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Information flow
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One way communication
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Open communication between HCW and patients
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Motivation
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External, having to comply to instructions
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Internal, patients gain better understanding of treatment and importance of adherence
|
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Training and education
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Disease oriented knowledge transfer
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Transfer of problem-solving skills to cope with their chronic condition through sharing of day-to-day experiences
|
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Relation between HCW and patients
|
HCW considered as superior, difficult to approach
|
Trust relationship, HCW and patients considered each other as friends/partners
|
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Relation between peers
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Patients feel isolated
|
Strong mutual peer support based on day-to-day experiences
|
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Power shift
|
Patients follow passively instructions of HCW
|
Patients are actively involved in their health decision making
|
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Solutions
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Offered by HCW
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Patients search for solutions themselves with the support of peers and HCW
|
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Needs
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Identified by HCW
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Identified by patients
|
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Responsible for treatment outcomes
|
HCW
|
Patients and HCW share responsibilities
|
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Information dissemination
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Limited to the consultation
|
Reaching the broader community
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