance? The case of weight loss, pharmaceutical drugs and the Internet. Social Science & Medicine 60: 1299-1309
22. Gaze H (2000). A knowledge born of experience. Nursing Times 96: 15
23. Giddens A (1979). Central Problems In Social Theory. MacMillan: London
24. Giddens A (1984). The Constitution of Society. Polity: Cambridge
25. Giddens A (1989). A reply to my critics. In: Held D, Thompson J (eds). Social Theory of Modern Societies: Anthony Giddens and his Critics. Cambridge University Press: Cambridge, pp 249-301
26. Giddens A (1991). Modernity and Self-Identity. Polity: Cambridge
27. Giddens A (1994a). Beyond Left and Right: The Future of Radical Politics. Polity Press: Cambridge
28. Giddens A (1994b). Living in A Post-traditional Society. In: Beck U, Giddens A, Lash S (eds). Reflexive Modernisation. Polity: Cambridge, pp 56-109
29. Giddens A (1998). The Third Way: The Renewal of Social Democracy. Polity: Cambridge
30. Giddens A (2002). What Now for New Labour? Polity: Cambridge
31. Giddens A (2007). Over to you, Mr. Brown. Polity Press: Cambridge
32. Greener I (2002). Agency, social theory and social policy. Critical Social Policy 22: 688-706
33. Greener I, Mannion R (2006). Does practice-based commissioning avoid the problems of fundholding? British Medical Journal 333: 1168-1170
34. Greener I, Powell J (2003). Health authorities, priority-setting and resource allocation: a study in decision-making in new labour's NHS. Social Policy and Administration 37: 35-48
35. Gregson N (1989). On the (ir)relevance of structuration theory to empirical research. In: Held D, Thompson J (eds). Social Theory of Modern Societies: Anthony Giddens and his Critics. Cambridge University Press: Cambridge
36. Hoggett P (2000). Emotional Life and the Politics of Welfare. Palgrave: London
37. Hoggett P (2001). Agency, rationality and social policy. Journal of Social Policy 30: 37-56
38. Hoque K, Davis S, Humphreys M (2004). Freedom to do what you are told: senior management team autonomy in an NHS acute trust. Public Administration 82: 355-376
39. Illman J (2000). Patient power. Nursing Times 96: 28-30
40. Le Grand J (1997). Knights, Knaves or Pawns? human behaviour and social policy. Journal of Social Policy 26: 149-169
41. Lorig K (2002). Partnerships between expert patients and physicians. The Lancet 359: 814-815
42. Lorig K, Stewart A, Ritter P, Gonzalez V, Laurent D, Lynch J (1996). Outcome Measures for Health Education and Other Health Care Interventions. Sage: Thousand Oaks
43. Multiple Sclerosis Society (2003). Measuring Up: Experiences of people with MS of health services. MORI/Multiple Sclerosis Society: London
44. Murray C (1984). Losing Ground. Basic Books: New York
45. Paterson B. (2001). The myth of empowerment in chronic illness. Journal of Advanced Nursing 34(5): 575-581
46. Peterson A, Lupton D (1996). The New Public Health: health and self in the age of risk. Sage: London
47. Ritzer G (1996). Sociological Theory. McGraw-Hill: London
48. Rogers A, Bower P, Gardner C, Gately C, Kennedy A, Lee V, Middleton E, Reeves D, Richardson G (2006). The National Evaluation of the Pilot Phase of the Expert Patient Programme: Final Report. National Primary Care Research and Development Centre: Manchester
49. Secretary of State for Health (1992). The Health of the Nation: A Strategy for Health in England. HMSO: London
50. Secretary of State for Health (2000). The NHS Plan: A Plan for Investment, A Plan for Reform. HMSO: London
51. Secretary of State for Health (2002). Delivering the NHS Plan: Next Steps on Investment and Reform. HMSO: London
52. Shaw I (2002). How lay are lay beliefs? Health 6: 287-299
53. Shaw J, Baker M (2004). ''Expert patient''-dream or nightmare? British Medical Journal 328: 723-724
54. Swift T, Dieppe P (2005). Using expert patients' narratives as an educational resource. Patient Education and Counseling 57: 115-121
55. Tattersall R (2002). The expert patient: a new approach to chronic disease management for the twenty-first century. Clinical Medicine 2: 227-229
56. Taylor-Gooby P, Sylvester S, Calnan M, Manley G (2000). Knights, knaves and gnashers: professional values and private dentistry. Journal of Social Policy 29: 375-395
57. Thompson J (1989). The theory of structuration. In: Held D, Thompson J (eds). Social Theory of Modern Societies: Anthony Giddens and his Critics. Cambridge University Press: Cambridge, pp 56-76
58. Twigg J (1997). Deconstructing the ''social bath'': help with bathing at home for older and disabled people. Journal of Social Policy 26: 211-232
59. Westergaard J (1999). Where does the third way lead? New Political Economy 4: 429-436
60. Wilson P (2001). A policy analysis of the Expert Patient in the United Kingdom: self-care as an expression of pastoral power? Health and Social Care in the Community 9: 134-142
61. Wilson P, Kendall S, Brooks F (2006). Nurses' responses to expert patients: the rhetoric and reality of self-management in long-term conditions: a grounded theory study. International Journal of Nursing Studies 43: 803-818
62. Wilson T, Buck D, Ham C (2005). Rising to the challenge: will the NHS support people with longterm conditions? British Medical Journal 330: 657-661
63. Wootton I, Wood V, Cook F (2008). Who wants expert patient programmes for chronic mechanical spinal pain?: an investigation into the value of, and recruitment to, an expert patient programme as part of the physiotherapy management of chronic spinal pain. Physiotherapy 94: 78-84.