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Ein Blick Down Under

Selbstmanagementinitiativen und Patientenschulungen in Australien

A view Down Under

Self-management initiatives and patient education in Australia

  • Leitthema
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Zeitschrift für Rheumatologie Aims and scope Submit manuscript

Zusammenfassung

Chronische Krankheiten nehmen in der westlichen Welt stark zu und stellen die Gesundheitssysteme vor neue Herausforderungen. Im Zuge verstärkter Patientenorientierung sollen Strukturen zur Unterstützung von Selbstmanagement und Selbstverantwortung geschaffen werden, wobei effizienten Schulungsprogrammen eine wichtige Rolle zukommt. Im australischen Gesundheitssystem wurden bereits Strategien im Umgang mit chronischen Erkrankungen umgesetzt. Eine davon ist die „Sharing Health Care Initiative“, die seit 1999 die verschiedenen Selbstmanagementprogramme untersucht. Eine nationale Evaluation dieser Initiative hat Empfehlungen zur Optimierung und Implementierung von Selbstmanagementprogrammen ausgesprochen, die in die Entwicklung der „National Chronic Disease Strategy“ eingeflossen sind, in deren Rahmen umfangreiche finanzielle Mittel ausgeschüttet werden. Vor dem Hintergrund der als notwendig erachteten Einführung eines Qualitätssicherungssystems entwickelte die Universität Melbourne den „Health Education Impact Questionnaire“ (heiQ) zur Evaluation und Qualitätssicherung von Selbstmanagementprogrammen. Im Rahmen eines vom Bundesministerium für Bildung und Forschung (BMBF) geförderten Forschungsprojekts soll dieser nun auch in Deutschland eingesetzt werden.

Abstract

The growing burden of chronic disease and the current nature of healthcare systems which are structurally ill-equipped to cater to the complex needs of patients with chronic conditions has led to governments and healthcare providers seeking alternative ways to improve patients own capacity to actively self-manage their chronic condition. In Australia, there has been a focus on patient education and self-management programs within the healthcare system to achieve this. These programs aim to empower patients through providing information and teaching skills and techniques to improve self-care and doctor-patient interaction with the ultimate goal of improving quality of life. Patient education and self-management programs have been supported through several national government initiatives and implemented within the healthcare setting. This paper describes the current position of patient education and self-management within the Australian healthcare system. It further describes a new collaboration project between an Australian and a German research team which aims at translating an assessment questionnaire used in Australia for the evaluation of self-management programs, the “Health Education Impact Questionnaire” (“heiQ”); this instrument is expected to be of significant use in the German rehabilitative system.

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Notes

  1. Dazu zählen nach WHO-Angaben Neubildungen, Diabetes mellitus, endokrine Störungen, neuropsychiatrische Störungen, Erkrankungen der Sinnesorgane, kardiovaskuläre Erkrankungen, Erkrankungen der Atmungsorgane, des Verdauungssystems, des Genitaltrakts, Hauterkrankungen, muskuloskelettale Erkrankungen, angeborene Abnormalitäten, Erkrankungen des Mund- und Rachenraums.

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Authors and Affiliations

  1. Koordinierungsstelle Angewandte Rehabilitationsforschung, Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland

    M. Schwarze & R. Kirchhof

  2. Arbeitsbereich Rehabilitationswissenschaften, Institut für Psychotherapie und Medizinische Psychologie, Universität Würzburg, Würzburg, Deutschland

    M. Schuler, G. Musekamp & H. Faller

  3. Department of Medicine, Centre for Rheumatic Diseases, University of Melbourne, Royal Melbourne Hospital, Melbourne, Australien

    S. Nolte, J.E. Jordan & R.H. Osborne

  4. CIRCLE (Collaborative Institute for Research, Consulting and Learning in Evaluation), RMIT University, Melbourne, Australien

    S. Nolte

  5. Internistisch-Rheumatologische Klinik, Rehazentrum Bad Eilsen der Deutschen Rentenversicherung Braunschweig-Hannover, Bad Eilsen, Deutschland

    I. Ehlebracht-König

Authors
  1. M. Schwarze
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  2. R. Kirchhof
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  3. M. Schuler
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  4. G. Musekamp
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  5. S. Nolte
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  6. J.E. Jordan
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  7. R.H. Osborne
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  8. I. Ehlebracht-König
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  9. H. Faller
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  10. C. Gutenbrunner
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Correspondence to M. Schwarze.

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Schwarze, M., Kirchhof, R., Schuler, M. et al. Ein Blick Down Under. Z. Rheumatol. 67, 189–198 (2008). https://doi.org/10.1007/s00393-008-0278-5

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