Implementing Evidence-Based Patient Self-Management Programs in the Veterans Health Administration: Perspectives on Delivery System Design Considerations

• Published in: Journal of general internal medicine : JGIM Vol. 25; no. Suppl 1; pp. 68 - 71
• Main Authors: Damush, T. M., Jackson, G. L., Powers, B. J., Bosworth, H. B., Cheng, E., Anderson, J., Guihan, M., LaVela, S., Rajan, S., Plue, L.
• Format: Journal Article
• Language: English
• Published: New York Springer-Verlag 2010; Springer Nature B.V
• Subjects: Delivery of Health Care - methods; Delivery of Health Care - trends; Evidence-based medicine; Evidence-Based Medicine - methods; Health care delivery; Humans; Internal Medicine; Medicine; Medicine & Public Health; Patient Satisfaction; Perspectives; Self Care - methods; Self Care - trends; United States; United States Department of Veterans Affairs - trends; Veterans; United States; veterans health administration; self-management; implementation
• ISSN: 0884-8734; 1525-1497
• DOI: 10.1007/s11606-009-1123-5

While many patient self-management (PSM) programs have been developed and evaluated for effectiveness, less effort has been devoted to translating and systematically delivering PSM in primary and specialty care. Therefore, the purpose of this paper is to review delivery system design considerations for implementing self-management programs in practice. As lessons are learned about implementing PSM programs in Veterans Health Administration (VHA), resource allocation by healthcare organization for formatting PSM programs, providing patient access, facilitating PSM, and incorporating support tools to foster PSM among its consumers can be refined and tailored. Redesigning the system to deliver and support PSM will be important as implementation researchers translate evidence based PSM practices into routine care and evaluate its impact on the health-related quality of life of veterans living with chronic disease.