Richard L. Roudebush VAMC, VA Stroke QUERI Center and HSRD COE, Indiana University Dept. of General Internal Medicine and Geriatrics, Center for Aging Research, Regenstrief Inc., Indianapolis, IN, USA.
J Gen Intern Med. 2010 Jan;25 Suppl 1(Suppl 1):68-71. 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.
虽然已经开发和评估了许多患者自我管理 (PSM) 计划，但在初级保健和专科护理中翻译和系统地提供 PSM 的工作却很少。因此，本文的目的是回顾实施自我管理计划的交付系统设计考虑因素。随着在退伍军人健康管理局 (VHA) 实施 PSM 计划方面的经验教训不断积累，医疗保健组织在格式化 PSM 计划、提供患者访问、促进 PSM 以及纳入支持工具以促进其消费者的 PSM 方面的资源分配可以得到改进和调整。重新设计系统以提供和支持 PSM 将非常重要，因为实施研究人员将基于证据的 PSM 实践转化为常规护理，并评估其对患有慢性病的退伍军人的健康相关生活质量的影响。
