ArticleBMC health services research2013
Is Europe putting theory into practice? A qualitative study of the level of self-management support in chronic care management approaches.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.
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Who cites it
54 citing papers in PubMed.
- Patient Activation, Depressive Symptoms, and Self-Rated Health: Care Management Intervention Effects among High-Need, Medically Complex Adults.International journal of environmental research and public health · 2021Trial
- Patients' experiences with a behaviour change intervention to enhance physical activity in primary care: A mixed methods study.PloS one · 2019Trial
- Diabetes self-management in three different income settings: Cross-learning of barriers and opportunities.PloS one · 2019Trial
- Nurses' perceptions towards the delivery and feasibility of a behaviour change intervention to enhance physical activity in patients at risk for cardiovascular disease in primary care: a qualitative study.BMC family practice · 2018Trial
- Trial
- Supportive Outpatient-Provider Communication-A Scoping Review About Expectations, Experiences, and Actual Behaviours Regarding Healthcare Visits.Journal of evaluation in clinical practice · 2026Review
- Self-management interventions in primary care practices in France between 2010 and 2022: a descriptive national study.Primary health care research & development · 2026Article
- GPs' experienced challenges and strategies for supporting patient self-management in disease management programs for type 2 diabetes mellitus and coronary heart disease - a qualitative study.BMC primary care · 2025Article
- Daily routines, short-term priorities, and nurses' role hamper self-management support in a hospital setting: A mixed methods study.International journal of nursing studies advances · 2025Article
- Knowledge, perceptions, facilitators, and barriers towards asthma self-management among patients: A systematic review of the literature.Exploratory research in clinical and social pharmacy · 2025Review
- Implementation of Therapeutic Patient Education (TPE) in Primary Care, as Perceived by Professionals: A Narrative Review.Patient preference and adherence · 2025Review
- Patients and informal caregivers in the lead: a qualitative study on the experiences of patients, informal caregivers, and healthcare professionals with involvement in treatment, e-health and self-management programs.BMC health services research · 2024Article
- Self-management support (SMS) in primary care practice: a qualitative focus group study of care professionals' experiences.BMC primary care · 2024Article
- Managing mental health in chronic care in general practice: a feasibility study of the Healthy Mind intervention.Scandinavian journal of primary health care · 2024Article
- Stigma towards opioid use disorder in primary care remain a barrier to integrating software-based measurement based care.BMC psychiatry · 2023Article
- Self-Management of Diabetes and Associated Factors among Patients Seeking Chronic Care in Tshwane, South Africa: A Facility-Based Study.International journal of environmental research and public health · 2023Article
- Scale-up of a chronic care model-based programme for type 2 diabetes in Belgium: a mixed-methods study.BMC health services research · 2023Article
- Primary health care nurses' knowledge, self-efficacy and performance of diabetes self-management support.African journal of primary health care & family medicine · 2023Article
- How nurses support self-management of hospitalized patients through verbal communication: a qualitative study.BMC nursing · 2022Article
- Active Health Governance-A Conceptual Framework Based on a Narrative Literature Review.International journal of environmental research and public health · 2022Review
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Authors and funding
16 authors.
Funding
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Abstract
backgroundSelf-management support is a key component of effective chronic care management, yet in practice appears to be the least implemented and most challenging. This study explores whether and how self-management support is integrated into chronic care approaches in 13 European countries. In addition, it investigates the level of and barriers to implementation of support strategies in health care practice.
methodsWe conducted a review among the 13 participating countries, based on a common data template informed by the Chronic Care Model. Key informants presented a sample of representative chronic care approaches and related self-management support strategies. The cross-country review was complemented by a Dutch case study of health professionals' views on the implementation of self-management support in practice.
resultsSelf-management support for chronically ill patients remains relatively underdeveloped in Europe. Similarities between countries exist mostly in involved providers (nurses) and settings (primary care). Differences prevail in mode and format of support, and materials used. Support activities focus primarily on patients' medical and behavioral management, and less on emotional management. According to Dutch providers, self-management support is not (yet) an integral part of daily practice; implementation is hampered by barriers related to, among others, funding, IT and medical culture.
conclusionsAlthough collaborative care for chronic conditions is becoming more important in European health systems, adequate self-management support for patients with chronic disease is far from accomplished in most countries. There is a need for better understanding of how we can encourage both patients and health care providers to engage in productive interactions in daily chronic care practice, which can improve health and social outcomes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.