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Factors associated with integrating self-management support into primary care
Richard Crespo1, Molly Shrewsberry2
1The Joan C. Edwards School of Medicine, Marshall University, Department of Family and Community Health, Huntington, West Virginia (Dr Crespo)
The Diabetes Educator
|August 24, 2007
Summary
Implementing a comprehensive self-management program requires a systemic approach, not just adding a new component. This involves organizational commitment and integrating support across patient care venues for chronic illness management.
Area of Science:
- Primary Care
- Health Systems Implementation
- Chronic Illness Management
Background:
- Self-management support is crucial for effective chronic illness care.
- Implementing comprehensive self-management programs in primary care presents unique challenges, especially in resource-limited settings.
Purpose of the Study:
- To describe factors contributing to the successful implementation of a comprehensive self-management program in primary care.
- To expand the understanding of how to integrate self-management support within existing healthcare systems.
Main Methods:
- A study was conducted in four rural health centers in medically underserved areas.
- The implementation process was documented using key informant interviews analyzed with content analysis techniques.
- A social marketing plan and decision-making tools, based on the transtheoretical model, guided patient behavior change.
Main Results:
- Successful implementation requires a systemic approach, not merely adding a new program component.
- Organizational commitment, including management meetings and clinical staff role-modeling, is essential.
- Integrating self-management support across multiple patient care venues facilitates adoption.
Conclusions:
- Primary care centers, even with limited financial resources, can integrate self-management support into their chronic illness care systems.
- A systems-level commitment is key to embedding self-management support effectively.
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