In recent years, many initiatives from many sources have been aimed at improving people’s ability to manage a chronic medical condition – ranging from top-down policy programmes to small-scale projects developed by individuals. Work related to the care of people with diabetes has generally been at the forefront of this type of research. Policy-related programmes tend to focus on the most effective use of health services, and initiatives coming from individuals are more likely to be about sharing experiences of an effective treatment. But while there are varied motivations behind the differing initiatives, all aim to improve the health and well-being of the people concerned. Anne Kennedy describes an initiative in England, UK, which prioritizes both cost-effectiveness and individual efficacy.
Whole System Information Self-Management Engagement, WISE, Expert Patients Programme, United Kingdom