Supporting self-management for patients with complex medical needs: recommendations of a working group

Increasing numbers of persons live with complex chronic medical needs and are at risk for poor health outcomes. These patients require unique self-management support, as they must manage many, often interacting, tasks. As part of a conference on Managing Complexity in Chronic Care sponsored by the D...

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Bibliographic Details
Published in:Chronic illness 2007-06, Vol.3 (2), p.167-175
Main Authors: Bayliss, E.A., Bosworth, H.B., Noel, P.H., Wolff, J.L., Damush, T.M., Mciver, L.
Format: Article
Language:English
Subjects:
Care delivery
Chronic Disease - therapy
Chronic diseases
Delivery of Health Care
Health Planning Guidelines
Health Policy
Health Services Needs and Demand
Humans
Long term care
Patient centredness
Physician-Patient Relations
Self Care
Selfmanagement
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Summary:Increasing numbers of persons live with complex chronic medical needs and are at risk for poor health outcomes. These patients require unique self-management support, as they must manage many, often interacting, tasks. As part of a conference on Managing Complexity in Chronic Care sponsored by the Department of Veterans Affairs, a working group was convened to consider self-management issues specific to complex chronic care. In this paper, we assess gaps in current knowledge on self-management support relevant to this population, report on the recommendations of our working group, and discuss directions for future study. We conclude that this population requires specialized, multidimensional self-management support to achieve a range of patient-centred goals. New technologies and models of care delivery may provide opportunities to develop this support. Validation and quantification of these processes will require the development of performance measures that reflect the needs of this population, and research to prove effectiveness.
ISSN:1742-3953
1745-9206
DOI:10.1177/1742395307081501