Osborne Richard H, Spinks Jean M, Wicks Ian P
Centre for Rheumatic Diseases, The University of Melbourne, Royal Melbourne Hospital, Ground Floor West Wing, Charles Connibere Building, Parkville, VIC 3050, Australia.
Med J Aust. 2004 Mar 1;180(S5):S23-6. doi: 10.5694/j.1326-5377.2004.tb05909.x.
Arthritis self-management programs (ASMPs) are integrated into many clinical practice guidelines and policies, and are the core business of Arthritis Foundations. Australian Arthritis Foundations are embarking on a National Quality Assurance Program which should raise awareness and improve confidence in such programs. ASMPs aim to empower people, improve quality of life while living with chronic disease, increase healthy activities and improve self-monitoring - each of which can assist with clinical management, but can be difficult to evaluate. Although there is modest high-quality evidence of traditional "clinical outcomes" from ASMPs, these programs are strongly endorsed by consumers, are being used as a vehicle for healthcare reform, and have the potential to substantially improve public health. Coordinated national delivery of patient education programs has the potential to improve healthcare and outcomes for people with arthritis.
关节炎自我管理项目（ASMPs）已被纳入许多临床实践指南和政策中，并且是关节炎基金会的核心业务。澳大利亚关节炎基金会正在开展一项国家质量保证项目，该项目应提高人们对这类项目的认识并增强信心。ASMPs旨在增强人们的能力，改善慢性病患者的生活质量，增加健康活动并加强自我监测——这些都有助于临床管理，但可能难以评估。尽管有适度的高质量证据表明ASMPs能带来传统的“临床结果”，但这些项目得到了消费者的大力认可，正被用作医疗改革的一种手段，并且有大幅改善公众健康的潜力。全国协调开展患者教育项目有可能改善关节炎患者的医疗保健状况和治疗效果。
