Show simple item record

dc.contributor.authorElissen, Arianne
dc.contributor.authorNolte, Ellen
dc.contributor.authorKnai, Cécile
dc.contributor.authorBrunn, Matthias
dc.contributor.authorChevreul, Karine
dc.contributor.authorConklin, Annalijn
dc.contributor.authorDurand-Zaleski, Isabelle
dc.contributor.authorErler, Antje
dc.contributor.authorFlamm, Maria
dc.contributor.authorFrølich, Anne
dc.contributor.authorFullerton, Birgit
dc.contributor.authorJacobsen, Ramune
dc.contributor.authorSaz-Parkinson, ZuleiKa 
dc.contributor.authorSarria-Santamera, Antonio 
dc.contributor.authorSönnichsen, Andreas
dc.contributor.authorVrijhoef, Hubertus
dc.identifier.citationBMC Health Serv Res;13:117.es_ES
dc.description.abstractBACKGROUND: Self-management support is a key component of effective chronic care management, yet in practice appears to be the least implemented and most challenging. This study explores whether and how self-management support is integrated into chronic care approaches in 13 European countries. In addition, it investigates the level of and barriers to implementation of support strategies in health care practice. METHODS: We conducted a review among the 13 participating countries, based on a common data template informed by the Chronic Care Model. Key informants presented a sample of representative chronic care approaches and related self-management support strategies. The cross-country review was complemented by a Dutch case study of health professionals' views on the implementation of self-management support in practice. RESULTS: Self-management support for chronically ill patients remains relatively underdeveloped in Europe. Similarities between countries exist mostly in involved providers (nurses) and settings (primary care). Differences prevail in mode and format of support, and materials used. Support activities focus primarily on patients' medical and behavioral management, and less on emotional management. According to Dutch providers, self-management support is not (yet) an integral part of daily practice; implementation is hampered by barriers related to, among others, funding, IT and medical culture. CONCLUSIONS: Although collaborative care for chronic conditions is becoming more important in European health systems, adequate self-management support for patients with chronic disease is far from accomplished in most countries. There is a need for better understanding of how we can encourage both patients and health care providers to engage in productive interactions in daily chronic care practice, which can improve health and social outcomes.es_ES
dc.description.sponsorshipThis study was conducted with support from the DISMEVAL consortium. It draws on additional information from DISMEVAL partners and key informants who contributed information on approaches to chronic disease management in selected countries: Fadila Farsi, Hélène Labrosse (DISMEVAL partner, Centre Anticancereux Leon Berard: cancer networks France), Taavi Lai (Estonia, Latvia, Lithuania); Péter Gaál and Márton Csere (Hungary); Walter Ricciardi, Antonio G. De Belvis, Maria Lucia Specchia, TD Luca Valerio (Italy); Liubove Murauskiene, Marija Veniute (Lithuania); and Isabelle Peytremann-Bridevaux, Bernard Burnand and Ignazio Cassis (Switzerland); and was undertaken in cooperation with nine Dutch primary care groups: Regionale Huisartsenzorg Maastricht/Heuvelland, Diabetes Zorgsysteem West-Friesland, Groninger Huisartsen Coöperatie, Huisartsenzorg Drenthe Medische Eerstelijns Ketenzorg, Eerstelijns Centrum Tiel, Coöperatie Zorgcirkels Woerden, Zorggroep Zwolle, Huisartsenketenzorg Arnhem, Cohesie Cure & Care. The DISMEVAL-project was funded under the European Commission’s Seventh Framework Programme (FP7) (grant no. 223277). See www.dismeval. eu for additional information.es_ES
dc.publisherBioMed Central (BMC) es_ES
dc.subject.meshChronic Disease es_ES
dc.subject.meshEurope es_ES
dc.subject.meshHumans es_ES
dc.subject.meshModels, Theoretical es_ES
dc.subject.meshOrganizational Case Studies es_ES
dc.subject.meshQualitative Research es_ES
dc.subject.meshSelf Care es_ES
dc.subject.meshSocial Support es_ES
dc.titleIs Europe putting theory into practice? A qualitative study of the level of self-management support in chronic care management approacheses_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución-2.0 Generic*
dc.contributor.funderUnión Europea. Comisión Europea. 7 Programa Marco 
dc.identifier.journalBMC health services researches_ES
dc.repisalud.centroISCIII::Agencia de Evaluación de Tecnologías Sanitariases_ES
dc.rights.accessRightsopen accesses_ES

Files in this item

Acceso Abierto

This item appears in the following Collection(s)

Show simple item record

Atribución-2.0 Generic
This item is licensed under a: Atribución-2.0 Generic