It seems rather obvious that if patients can be taught to take care of some of their own basic health needs–taking blood pressure and other measures, giving themselves insulin and other medicines, doing wound care, etc., it saves money by avoiding provider visits. And it may help patients feel more engaged and in control of their health and otherwise lead to better outcomes. A study published in the British Journal of Medicine examined self-care in the context of medical practices in the United Kingdom that were trained to encourage and support patients in self-management of chronic conditions. (BMJ Study) The researchers used a “whole systems” quality improvement intervention designed to both support primary care practices and help patients with a self-management initiative. The patients had diabetes, COPD or irritable bowel syndrome. Providers were trained in providing patient support and assessing patients’ readiness and needs for self-care. The outcomes were staff views on the training and system, shared decision making, self-efficacy, and health related quality of life. Most data was self-reported, and included some data on utilization. About 5600 patients were included in the study, and about half the primary care practices were trained on the intervention. While most staff attended the training, use of the self-managment support tools was uneven. In terms of patient outcomes, measured at 6 and 12 months after study start, the only significant difference was in the use of shared decision making at 6 months. But no difference was seen in self-efficacy or self care activity, nor did utilization of resources differ significantly. It is unclear if staff were not fully committed to the use of the support tools or if patients were generally uninterested in being more involved. The concept seems good, so maybe it is just a matter of finding the right way to engage providers and consumers in having patients with chronic illnesses take more responsibility for their care.
✅ Subscribe via Email
About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
Healthy Skeptic Podcast
This is an outstanding report on total global drug spending and trends, with projections out to 2025. It helps you understand this important area of health care, which does much...
June 1, 2021
MedPAC 2019 Report to Congress
June 18, 2019
Cano Health apparently cannot, as it declares bankruptcy due to too much debt. Building primary care centers to serve Medicare, Medicaid and commercial populations, which is Cano’s business, was hot...
February 6, 2024
Turquoise health raises a fresh $30 million in capital for its price transparency platform, as the market for funding health care companies isn’t quite dead yet.
January 24, 2024
I am co-f0under of a company that manages cell and gene therapy for health plans. Cell therapy has made a big difference for many cancer patients but like all new...
January 24, 2024
Access ACO Care Management Chronic Disease Comparative Effectiveness Consumer Directed Health Consumers Devices Disease Management Drugs EHRs Elder Care End-of-Life Care FDA Financings Genomics Government Health Care Costs Health Care Quality Health Care Reform Health Insurance Health Insurance Exchange HIT HomeCare Hospital Hospital Readmissions Legislation M&A Malpractice Meaningful Use Medicaid Medical Care Medicare Medicare Advantage Mobile Pay For Performance Pharmaceutical Physicians Providers Regulation Repealing Reform Telehealth Telemedicine Wellness and Prevention Workplace