Self-Management: A Comprehensive Approach to Management of Chronic Conditions
Self-Management: A Comprehensive Approach to Management of Chronic Conditions
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DOI：
10.2105/ajph.2014.302041
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发表时间：
2014-08-01
影响因子：
12.7
通讯作者：
Gough, Lisa Lucio
中科院分区：
文献类型：
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作者：
Grady, Patricia A.;Gough, Lisa Lucio
由于临床和经济原因，越来越多的慢性病患者是一个日益重要的公共卫生问题。自我管理强调病人的责任，并与医疗机构合作，是治疗慢性疾病的一种很有前途的策略——超越教育，教会个人积极识别挑战，解决与疾病相关的问题。自我管理还显示出在整个预防范围内（初级、二级和三级）作为一种有效范例的潜力，它通过在生命早期建立一种健康模式，并提供减轻疾病和在晚年管理疾病的策略。我们提出了促进自我管理的研究方法和实际应用的方法，作为其未来发展和实施的步骤。
For both clinical and economic reasons, the increasing number of persons living with chronic conditions represents a public health issue of growing importance. Emphasizing patient responsibility, and acting in concert with the provider community, self-management represents a promising strategy for treating chronic conditions-moving beyond education to teaching individuals to actively identify challenges and solve problems associated with their illness. Self-management also shows potential as an effective paradigm across the prevention spectrum (primary, secondary, and tertiary) by establishing a pattern for health early in life and providing strategies for mitigating illness and managing it in later life. We suggest ways to advance research methods and practical applications of self-management as steps in its future development and implementation.