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Implementing evidence-based patient self-management programs in the Veterans Health Administration: perspectives on
T M Damush1, G L Jackson, B J Powers
1Richard L. Roudebush VAMC, VA Stroke QUERI Center and HSRD COE, Indiana University Dept. of General Internal Medicine and Geriatrics, Center for Aging Research, Regenstrief Inc., Indianapolis, IN, USA. Teresa.Damush@va.gov
Journal of General Internal Medicine
|January 16, 2010
Summary
Implementing patient self-management (PSM) programs in healthcare requires careful system design. This review focuses on delivery system considerations to improve PSM integration and effectiveness for chronic disease patients.
Area of Science:
- Health Services Research
- Implementation Science
- Chronic Disease Management
Background:
- Patient self-management (PSM) programs are effective but underutilized in routine care.
- Translating evidence-based PSM into primary and specialty care settings presents significant challenges.
- Limited focus exists on the systematic delivery and system design for PSM implementation.
Purpose of the Study:
- To review delivery system design considerations for implementing PSM programs in practice.
- To identify key elements for healthcare organizations to refine and tailor PSM resource allocation.
- To guide the translation of evidence-based PSM into routine clinical practice.
Main Methods:
- Literature review of PSM implementation strategies.
- Analysis of lessons learned from the Veterans Health Administration (VHA) experience.
- Examination of healthcare system design principles for service delivery.
Main Results:
- Effective PSM implementation requires strategic resource allocation for program formatting, patient access, and support.
- Tailoring PSM delivery systems based on organizational learning is crucial.
- Integrating support tools can foster patient engagement in self-management.
Conclusions:
- Redesigning healthcare delivery systems is essential for successful PSM implementation.
- Systematic delivery of PSM can improve health-related quality of life for veterans with chronic diseases.
- Further research is needed to evaluate the impact of implemented PSM programs on patient outcomes.
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