Sustaining Chronic Disease Management in Primary Care: Lessons from a Demonstration Project

Chronic disease self-management (CDSM) programs have been found effective in improving clinical, behavioural, and self-efficacy outcomes associated with a range of chronic illnesses, and evidence suggests that CDSM is effective in reducing health care costs and health service utilisation. As the set...

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Published inAustralian journal of primary health Vol. 13; no. 2; pp. 121 - 128
Main Authors Williams, Anna, Harris, Mark, Daffurn, Kathy, Powell Davies, Gawaine, Pascoe, Shane, Zwar, Nicholas
Format Journal Article
LanguageEnglish
Published Collingwood, Vic CSIRO Publishing 01.08.2007
Subjects
Chronic sickness
Disease management
Primary health care
Selfmanagement
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Summary:Chronic disease self-management (CDSM) programs have been found effective in improving clinical, behavioural, and self-efficacy outcomes associated with a range of chronic illnesses, and evidence suggests that CDSM is effective in reducing health care costs and health service utilisation. As the setting where most chronic disease is managed, primary health care is an ideal setting for supporting CDSM. This study aimed to explore the uptake and sustainability of CDSM within routine activities of primary health care clinicians involved in the implementation of a demonstration project within an Area Health Service in Sydney NSW. Interviews and focus groups were conducted with managers and clinicians involved in the project. Findings included (1) widespread support from participants for CDSM (2) participating clinicians thought that CDSM was valuable to themselves, their clients and the health system (3) the program required clients to be able to speak and understand English and so presented many barriers for implementation in CALD communities, and (4) the program was not effective in engaging some key members of the primary care team; in particular, general practitioners. The study highlights system design issues including communication and continuity of care between service providers, workforce supply and demands of acute care delivery in the community that will need to be addressed for sustainable and effective CDSM to be achieved. Australian Journal of Primary Health 13(2) 121 - 128 Full text doi:10.1071/PY07030 © La Trobe University 2007
Bibliography:The Australian Journal of Primary Health is published by CSIRO PUBLISHING on behalf of the Australian Institute for Primary Care and School of Public Health, La Trobe University in association with the Primary and Community Health Network. The Journal is a refereed, international journal designed to publish articles on a range of issues influencing community health services and primary health care. The focus of the Australian Journal of Primary Health is on the integration of theory and practice in primary health utilising perspectives from a range of disciplines. The Journal publishes research articles, policy reports and analyses, book reviews, case reports, the views of practitioners, consumers, carers, students, and special interest groups, and descriptions of professional practice initiatives in the field of primary health care
Informit, Melbourne (Vic)
Australian Journal of Primary Health, Vol. 13, No. 2, Aug 2007, 121-128
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1448-7527
DOI:10.1071/PY07030