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Implementing Evidence-Based Patient Self-Management Programs in the Veterans Health Administration: Perspectives on Delivery System Design Considerations

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Abstract

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.

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Acknowledgements

The project was supported in part by the following funding: VA HSRD STR-03–168 (Stroke QUERI Center); HSRD IMV#04–096 (Dr. Damush/Ms. Plue);NINDS/NIH Career Development Award (5K23NS058571–03) to Dr. Eric Cheng; VA senior career award to Dr. Bosworth; and a NCRR/NIH career development award KL2 RR024127 to Dr. Ben Powers and the National HSRD VA QUERI Program (Workshop sponsor).

We thank Robert Kerns MD and Linda Haas for their contributions in the workshop.

Conflict of Interest

None disclosed.

Author information

Authors and Affiliations

  1. Richard L. Roudebush VAMC, VA Stroke QUERI Center and HSRD COE, Indiana University Dept of General Internal Medicine and Geriatrics, Center for Aging Research, Regenstrief Inc., Indianapolis, IN, USA

    T. M. Damush PhD & L. Plue MA

  2. HSRD COE, Durham VAMC, Durham, NC, USA

    G. L. Jackson PhD, B. J. Powers MD & H. B. Bosworth PhD

  3. VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA

    E. Cheng MD

  4. Neurology, Michael E. DeBakey VAMC, Houston, TX, USA

    J. Anderson ANP, PhD

  5. Edward Hines Jr. VAMC, Spinal Cord Injury QUERI Center, Chicago, IL, USA

    M. Guihan PhD & S. LaVela PhD

  6. VA Puget Sound Health Care System, Spinal Cord Injury QUERI Center, Seattle, WA, USA

    S. Rajan PhD

  7. Roudebush VAMC, 1481 W 10th St, HSRD 11H, Indianapolis, IN, 46202, USA

    T. M. Damush PhD

Authors
  1. T. M. Damush PhD
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  2. G. L. Jackson PhD
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  3. B. J. Powers MD
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  4. H. B. Bosworth PhD
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  8. S. LaVela PhD
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  10. L. Plue MA
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Corresponding author

Correspondence to T. M. Damush PhD.

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Damush, T.M., Jackson, G.L., Powers, B.J. et al. Implementing Evidence-Based Patient Self-Management Programs in the Veterans Health Administration: Perspectives on Delivery System Design Considerations. J GEN INTERN MED 25 (Suppl 1), 68–71 (2010). https://doi.org/10.1007/s11606-009-1123-5

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  • DOI: https://doi.org/10.1007/s11606-009-1123-5

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