Sometimes people may not want to be part of a team. They may want to turn problems over to someone else to make a decision. We have a mindset for reducing costs, but factors in the system may increase costs e.g., having to go through three referrals to get to the person you needed to go to in the first place. Systems are set up as if people do not know what they need and their input is not solicited. There is a lack of understanding of what it looks like when people make good self-care decisions.
Rational people make rational choices toward living as well as possible.
Self-care decision making is a complex process, requiring learning, adaptation, experimentation, practice, and integration into lifestyle. Self-care involves managing complex lives, not just diseases. Self-care and compliance with treatment regimes are sometimes mutually exclusive. Health care professionals' attitudes and behaviours can dramatically facilitate or inhibit progress toward competence in self-care decision making. Consumers consistently confront political and ideological difficulties within the health care system and with health care providers.