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Structured self-management support programs were not in place in primary care.
Structured self-management support programs are not available in primary care.
In addition, health systems must support innovative self-management support programs accessible to populations with limited literacy and numeracy (15).
There is growing evidence that engagement of health care professionals, in particular of GPs, is critical for the successful application of self-management support programs.
Very few studies have examined the implementation mechanisms and the involvement of primary care professionals in such self-management support programs [ 34].
Given the potential value of self-management support programs for people with chronic diseases, it is vital to understand how they influence participants' health attitudes and behaviours.
A growing number of validated tools are available to assist researchers in measuring a wider range of outcomes of chronic disease self-management support programs.
Transferability of successful distant patient self-management support programs to the Belgian setting needs to be confirmed by studies of a high methodological quality.
However, providers can play a role in patient engagement, such as understanding patient perspectives, local history and culture, culturally appropriate self-management support programs, and broader quality improvement initiatives.
At these sessions the presenters highlighted that the study was a legitimate scholarly exercise with important clinical implications as the federal government was committed to promoting and funding self-management support programs in primary health care settings.
Further research is necessary to assess whether intensive disease management might indeed be redundant for the relatively healthy subgroup of diabetes patients and could be substituted by adequate self-management support programs that integrate primary care and community services [ 40].
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