Usually, they are responsible for the entire self-managing of the entire network, which in certain cases may comprise the network performance.
However, several aspects of this research give confidence that the results reflect participants' positive experiences of self-managing rehabilitation for chronic dizziness.
Besides the fact that health policies encourage people to self-manage for as long as possible [ 1], most people also prefer to keep control over their own life and health care.
Below is a representation of Ostrom's Social-Ecological Framework for Self-Managing the Commons.
With the increasing use of autonomic computing technologies, a Java Enterprise Edition (JEE) application server is implemented with more and more adaptive computations for self-managing the Middleware as well as its hosted applications.
Patients tended to agree with practitioners' narratives that they shared some responsibility for self-managing their illnesses.
They perceived goal setting as an important strategy but that individuals had to be ready, prepared and confident to accept their part in the process, and to take some responsibility for self-managing.
Future healthcare will increasingly acknowledge this desire to self-manage: in Sweden, for example, the national e-health strategy supports it through My Health Account (25), an account that assembles all health-related personal information, owned and controlled by the patient him/herself.
Competent actors working for the common good of the organization can self-organize and self-manage with only minimal need for hierarchical control and coordination.
Treatment providers can easily avail themselves of free, Web-based systems that automatically generate text-messaging reminders for appointments, medications, or other tasks a provider deems important for a patient to self-manage (see www.ohdontforget.com for an example of such texting software).
An ethnographic study of self-management by people with diabetes has described the difficult balancing act required, and that capacity to self-manage was limited for some people by their co-morbidity, psychological factors and social capital, all issues among our population [ 57].
