Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mail Stop F-78, Atlanta GA 30341. E-mail:
Sue Binder Consulting, Inc, Decatur, Georgia.
Prev Chronic Dis. 2018 Apr 5;15:E39. doi: 10.5888/pcd15.170475.
Sixty percent of US adults have at least one chronic condition, and more than 40% have multiple conditions. Self-management (SM) by the individual, along with self-management support (SMS) by others, are nonpharmacological interventions with few side effects that are critical to optimal chronic disease control. Ruiz and colleagues laid the conceptual groundwork for surveillance of SM/SMS at 5 socio-ecological levels (individual, health system, community, policy, and media). We extend that work by proposing operationalized indicators at each socio-ecologic level and suggest that the indicators be embedded in existing surveillance systems at national, state, and local levels. Without a robust measurement system at the population level, we will not know how far we have to go or how far we have come in making SM and SMS a reality. The data can also be used to facilitate planning and service delivery strategies, monitor temporal changes, and stimulate SM/SMS-related research.
60%的美国成年人至少有一种慢性病，超过 40%的人有多种疾病。个人的自我管理（SM）和他人的自我管理支持（SMS）是两种非药物干预措施，副作用很少，对最佳慢性病控制至关重要。Ruiz 及其同事为在 5 个社会生态层面（个人、卫生系统、社区、政策和媒体）监测 SM/SMS 奠定了概念基础。我们通过在每个社会生态层面提出可操作的指标来扩展这项工作，并建议将这些指标嵌入国家、州和地方各级现有的监测系统中。如果没有一个强大的人口水平测量系统，我们将不知道在实现 SM 和 SMS 方面还有多远的路要走，也不知道我们已经走了多远。这些数据还可以用于促进规划和服务提供策略，监测时间变化，并激发与 SM/SMS 相关的研究。
