CiteWeb id: 20020000309

CiteWeb score: 2804

Patients with chronic conditions make day-to-day decisions about—selfmanage—their illnesses. This reality introduces a new chronic disease paradigm: the patient-professional partnership, involving collaborative care and self-management education. Self-management education complements traditional patient education in supporting patients to live the best possible quality of life with their chronic condition. Whereas traditional patient education offers information and technical skills, self-management education teaches problem-solving skills. A central concept in self-management is selfefficacy—confidence to carry out a behavior necessary to reach a desired goal. Self-efficacy is enhanced when patients succeed in solving patientidentified problems. Evidence from controlled clinical trials suggests that (1) programs teaching self-management skills are more effective than informationonly patient education in improving clinical outcomes; (2) in some circumstances, self-management education improves outcomes and can reduce costs for arthritis and probably for adult asthma patients; and (3) in initial studies, a self-management education program bringing together patients with a variety of chronic conditions may improve outcomes and reduce costs. Selfmanagement education for chronic illness may soon become an integral part of high-quality primary care.

The publication "Patient Self-management of Chronic Disease in Primary Care" is placed in the Top 10000 of the best publications in CiteWeb. Also in the category Medicine it is included to the Top 1000. Additionally, the publicaiton "Patient Self-management of Chronic Disease in Primary Care" is placed in the Top 1000 among other scientific works published in 2002.
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