• Mary Thoesen Coleman and Karen S Newton.
• Department of Family and Geriatric Medicine, University of Louisville School of Medicine, Louisville, Kentucky, USA. mary.coleman@louisville.edu
• Am Fam Physician. 2005 Oct 15; 72 (8): 1503-10.

AbstractSupport of patient self-management is a key component of effective chronic illness care and improved patient outcomes. Self-management support goes beyond traditional knowledge-based patient education to include processes that develop patient problem-solving skills, improve self-efficacy, and support application of knowledge in real-life situations that matter to patients. This approach also encompasses system-focused changes in the primary care environment. Family physicians can support patient self-management by structuring patient-physician interactions to identify problems from the patient perspective, making office environment changes that remove self-management barriers, and providing education individually and through available community self-management resources. The emerging evidence supports the implementation of practice strategies that are conducive to patient self-management and improved patient outcomes among chronically ill patients.

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