Suggestions(5)
Exact(3)
This calls for development of self- management support programmes, especially in primary health care [ 16].
13 14 15 Arguably, embedding self management support programmes into everyday clinical practice can more effectively deal with problems of reach and sustainability.
The results of the patient oriented intervention studies were consistent with those of the Cochrane review on lay led self management support programmes, which found no evidence that these interventions improve psychological health, symptoms, or health related quality of life, or that they significantly alter healthcare use.
Similar(57)
Similar to Lawn and Schoo [ 11] informants in this study viewed the lack of competence in running a self- management support programme among primary health care professionals to be a major challenge in development of an applicable programme.
The aim of the present study was therefore to explore users' and health professionals' perceptions of what would be the vital elements in a self - management support programme applicable in primary health care, how to account for them, and why.
"The high rate of preventable complications is the inevitable consequence of a healthcare system that has all too often not been good enough and this highlights the need for local services to put in place self-management support programmes to help people manage their diabetes well.
Thus, they argued that self-management support programmes in primary health care should be a supplement to regular medical care and individual encounters with the physicians.
The most challenging aspect was a present lack of competence and experience among health professionals to moderate self-management support programmes.
Development of more self-management support programmes in primary health care has been one option used to enhance positive outcomes in chronic disease management.
Furthermore, the limited amount of studies found on self-management support programmes in rural and smaller municipalities [ 25, 26] makes it important to investigate which elements should be accounted for in the specific contexts.
While there is some evidence that patients with multimorbidity may benefit the most from self-management support programmes [ 17, 18], most have been designed for people with single long term conditions and as such may have less relevance for people with multimorbidity.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com