title: Self-management support activities in patient-centered medical home practices.
abstract: Innovation in primary care has increased interest in patient self-management techniques; little is known about the methods practices use to support self-management. This study is a survey of small practices, fewer than 5 physicians, with NCQA (National Committee for Quality Assurance) recognition (response rate 59.1%). Main measures include the number and delegation of self-management support activities. Practices reported a high proportion of self-management support activities. Physicians perform most of these activities. Practices that reported receiving training in self-management were more likely to have high self-management support to delegate. Self-management support activities are performed mainly by physicians. Practices that perform more of these activities have more nonindependent health care providers.
authors.affiliation: John D. Stoeckle Center for Primary Care Innovation, Division of General Internal Medicine, Massachusetts General Hospital, Boston (Drs Cohen and Kormos); Harvard Medical School, Boston, Massachusetts (Drs Cohen and Kormos); National Committee for Quality Assurance, Washington, District of Columbia (Ms Morton and Dr Scholle); and HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Dr Solberg).
authors.forename: Marya J
authors.initials: MJ
authors.lastname: Cohen
authors.forename: Suzanne
authors.initials: S
authors.lastname: Morton
authors.forename: Sarah Hudson
authors.initials: SH
authors.lastname: Scholle
authors.forename: Leif I
authors.initials: LI
authors.lastname: Solberg
authors.forename: William A
authors.initials: WA
authors.lastname: Kormos
mesh_terms: D003657:Decision Making; D004059:Diffusion of Innovation; D006302:Health Services Research; D006801:Humans; D018802:Patient-Centered Care; D011216:Practice Management, Medical / Q000458:organization & administration; D011320:Primary Health Care; D011785:Quality Assurance, Health Care; D012648:Self Care; D014481:United States