Display Settings:


Send to:

Choose Destination
See comment in PubMed Commons below
J Gen Intern Med. 2010 Jan;25 Suppl 1:68-71. doi: 10.1007/s11606-009-1123-5.

Implementing evidence-based patient self-management programs in the Veterans Health Administration: perspectives on delivery system design considerations.

Author information

  • 1Richard 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. Teresa.Damush@va.gov


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.

[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer Icon for PubMed Central
    Loading ...
    Write to the Help Desk