A new sociological and policy Model for Chronic Disease Management (case Diabetes) in Europe compared to Vietnam and UAE, Dubai, in the 21 century, based on theory and methodology of governmentality
Reinbacher, Gunnar Scott
Department of sociology Aalborg University Aalborg, Denmark
The paper has three options, first to present the results of a research project, named TANDEM, Training Alternative Networking Skills for Diabetes Management, Patient-Centered Networks for Chronic Disease Management (Author is the European project leader and coordinator), second, on base of the results to exhibit a new sociological and policy model for chronic disease management, a comparative study.
Third to criticize conventional theoryes in the field and to develop new theoretical approaches based on historical contributions developed by Michel Foucault as well as biomedical approaches developed by Nicolas Rose.
The theory of governmentality throughout four hundred years will be the key issues for the new approaches to understand the relationship between state and citizen, between health professionals and patients.
Europe, UAE and Vietnam have very different concepts of the state and we can se that in the way they treat cronically diseases and disease management.
It is interesting to see, that there are close connections between state and health management. This is here illustrated as huge differences in Europe, Uae and Vietnam.
So we need more than a sociological theory to explain that, we have to move to policy analyses to complete the understanding.
The basic elements in the new model was the empirical findings from theoretical, methodological and empirical research done at four European universities and university hospitals on different groups of patients during 1999-2002. It was interesting, that it was the sociological framework for the research both theoretical and empirical which actually demonstrated the strength of the sociological framework in medicine.
The new model to be presented in this paper demonstrates, that a new treatment method in chronic disease management must be multidisciplinary, integrating medical, technological, social psychological and sociological treatment methods in a holistic context.