Journal of General Internal Medicine

, Volume 25, Supplement 1, pp 68–71

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

  • T. M. Damush
  • G. L. Jackson
  • B. J. Powers
  • H. B. Bosworth
  • E. Cheng
  • J. Anderson
  • M. Guihan
  • S. LaVela
  • S. Rajan
  • L. Plue
Perspectives

DOI: 10.1007/s11606-009-1123-5

Cite this article as:
Damush, T.M., Jackson, G.L., Powers, B.J. et al. J GEN INTERN MED (2010) 25(Suppl 1): 68. doi:10.1007/s11606-009-1123-5

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.

KEY WORDS

self-managementimplementationveterans health administration

Copyright information

© Society of General Internal Medicine 2009

Authors and Affiliations

  • T. M. Damush
    • 1
    • 7
  • G. L. Jackson
    • 2
  • B. J. Powers
    • 2
  • H. B. Bosworth
    • 2
  • E. Cheng
    • 3
  • J. Anderson
    • 4
  • M. Guihan
    • 5
  • S. LaVela
    • 5
  • S. Rajan
    • 6
  • L. Plue
    • 1
  1. 1.Richard L. Roudebush VAMC, VA Stroke QUERI Center and HSRD COE, Indiana University Dept of General Internal Medicine and GeriatricsCenter for Aging Research, Regenstrief Inc.IndianapolisUSA
  2. 2.HSRD COEDurham VAMCDurhamUSA
  3. 3.VA Greater Los Angeles Healthcare SystemLos AngelesUSA
  4. 4.NeurologyMichael E. DeBakey VAMCHoustonUSA
  5. 5.Edward Hines Jr. VAMC, Spinal Cord Injury QUERI CenterChicagoUSA
  6. 6.VA Puget Sound Health Care System, Spinal Cord Injury QUERI CenterSeattleUSA
  7. 7.Roudebush VAMCIndianapolisUSA