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Statewide Evaluation of Measuring Physician Delivery of Self-Management Support in Chronic Disease Care
Journal of General Internal Medicine, 06/11/09
Sequist TD et al. - Composite scores of patient care experiences, including quality of clinical interactions (89.2), coordination of care (77.6), organizational access (76.3), and office staff (85.8) were higher than for the self-management support composite score (69.9). Self-management support scores were highest for patients with cancer (73.0) and lowest for patients with hypertension (67.5). The minimum sample size required for medical groups to provide a reliable estimate of self-management support was 199. There was no consistent correlation between self-management support scores for individual chronic conditions within medical groups. Increased involvement of additional members of the healthcare team was associated with higher self-management support scores across all chronic conditions. Measurement of self-management support is feasible and can identify gaps in care not currently included in standard measures of patient care experiences.
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