Implementing evidence-based patient self-management programs in the Veterans Health Administration: perspectives on delivery system design considerations.

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Damush, TM; Jackson, GL; Powers, BJ; Bosworth, HB; Cheng, E; Anderson, J; Guihan, M; LaVela, S; Rajan, S; Plue, L

Published Date

  • January 2010

Published In

Volume / Issue

  • 25 Suppl 1 / Suppl 1

Start / End Page

  • 68 - 71

PubMed ID

  • 20077155

Pubmed Central ID

  • PMC2806957

Electronic International Standard Serial Number (EISSN)

  • 1525-1497

Digital Object Identifier (DOI)

  • 10.1007/s11606-009-1123-5


  • eng

Conference Location

  • United States