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J Gen Intern Med. 2007 Dec;22 Suppl 3:438-44.

Patients with Complex Chronic Diseases: perspectives on supporting self-management.

Author information

1
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System (151-C), Pittsburgh, Pennsylvania, USA. sevick@pitt.edu

Abstract

A Complex Chronic Disease (CCD) is a condition involving multiple morbidities that requires the attention of multiple health care providers or facilities and possibly community (home)-based care. A patient with CCD presents to the health care system with unique needs, disabilities, or functional limitations. The literature on how to best support self-management efforts in those with CCD is lacking. With this paper, the authors present the case of an individual with diabetes and end-stage renal disease who is having difficulty with self-management. The case is discussed in terms of intervention effectiveness in the areas of prevention, addiction, and self-management of single diseases. Implications for research are discussed.

PMID:
18026814
PMCID:
PMC2150604
DOI:
10.1007/s11606-007-0316-z
[Indexed for MEDLINE]
Free PMC Article

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