Helping patients help themselves works: but questions remain about what works and for whom
Health systems around the world are struggling to adapt to the increasing prevalence of chronic conditions in ageing populations. Chronic diseases are the leading causes of both death and disability in Australia, and are responsible for the larger part of its health costs.1 It is estimated that more than 11 million Australians have at least one of eight common long term conditions: arthritis, asthma, back pain and related problems, cancer, cardiovascular disease, chronic obstructive pulmonary disease, diabetes, and mental health conditions.1
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- 1. Australian Institute of Health and Welfare. Australia’s health 2016 (AIHW Cat. No. AUS 199; Australia’s Health Series No. 15). Canberra: AIHW, 2016.
- 2. Adams K, Corrigan JM (ed). Committee on Identifying Priority Areas for Quality Improvement. Priority areas for national action: transforming health care quality. Washington (DC): National Academies Press (US), 2003.
- 3. Feachem RG, Sekhri NK, White KL. Getting more for their dollar: a comparison of the NHS with California’s Kaiser Permanente. BMJ 2002; 324: 135-141.
- 4. Wagner E, Austin B, Von Korff M. Organizing care for patients with chronic illness. Millbank Q 1996; 74: 511-544.
- 5. Panagioti M, Richardson G, Small N, et al. Self-management support interventions to reduce health care utilisation without compromising outcomes: a systematic review and meta-analysis. BMC Health Serv Res 2014; 14: 356.
- 6. Lorig K, Sobel DS, Stewart AL, et al. Evidence suggesting a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. Med Care 1999; 37: 5-14.
- 7. Reed RL, Roeger L, Howard S, et al. A self-management support program for older Australians with multiple chronic conditions: a randomised controlled trial. Med J Aust 2018; 208: 69-74.
- 8. Harris M, Dennis S, Pillay M. Multimorbidity: negotiating priorities and making progress. Aust Fam Physician 2013; 42: 850-854.
- 9. Rogers A, Kennedy A, Bower P, et al. The United Kingdom Expert Patients Programme: results and implications from a national evaluation. Med J Aust 2008; 189 (10 Suppl): S21-S24. <MJA full text>
- 10. Dennis S, Zwar N, Griffiths R, et al. Chronic disease management in Australian primary care: from evidence to policy. Med J Aust 2008; 188 (8 Suppl): S53-S56. <MJA full text>
- 11. Harris MF, Williams AM, Dennis SM, et al. Chronic disease self-management: implementation with and within Australian general practice. Med J Aust 2008; 189 (10 Suppl): S17-S20. <MJA full text>
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