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Cited by 55Chronic Disease Management StrategiesDiabetes Management and EducationNursing care and research

Self-Management: Its place in the management of chronic illnesses

Open access
Walker, Christine, Swerissen, Hal, Belfrage, John·2003·Australian Health Review
DOI 10.1071/ah030034a
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Abstract

Self-management programs are now regarded as important facets in the overall care of people with chronic illnesses.They are seen as producing long-lasting benefits both to participants and to the health system in terms of reducedhospitalisations and reduced lengths of stay, as well as decreasing medication usage. In this article we examine whatconstitutes self-management and the evidence supporting the views that the benefits are unequivocal. We argue thatgreater attention to research design is required before the benefits can be assessed. We also argue that greater attentionmust be paid to access issues for people from culturally and linguistically diverse backgrounds (CALD) and lower socioeconomicstatus.

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Crossref · 10.1071/ah030034a

Cites

68 of 68 references verified0 citation errors · 0 not checkable

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  • Supporting people to self-manage has resulted in reduced use of general practitioners, reduced admissions to hospital, significant gains in health status and increased symptom control.

    “Supporting people to self-manage has resulted in reduced use of general practitioners, reduced admissions to hospital, significant gains in health status and increased symptom control”

    From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [19]

    The Evidence base for self-management section (page unavailable) reports lower health-service use and improvements in cognitive-symptom management, distress and fatigue; the Abstract also describes reduced hospitalisations as a perceived benefit. But the paper does not specifically establish reduced GP use or significant gains in health status, and its Conclusions (page unavailable) caution that evidence for reduced service use is emerging and clinical outcomes are not usually tested. The claim presents these qualified findings as established results. (LLM, conf=0.87)

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Cites

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2 of the 70 references couldn’t be matched to a known paper.

Research works printed but not linked: 11

  1. Cawood C 1999, Aboriginal WAVES project, Aboriginal and Islander Health Worker Journal, vol 23, no 5, p 3.
  2. Dept of Human Services 2000, Literature review of effective models and interventions for chronic disease management in the primary care sector, Aged, Community and Mental Health.
  3. Langhorne P, Dennis M, Kalra L, Shepperd S, Wade T, Wolfe C 2001, Services for helping stroke patients avoid hospital admission (Cochrane Review), The Cochrane Library 1, Oxford. www.cochraneconsumer.com
  4. Mayo Clinic Proceedings 1996, 'Role of specialty care for chronic diseases: a report of the ad hoc committee of ACR', vol 71, no 12, pp 1179-1181.
  5. O'Neill C, Silk G, Lee R, Cinar S, Nguyen H, Ngo B 2000, 'Chronicity and ethnicity', Australian Journal of Primary Health-Interchange, vol 6, no 2, pp 94-101.
  6. Place B 1993, Understanding the Meaning of Chronic Illness: a prerequisite for caring, A Global Agenda for Caring, National League for Nursing Press, New York.
  7. Robertson M, Devlin N, Gardner M & Campbell A 2001, 'Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls', BMJ, vol 322, pp 697-710.
  8. Shah S, Peat J, Mazurski C, Wang H, Sindhusake D, Bruce C, Henry R & Gibson P 2001, 'Effect of peer-led programme for asthma education in adolescents: cluster randomized controlled trial', BMJ, vol 322, pp 583- 594.
  9. Sibthorpe B, Bailie R & Brady M 2002, 'The demise of a planned randomized controlled trial in an urban Aboriginal medical service', MJA, vol 176, pp 273-276.
  10. Wagner E, Austin B & Von Korff M 1996, 'Organising care for patients with chronic illness', Milbank Quarterly, vol 74, pp 511-44.
  11. Walker C 1995, 'The Anti-Cancer Council of Victoria's Living with Cancer Education Program and the Non- English Speaking Background Community in Victoria', Cancer Forum, vol 19, no 2, pp143-146.

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Authors
Walker, C., Swerissen, H., & Belfrage, J.
Affiliations
La Trobe University (AU)
ORCID
Venue
Australian Health Review
Publisher
CSIRO Publishing
Published
2003-08-01
Volume
26
Issue
2
Pages
34-42
ISSN
  • 0156-5788 (ISSN-L)
  • 1449-8944
DOI
10.1071/ah030034a
OpenAlex
W1978915454
Cited by
55
References
70
Citations by year
2026: 3 · 2025: 1 · 2024: 4 · 2023: 5 · 2022: 3 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 5 · 2016: 5 · 2014: 3 · 2013: 1 · 2012: 1
FWCI
0.93
Type
journal article
Language
en
Open access
Locations
  • Australian Health Review (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Health and Medical Research Council
Topics
  • Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
Keywords
self-management, chronic disease, self-management program, hospitalization reduction, length of hospital stay, medication use, research design, culturally and linguistically diverse populations, socioeconomic status, health care access
MeSH terms
Australia, Chronic Disease, Humans, Research Design, Self Care, Social Support, Health Behavior, Evidence-Based Medicine

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