Department of Geography, Wolfson Research Institute, Durham University, Queen's Campus, Stockton on Tees, UK.
Fam Pract. 2010 Feb;27(1):101-9. doi: 10.1093/fampra/cmp083. Epub 2009 Nov 30.
Condition Management Programmes (CMPs), delivered through primary care settings, have been identified as possible vehicles to facilitate return to work for individuals with chronic health problems. There is little research, however, which examines how such programmes are received by patients.
To explore patients' experiences of CMPs in terms of health, well-being and employability.
Four focus groups and nine semi-structured interviews were conducted in order to capture patients' (n = 25) perceptions and experiences regarding participation in one of five different CMPs: Cardiac Rehabilitation, Counselling, Lower Back Pain Services, Smoking Cessation and a GP Exercise Referral Programme.
Experiences of the CMPs were generally positive. Respondents reported improved health behaviours (specifically better diets and increased exercise), positive psychosocial outcomes (including increased self-esteem, confidence and social support) and in some cases, return to work. However, concerns were expressed about the shortness of interventions and their accessibility.
Although condition management appears to have been well received by participants, the findings also illustrate that there is no 'one size fits all' template for CMPs. Rather, interventions should be adapted to take account of the dynamics of specific conditions, the context in which the intervention is based and the characteristics of the individuals involved.
通过基层医疗环境提供的疾病管理方案（CMP）已被确定为促进慢性病患者重返工作岗位的可行手段。然而，几乎没有研究考察这些方案是如何被患者接受的。
从健康、福利和就业能力方面探讨患者对 CMP 的体验。
为了捕捉患者（n=25）对参与五种不同 CMP（心脏康复、咨询、下腰痛服务、戒烟和全科医生运动推荐计划）的看法和经验，我们进行了四个焦点小组和九次半结构化访谈。
CMP 的体验总体上是积极的。受访者报告称改善了健康行为（特别是更好的饮食和增加锻炼），积极的心理社会结果（包括自尊心、信心和社会支持的增加），在某些情况下还恢复了工作。然而，人们对干预措施的短暂性和可及性表示担忧。
尽管条件管理方案似乎受到了参与者的好评，但研究结果也表明，CMP 没有“一刀切”的模板。相反，干预措施应根据具体情况的动态、干预的背景以及相关个体的特征进行调整。
