title: Implementing evidence-based patient self-management programs in the Veterans Health Administration: perspectives on delivery system design considerations.
abstract: While many patient self-management (PSM) programs have been developed and evaluated for effectiveness, less effort has been devoted to translating and systematically delivering PSM in primary and specialty care. Therefore, the purpose of this paper is to review delivery system design considerations for implementing self-management programs in practice. As lessons are learned about implementing PSM programs in Veterans Health Administration (VHA), resource allocation by healthcare organization for formatting PSM programs, providing patient access, facilitating PSM, and incorporating support tools to foster PSM among its consumers can be refined and tailored. Redesigning the system to deliver and support PSM will be important as implementation researchers translate evidence based PSM practices into routine care and evaluate its impact on the health-related quality of life of veterans living with chronic disease.
authors.affiliation: Richard L. Roudebush VAMC, VA Stroke QUERI Center and HSRD COE, Indiana University Dept. of General Internal Medicine and Geriatrics, Center for Aging Research, Regenstrief Inc., Indianapolis, IN, USA. Teresa.Damush@va.gov
authors.forename: T M
authors.initials: TM
authors.lastname: Damush
authors.forename: G L
authors.initials: GL
authors.lastname: Jackson
authors.forename: B J
authors.initials: BJ
authors.lastname: Powers
authors.forename: H B
authors.initials: HB
authors.lastname: Bosworth
authors.forename: E
authors.initials: E
authors.lastname: Cheng
authors.forename: J
authors.initials: J
authors.lastname: Anderson
authors.forename: M
authors.initials: M
authors.lastname: Guihan
authors.forename: S
authors.initials: S
authors.lastname: LaVela
authors.forename: S
authors.initials: S
authors.lastname: Rajan
authors.forename: L
authors.initials: L
authors.lastname: Plue
mesh_terms: D003695:Delivery of Health Care / Q000379:methods* / Q000639:trends; D019317:Evidence-Based Medicine / Q000379:methods*; D006801:Humans; D017060:Patient Satisfaction; D012648:Self Care / Q000379:methods* / Q000639:trends; D014481:United States; D014493:United States Department of Veterans Affairs / Q000639:trends; D014728:Veterans