[Support for self-management in chronic disease?].
Self-management is part of chronic care to ensure an informed and activated patient. We scrutinised systematic literature reviews about self-care in general practice. There were effects on clinical and patient related measures and health services utilisation. Most effect was seen in interventions using health care professionals to provide education about action plans and medical treatment. Patient led education did not show effect on clinical outcome but on patient-related measures. We conclude that general practice should implement self-management as part of chronic care.
Forskningsenheden for Almen Praksis, Institut for Folkesundhed, Aarhus Universitet, DK-8000 Arhus C, Denmark. p.vedsted@alm.au.dk
Peter
P
Vedsted
Bjarne Søgaard
BS
Jørgensen
Lars
L
Rytter
D000368:Aged; D002908:Chronic Disease / Q000523:psychology / Q000628:therapy*; D003362:Cost-Benefit Analysis; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy; D005194:Family Practice; D006801:Humans; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy; D012648:Self Care / Q000379:methods; D012944:Social Support