2024-03-29T15:39:00Zhttp://repisalud.isciii.es/oai/requestoai:repisalud.isciii.es:20.500.12105/58862022-12-19T14:26:08Zcom_20.500.12105_2081com_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_2082
00925njm 22002777a 4500
dc
Elissen, Arianne
author
Nolte, Ellen
author
Knai, Cécile
author
Brunn, Matthias
author
Chevreul, Karine
author
Conklin, Annalijn
author
Durand-Zaleski, Isabelle
author
Erler, Antje
author
Flamm, Maria
author
Frølich, Anne
author
Fullerton, Birgit
author
Jacobsen, Ramune
author
Saz-Parkinson, ZuleiKa
author
Sarria-Santamera, Antonio
author
Sönnichsen, Andreas
author
Vrijhoef, Hubertus
author
2013-03-26
BACKGROUND: 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.
BMC Health Serv Res;13:117.
1472-6963
http://hdl.handle.net/20.500.12105/5886
23530744
10.1186/1472-6963-13-117
1472-6963
BMC health services research
Is Europe putting theory into practice? A qualitative study of the level of self-management support in chronic care management approaches