scholarly journals Section 1 Introduction: Examining Self-management

2003 ◽  
Vol 9 (3) ◽  
pp. 9
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Health Care System ◽  
Self Management ◽  
Multiple Actors ◽  
Care System

The terms ?self-management? and ?chronic disease self-management? frequently have different meanings for the multiple actors in a health care system. Furthermore, the practice of self-management by clients of the health care system requires a reexaminatio

scholarly journals Section 3 Introduction: System Change

2003 ◽  
Vol 9 (3) ◽  
pp. 101
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Institutional Change ◽  
Health Care System ◽  
Guest Editorial ◽  
System Change ◽  
Self Management ◽  
Australian Health ◽  
Commonwealth Government ◽  
Care System

Institutional change is required if the Australian health care system is to systematically provide support for chronic disease self-management. This section is introduced by a Guest Editorial (Frendin) in which the Commonwealth Government?s strategy to bring about change is discussed.

The importance of health literacy for self-management: A scoping review of reviews

2021 ◽  
pp. 174239532110354
Author(s):  
Marieke van der Gaag ◽  
Monique Heijmans ◽  
Cristina Spoiala ◽  
Jany Rademakers
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Care System ◽  
Medical Management ◽  
Self Management ◽  
Limited Health Literacy ◽  
Limited Health ◽  
Behavioural Aspects ◽  
The Relationship ◽  
Care System

Objectives Self-management of chronic diseases is rather complex, especially for patients with limited health literacy. In this review, we aim to disentangle the specific difficulties patients with limited health literacy face in relation to self-management and their associated needs with respect to self-management support. Methods We performed a literature search in five databases. We used a broad definition of health literacy and self-management was categorized into four types of activities: medical management, changing lifestyle, communicating and navigating through the health care system and coping. Included reviews described the relationship between health literacy and different domains of self-management and were published after 2010. Results A total of 28 reviews were included. Some clear difficulties of patients with limited health literacy emerged, predominantly in the area of medical management (especially adherence), communication and knowledge. Other associations between health literacy and self-management were inconclusive. Barriers from the patients’ perspective described mainly medical management and the communication and navigation of the health care system. Discussion Patients with limited health literacy experience difficulties with specific domains of self-management. For a better understanding of the relationship between health literacy and self-management, a broader conceptualization of health literacy is warranted, including both cognitive and behavioural aspects.

Management of complex chronic disease: facing the challenges in the Canadian health-care system

2008 ◽  
Vol 21 (4) ◽  
pp. 228-235 ◽  
Author(s):  
Peter Tsasis ◽  
Jatinder Bains
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Home Care ◽  
Health Care System ◽  
Care Delivery ◽  
Canadian Health Care System ◽  
Canadian Health ◽  
Canadian Health Care ◽  
Complex Chronic Disease ◽  
Care System

This paper discusses the challenges that those living with complex chronic disease present to the Canadian health-care system. The literature suggests home care and the management of complex chronic disease can together ease many of the present and future pressures facing the health-care system in dealing with this new health-care phenomenon. A review of current literature and dialogue with key informants reveals that the current level of investment and the present policy environment are not sustainable to support the health-care system. In this paper, changes to policy and resource allocation to the home care sector are suggested to help manage complex chronic disease and thus improve the effectiveness of the Canadian health-care system. A case is made for a reorganization and increased commitment to the home care sector for a more efficient and patient-centred health-care delivery system.

scholarly journals A Usability and Feasibility Study: GENIE - An App Supporting Self-Management among Older Adults who are High Users of the Health Care System (Preprint)

2020 ◽  
Author(s):  
Ruta Valaitis ◽  
Laura Cleghorn ◽  
Ivaylo Vassilev ◽  
Anne Rogers ◽  
Jenny Ploeg ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Health Care ◽  
Social Networks ◽  
Social Services ◽  
Health Care System ◽  
Self Management ◽  
Health And Social Services ◽  
Primary Care Clinicians ◽  
Care System

BACKGROUND Primary care providers have been tasked with fostering self-management through managing referrals and linking patients to community-based health and social services. This study evaluated a web-based tool –GENIE (Generating Engagement in Network InvolvEment)– as a component of the Health TAPESTRY program to support self-management of older adults who are high health care system users. GENIE aims to empower patients to leverage their personal social networks to access community services towards reaching their health goals. GENIE maps client’s personal networks, elicits preferences, and filters local health and social resources from a community service directory based on results of a questionnaire that explores client’s interests. In the Health TAPESTRY program, volunteers conducted home visits to gather health information on tablets and implemented the GENIE tool. A report was generated for the primary care team for follow up. OBJECTIVE This study examined the usability, feasibility, and perceived outcomes of the implementation of GENIE with older adults who were enrolled in Ontario’s Health Links Program, which coordinates care for the highest users of the health care system. METHODS This study involved two primary care clinician focus groups, one clinician interview, a volunteer focus group, client telephone interviews, field observations, and GENIE utilization statistics. RESULTS Eight patients, three volunteers, and 16 primary care clinicians participated. Patients were most interested in services that were health-related (exercise and socialization). Overall, participants perceived GENIE to be useful and easy to use, despite challenges related to email set up, disease terminology, instructions for personal network mapping, and clarity of questionnaire items. Volunteer facilitation was critical to support implementation of Genie. Tool completion averaged 39 minutes. Almost all patients identified a community program or activity of interest using GENIE. Half followed up on health and social services and added new members to their network over 6 months, while one participant lost a member. Clinicians had concerns about accuracy, suitability, and quantity of suggested programs and services generated from the tool and believed that they could better tailor choices for their patients highlighting the inherent tension between user-centred preferences focused on capabilities and bio-medical definitions of need shaping professional judgement. However, clinicians did note that GENIE strengthened their understanding of patients’ personal social networks. CONCLUSIONS This study demonstrated GENIE’s potential, facilitated by volunteers, to expand patients’ social networks and link them to relevant health and social services to support self-management. Volunteers require training to effectively implement GENIE for self-management support and can help overcome time limitations that primary care clinicians face. Refining the filtering capability of GENIE to allow for better tailoring of results to address the complex needs of those who are high system users may help to improve primary care provider’s confidence in such tools. CLINICALTRIAL Not applicable

829-P: Improving Diabetes Self-Management with a Peer-to-Peer Mentoring Program: Final Results of a Pilot Program at a Safety Net Health Care System

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 829-P
Author(s):  
ROOPA KALYANARAMAN MARCELLO ◽  
JOHANNA DOLLE ◽  
SHARANJIT KAUR ◽  
SAWKIA R. PATTERSON ◽  
NICHOLA DAVIS
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Peer Mentoring ◽  
Safety Net ◽  
Peer To Peer ◽  
Self Management ◽  
Mentoring Program ◽  
Pilot Program ◽  
Care System

Chronic disease management and the home-care alternative in Ontario, Canada

2009 ◽  
Vol 22 (3) ◽  
pp. 136-139 ◽  
Author(s):  
Peter Tsasis
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Home Care ◽  
Health Care System ◽  
System Integration ◽  
Health Care Policy ◽  
Chronic Disease Management ◽  
Public Health Care ◽  
Care System

The pressure on our health-care system to deliver efficient, quality and cost-effective care is increasing. The debate on its sustainability is also expanding. These challenges can be managed with revisions to our health-care policy frameworks governing how and what public health-care services are delivered. Chronic disease management and home care can together ease many of the present and future pressures facing the health-care system. However, the current level of investment and the present policy are not effectively supporting movement in this direction. Updating the Canada Health Act to reflect the realities of our health-care system, and developing policies to support the areas of interdisciplinary teamwork and system integration are needed to facilitate chronic disease management and home care in Canada. This article lays out the challenges, highlights the impending issues and suggests a framework for moving forward.

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