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Health care systems are complex. Managing chronic conditions is often complex and often involves multimorbidity or multiple risk factors and complications once a person develops a chronic condition. These forces together make for a highly complex area that relies heavily on effective communication, engagement and skills of all involved within an integrated system. The reality is that there are often diverse views about who is the expert, and inter-disciplinary roles and rules that need to be worked out and agreed upon. There are structural impediments and challenges in creating a system of care where the client is asked their view, heard and fully understood and where they are not merely shuttled between fragmented service silos.

Chronic physical illness: self-management and behavioural interventions