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Sustaining chronic disease management in primary care: lessons from a demonstration project.

dc.contributor.author Williams, Anna en_US
dc.contributor.author Harris, Mark en_US
dc.contributor.author Daffurn, K en_US
dc.contributor.author Powell Davies, G en_US
dc.contributor.author Pascoe, Shane en_US
dc.contributor.author Zwar, N en_US
dc.date.accessioned 2021-11-25T13:10:13Z
dc.date.available 2021-11-25T13:10:13Z
dc.date.issued 2007 en_US
dc.description.abstract Chronic disease self-management (CDSM) programs have been found effective in improving clinical, behavioural, and self-efficacy outcomes associated with a range of chronic illnesses, and evidence suggests that CDSM is effective in reducing health care costs and health service utilisation. As the setting where most chronic disease is managed, primary health care is an ideal setting for supporting CDSM. This study aimed to explore the uptake and sustainability of CDSM within routine activities of primary health care clinicians involved in the implementation of a demonstration project within an Area Health Service in Sydney NSW. Interviews and focus groups were conducted with managers and clinicians involved in the project. Findings included (1) widespread support from participants for CDSM (2) participating clinicians thought that CDSM was valuable to themselves, their clients and the health system (3) the program required clients to be able to speak and understand English and so presented many barriers for implementation in CALD communities, and (4) the program was not effective in engaging some key members of the primary care team; in particular, general practitioners. The study highlights system design issues including communication and continuity of care between service providers, workforce supply and demands of acute care delivery in the community that will need to be addressed for sustainable and effective CDSM to be achieved. en_US
dc.identifier.issn 1448-7527 en_US
dc.identifier.uri http://hdl.handle.net/1959.4/39316
dc.language English
dc.language.iso EN en_US
dc.rights CC BY-NC-ND 3.0 en_US
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/3.0/au/ en_US
dc.source Legacy MARC en_US
dc.title Sustaining chronic disease management in primary care: lessons from a demonstration project. en_US
dc.type Journal Article en
dcterms.accessRights metadata only access
dspace.entity.type Publication en_US
unsw.accessRights.uri http://purl.org/coar/access_right/c_14cb
unsw.identifier.doiPublisher http://dx.doi.org/10.1071/PY07030 en_US
unsw.relation.faculty Medicine & Health
unsw.relation.ispartofissue 2 en_US
unsw.relation.ispartofjournal Australian Journal of Primary Health en_US
unsw.relation.ispartofpagefrompageto 41-47 en_US
unsw.relation.ispartofvolume 13 en_US
unsw.relation.originalPublicationAffiliation Williams, Anna, Public Health & Community Medicine, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Harris, Mark, Public Health & Community Medicine, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Daffurn, K en_US
unsw.relation.originalPublicationAffiliation Powell Davies, G, Public Health & Community Medicine, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Pascoe, Shane en_US
unsw.relation.originalPublicationAffiliation Zwar, N, Public Health & Community Medicine, Faculty of Medicine, UNSW en_US
unsw.relation.school School of Population Health *
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