title: Patients with Complex Chronic Diseases: perspectives on supporting self-management.
abstract: A Complex Chronic Disease (CCD) is a condition involving multiple morbidities that requires the attention of multiple health care providers or facilities and possibly community (home)-based care. A patient with CCD presents to the health care system with unique needs, disabilities, or functional limitations. The literature on how to best support self-management efforts in those with CCD is lacking. With this paper, the authors present the case of an individual with diabetes and end-stage renal disease who is having difficulty with self-management. The case is discussed in terms of intervention effectiveness in the areas of prevention, addiction, and self-management of single diseases. Implications for research are discussed.
authors.affiliation: Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System (151-C), Pittsburgh, Pennsylvania, USA. sevick@pitt.edu
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Sevick
authors.forename: Jeanette M
authors.initials: JM
authors.lastname: Trauth
authors.forename: Bruce S
authors.initials: BS
authors.lastname: Ling
authors.forename: Roger T
authors.initials: RT
authors.lastname: Anderson
authors.forename: Gretchen A
authors.initials: GA
authors.lastname: Piatt
authors.forename: Amy M
authors.initials: AM
authors.lastname: Kilbourne
authors.forename: Robert M
authors.initials: RM
authors.lastname: Goodman
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000523:psychology / Q000628:therapy*; D003142:Communication; D015897:Comorbidity; D015438:Health Behavior; D006801:Humans; D008297:Male; D009042:Motivation; D010349:Patient Compliance; D010817:Physician-Patient Relations; D011788:Quality of Life; D012648:Self Care