1. Self Management and Health
Literacy
Taming the Jungle
Dr Graham Kramer

3. Successful self-manager
Q
u 66.7% Reduction in
a hospitalisation
li
t 77.9% Reduction in average
y length of stay in hospital
o 41.7% reduction in visits to
f doctor
L Poor self-manager reduction in prescription
4%
if
e items
Time

4. WILLING
ABLE UNABLE
UNWILLING

5. WILLING
UNABLE
ABLE
UNWILLING

6. Fundamental relationship change between person
and HCP
“I am the leading partner in the
management of my health”

7. Reducing the paternalism
of HCPs
Lessening the infantalism of
patients
Increasing confidence and
health literacy

8. Reducing paternalism
Promoting empowering
relationships/avoiding disempowerment.
Doctor Patient Partnerships
Consultation skills/ Person centeredness
Care Planning
CARE measure
Teach Back
Time

9. Increasing confidence and Health
Literacy
• Sharing written information
• Information prescriptions
• Access to medical records
• Meaningful information
• Community supports for individuals and
their families

12. YOC commissioning model

15. Involvement

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

18. Take home
• Shame free encounters
• Universal
• Simplicity

19. Thank-you
Graham.kramer@scotland.gsi.gov.uk
www.aliss.org
@KramerGraham