How does it feel to be a problem? Patients' experiences of self-management support in New Zealand and Canada.

Background: The impact of long-term conditions is the "healthcare equivalent to climate change." People with long-term conditions often feel they are a problem, a burden to themselves, their family and friends. Providers struggle to support patients to self-manage.

Patients' engagement in primary care: powerlessness and compounding jeopardy. A qualitative study.

Background: Primary health care does not adequately respond to populations known to have high needs such as those with compounding jeopardy from chronic conditions, poverty, minority status and age; as such populations report powerlessness.

Objective: To explore what poor older adults with chronic conditions who mostly belong to ethnic minority groups say they want from clinicians.

Setting And Participants: Participants were older adults whose chronic conditions were severe enough to require hospital admission more than twice in the previous 12 months.