Justifying patient self-management--evidence based medicine or the primacy of the first person perspective

Med Health Care Philos. 2005;8(2):159-64. doi: 10.1007/s11019-005-2280-x.


Patient self-management programs have become increasingly popular and are now also receiving official endorsements. This paper analyses two possible types of positive justifications for promoting patient self-management: evidence-based and patient-centred justifications. It is argued that evidence-based justifications, although important politically are deficient and that the primary justification for patient self-management must be a patient-centred justification focusing on the patient's privileged access to his or her own lived body.

MeSH terms

  • Adaptation, Psychological
  • Evidence-Based Medicine*
  • Health Knowledge, Attitudes, Practice*
  • Health Policy
  • Humans
  • Philosophy, Medical
  • Self Care* / psychology
  • United Kingdom