• Adrian Lucian LUPU Post-doctoral fellow, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania, Senior lecturer, Department of Sociology and Social Work, “Alexandru Ioan Cuza” University of Iasi, Romania
  • Mihaela RĂDOI Post-doctoral fellow, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania, Senior lecturer, Department of Sociology and Social Work, “Alexandru Ioan Cuza” University of Iasi, Romania
  • Daniela COJOCARU Professor, PhD, Department of Sociology and Social Work, “Alexandru Ioan Cuza” University of Iasi, Romania


self-care, chronic patient, elements of care, self-management, chronic disease


In the context of chronic disease, self-care or self-management represents a term used in the field of education for health and associated to programs for health promotion and for patient education (Cojocaru and Popa, 2013). The idea of program implies, among others, formalizing and/or standardizing the activities. In the conditions of chronic disease, the self-care of health status can also be achieved in the absence of self-management programs, and it may represent: (1) a set of non-formal actions that the patient initiates following his/her own method, (2) a set of formal actions that the patient initiates upon the physician’s recommendation or (3) a combination between the two situations. In this context, the outcome of (self)-care is influenced by a series of factors. The purpose of this study is to identify the formal and non-formal elements specific to self-care, which may represent premises for the creation of self-management programs to support the persons diagnosed with chronic heart diseases. To this end, we conducted 13 interviews with patients with chronic heart diseases within the clinic of the “Dr. C.I. Parhon” Clinic Hospital in Iaşi.


World Health Organization. (2002). Innovative Care for Chronic Care Conditions: Building blocks for Action. Geneva.

Holman, H. and Lorig, K. (2004). Patient Self-Management: A Key to Effectiveness and Efficiency in Care of Chronic Disease. Public Health Reports, 119(May-June), 239-243.

Wilson, P. (2001). A policy analysis of the Expert Patient in the United Kingdom: self-care as an expression of pastoral power. Health and Social Care in the Community, 9(3), 134-142

Lauvergeon, S., Burnand, B. and Peytremann-Bridevaux, I. (2012). Chronic disease management: a qualitative study investigating the barriers, facilitators and incentives perceived by Swiss healthcare stakeholders. BMC Health Services Research, 12, 176.

Strauss, A. and Corbin J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Sage Publications, Newbury Park, CA.

Wagner, E.H., Bennett, S.M., Austin, B.T., Greene, S., Schaefer, J. and Vonkorff, M. (2005). Finding Common Ground: Patient-Centeredness and Evidence-Based Chronic Illness Care. The Journal of Alternative and Complementary Medicine, 11, Supplement 1, S7-S15.

Bodenheimer, T. (2005). Helping Patients Improve Their Health-Related Behaviors: What System Changes Do We Need?. Disease Management, 8(5), 319-330.

Cojocaru, D. and Popa, R. F. (2013). Autoîngrijirea în contextul bolii cronice: dimen-siuni, actori implicați și distribuția responsabilităților, rol și expectații. Revista Română de Bioetică, 11(4), 85-92.

Şoitu, D. (2014). Being healthy means being educated and acting accordingly. Procedia - Social and Behavioral Sciences, 142, 557-563.

Sandu, A., Cojocaru, D., Gavrilovici, C. and Oprea, L. (2013). Încrederea - dimensiune etică a îngrijirii medicale a condiției cronice. Revista Română de Bioetică, 11(1), 88-103.

World Health Organization. (2010). Assessing National Capacity for The Prevention and Control of Noncommunicable Diseases. Report of the 2010 global survey. World Health Organization, Geneva.

Harvey, P. (2011). Self-management and the health care consumer. Nova Science, New York.

Zola, I. K. (1981). Structural Constraits in The Doctor-Patient Relationship: The Case of Non-Compliance. In L. Eisenberg, A. Kleinman (Eds.), The Relevance of Social Science for Medicine (pp. 241-252). D. Reidel Publishing Company, Dordrecht.

Radoi, M. and Lupu, A.L. (2014). Trust in the Physician and in Medical Institutions. Modalities of Comprehension and Analysis. Postmodern Openings, 5(4), 57-74.

Lupu, A. L., Radoi, M. and Cojocaru, D. (2014). The Role of Acting Participants, Definitions, and the Determining Factors of Adherence to Treatment from Two Perspectives: The Biomedical Model and the Chronic Care Model. Postmodern Openings, 5(4), 75-88.

Epping-Jordan, J. E., Pruitt, S. D., Bengoa, R. and Wagner, E. H. (2004). Improving the quatity of health care for chronic conditions. Quality and Safety in Health Care, 13, 299-305.

Creswell, J.W. (2007). Qualitative inquiry and research design: Choosing among five approaches. Sage Publications, Thousand Oaks.

Ionescu, I.I. (2014). The patients of family medicine cabinets. Analele ştiinţifice ale Universităţii “Alexandru Ioan Cuza” din Iaşi (Serie nouă), Sociologie şi Asistenţă Socială, VII(1), 32-55.

Additional Files