Interventions to Support Behavioral Self-Management of Chronic Diseases

A majority of the US adult population has one or more chronic conditions that require medical intervention and long-term self-management. Such conditions are among the 10 leading causes of mortality; an estimated 86% of the nation's $2.7 trillion in annual health care expenditures goes toward t...

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Vydáno v:Annual review of public health Ročník 40; s. 127
Hlavní autoři: Allegrante, John P, Wells, Martin T, Peterson, Janey C
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.04.2019
Témata:
Adult
Aged
Aged, 80 and over
Chronic Disease - economics
Chronic Disease - epidemiology
Chronic Disease - nursing
Female
Health Behavior
Health Expenditures - statistics & numerical data
Humans
Male
Middle Aged
Quality of Life - psychology
Self-Management - economics
Self-Management - methods
United States - epidemiology
United States
health behavior
health care utilization
health outcomes
disease self-management
chronic diseases
disease management
ISSN:1545-2093, 1545-2093
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Shrnutí:A majority of the US adult population has one or more chronic conditions that require medical intervention and long-term self-management. Such conditions are among the 10 leading causes of mortality; an estimated 86% of the nation's $2.7 trillion in annual health care expenditures goes toward their treatment and management. Patient self-management of chronic diseases is increasingly essential to improve health behaviors, health outcomes, and quality of life and, in some cases, has demonstrated effectiveness for reducing health care utilization and the societal cost burden of chronic conditions. This review synthesizes the current state of the science of chronic disease self-management interventions and the evidence for their effectiveness, especially when applied with a systematic application of theories or models that account for a wide range of influences on behavior. Our analysis of selected outcomes from randomized controlled trials of chronic disease self-management interventions contained in 10 Cochrane systematic reviews provides additional evidence to demonstrate that self-management can improve quality of life and reduce utilization across several conditions.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Review-3
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ISSN:1545-2093
1545-2093
DOI:10.1146/annurev-publhealth-040218-044008