A Suggestion to Promote Public Health Activities in the Mature Societyof Japan. For Establishment of a Self-Management Support System

2020 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Public Health ◽  
Support System ◽  
Self Management ◽  
Management Support

Organizational Factors Associated With Self-management Behaviors in Diabetes Primary Care Clinics

2009 ◽  
Vol 35 (5) ◽  
pp. 843-850 ◽  
Author(s):  
Amer A. Kaissi ◽  
Michael Parchman
Keyword(s):  
Primary Care ◽  
Decision Support ◽  
Medication Adherence ◽  
Support System ◽  
Clinical Information ◽  
Organizational Characteristics ◽  
Self Management ◽  
Management Support ◽  
Primary Care Clinics ◽  
Management Behaviors

Purpose The purpose of this article is to examine the relationship between organizational characteristics as measured by the Chronic Care Model (CCM) and patient self-management behaviors among patients with type 2 diabetes. Methods The study design was cross-sectional. The study setting included 20 primary care clinics from South Texas. The sample included approximately 30 consecutive patients that were enrolled from each clinic for a sample of 617 patients. For the data collection procedures, the CCM survey was completed by caregivers in the clinic. Self-management behaviors were obtained from patient exit surveys. For measures, the CCM consisted of 6 structural dimensions: (1) organization support, (2) community linkages, (3) self-management support, (4) decision support system, (5) delivery system design, and (6) clinical information systems. Patient self-management behavior included whether the patient reported always doing all 4 of the following behaviors as they were instructed: (1) checking blood sugars, (2) following diabetes diet, (3) exercising, and (4) taking medications. For data analyses, to account for clustering of patients within clinics, hierarchical logistic regression models were used. Results Self-management support was positively associated with medication adherence, while decision support system was positively associated with exercise and all 4 self-management behaviors. Surprisingly, community linkages were negatively associated with medication adherence, while clinical information system was negatively associated with diet and all 4 behaviors. A total score, including all dimensions, was positively associated with only exercise. Conclusions Health care providers and diabetes educators in primary care clinics should consider how organizational characteristics of the clinic might influence self-management behaviors of patients. The focus should be on better access to evidence-based information at the point of care and self-management needs and activities.

scholarly journals Testing the Feasibility and Usability of a Novel Smartphone-Based Self-Management Support System for Dialysis Patients: A Pilot Study

2017 ◽  
Vol 6 (4) ◽  
pp. e63 ◽  
Author(s):  
Aki Hayashi ◽  
Satoko Yamaguchi ◽  
Kayo Waki ◽  
Katsuhito Fujiu ◽  
Norio Hanafusa ◽  
...  
Keyword(s):  
Pilot Study ◽  
Support System ◽  
Self Management ◽  
Management Support ◽  
Dialysis Patients

Seeing in 3-D: Examining the Reach of Diabetes Self-Management Support Strategies in a Public Health Care System

2006 ◽  
Vol 35 (5) ◽  
pp. 664-682 ◽  
Author(s):  
Dean Schillinger ◽  
Hali Hammer ◽  
Frances Wang ◽  
Jorge Palacios ◽  
Ivonne McLean ◽  
...  
Keyword(s):  
Public Health ◽  
Limited English Proficiency ◽  
Significant Proportion ◽  
Action Planning ◽  
Safety Net ◽  
Public Health Care ◽  
System Level ◽  
Self Management ◽  
Management Support ◽  
Medical Visits

The authors examined whether tailored self-management support (SMS) strategies reach patients in a safety net system and explored variation by language, literacy, and insurance. English-, Spanish-, and Cantonese-speaking diabetes patients were randomized to weekly automated telephone disease management (ATDM) or monthly group medical visits. The SMS programs employ distinct communication methods but share common objectives, including behavioral “action plans.” Reach was measured using three complementary dimensions: (a) participation among clinics, clinicians, and patients; (b) patient representativeness; and (c) patient engagement with SMS. Participation rates were high across all levels and preferentially attracted Spanish-language speakers, uninsured, and Medicaid recipients. Although both programs engaged a significant proportion in action planning, ATDM yielded higher engagement, especially among those with limited English proficiency and limited literacy. These results provide important insights for health communication and translational research with respect to realizing the public health benefits of SMS and can inform system-level planning to reduce health disparities.

scholarly journals Chronic Disease Self-Management Support: Public Health Perspectives

2015 ◽  
Vol 2 ◽  
Author(s):  
Teresa J. Brady ◽  
Lynda A. Anderson ◽  
Rosemarie Kobau
Keyword(s):  
Public Health ◽  
Chronic Disease ◽  
Self Management ◽  
Management Support

scholarly journals A systematic diagnostic evaluation combined with an internet-based self-management support system for patients with asthma or COPD

2018 ◽  
Vol Volume 13 ◽  
pp. 3297-3306
Author(s):  
Amanda R van Buul ◽  
Thomas S Wildschut ◽  
Tobias N Bonten ◽  
Marise J Kasteleyn ◽  
Annelies M Slats ◽  
...  
Keyword(s):  
Support System ◽  
Diagnostic Evaluation ◽  
Self Management ◽  
Management Support
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