Chronic disease self-management program: 2-year health status and health care utilization outcomes.
| Autor: | Lorig KR; Stanford University School of Medicine, Stanford, California, USA., Ritter P, Stewart AL, Sobel DS, Brown BW Jr, Bandura A, Gonzalez VM, Laurent DD, Holman HR |
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| Jazyk: | angličtina |
| Zdroj: | Medical care [Med Care] 2001 Nov; Vol. 39 (11), pp. 1217-23. |
| DOI: | 10.1097/00005650-200111000-00008 |
| Abstrakt: | Objectives: To assess the 1- and 2-year health status, health care utilization and self-efficacy outcomes for the Chronic Disease Self-Management Program (CDSMP). The major hypothesis is that during the 2-year period CDSMP participants will experience improvements or less deterioration than expected in health status and reductions in health care utilization. Design: Longitudinal design as follow-up to a randomized trial. Setting: Community. Participants: Eight hundred thirty-one participants 40 years and older with heart disease, lung disease, stroke, or arthritis participated in the CDSMP. At 1- and 2-year intervals respectively 82% and 76% of eligible participants completed data. Main Outcome Measures: Health status (self-rated health, disability, social/role activities limitations, energy/fatigue, and health distress), health care utilization (ER/outpatient visits, times hospitalized, and days in hospital), and perceived self-efficacy were measured. Main Results: Compared with baseline for each of the 2 years, ER/outpatient visits and health distress were reduced (P <0.05). Self-efficacy improved (P <0.05). The rate of increase is that which is expected in 1 year. There were no other significant changes. Conclusions: A low-cost program for promoting health self-management can improve elements of health status while reducing health care costs in populations with diverse chronic diseases. |
| Databáze: | MEDLINE |
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