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Health Education & Behavior, Vol. 5, No. 2, 161-189 (1977)
DOI: 10.1177/109019817700500206
© 1977 Society for Public Health Education

Research and Demonstration Issues in Self-Care: Measuring the Decline of Medicocentrism

Lawrence W. Green

Division of Health Education, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, Maryland

Stanley H. Werlin

Health Care Group, Arthur D. Little, Inc., Cambridge, Massachusetts

Helen H. Schauffler

Health Care Group, Arthur D. Little, Inc., Cambridge, Massachusetts

Charles H. Avery

University of California School of Medicine, Los Angeles, California

Emergence of consumer health self-care is a reflection of the increased commitment of health professionals to patient education, growing consumer awareness that they are capable of sophisticated self-help, and a variety of social, economic and technological currents. These currents are reviewed and a survey of existing medical self-care programs is summarized The attempts and potentials to evaluate these programs are critically examined

A number of important research and demonstration issues are raised including the determination of behavioral outcomes, technical limits, and manpower implications. A federal program of replicative studies on such issues would provide substantive knowledge in the self-care field, generalizable to the larger field of health education, but the hazards of undermining the voluntaristic and non-establish ment character of the programs must be considered in designing evaluative studies.


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