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Review
. 2007 Dec;22 Suppl 3(Suppl 3):438-44.
doi: 10.1007/s11606-007-0316-z.

Patients with Complex Chronic Diseases: perspectives on supporting self-management

Mary Ann Sevick  1 , Jeanette M Trauth, Bruce S Ling, Roger T Anderson, Gretchen A Piatt, Amy M Kilbourne, Robert M Goodman
Affiliations
Review

Patients with Complex Chronic Diseases: perspectives on supporting self-management

Mary Ann Sevick et al. J Gen Intern Med. 2007 Dec.

Abstract

A Complex Chronic Disease (CCD) is a condition involving multiple morbidities that requires the attention of multiple health care providers or facilities and possibly community (home)-based care. A patient with CCD presents to the health care system with unique needs, disabilities, or functional limitations. The literature on how to best support self-management efforts in those with CCD is lacking. With this paper, the authors present the case of an individual with diabetes and end-stage renal disease who is having difficulty with self-management. The case is discussed in terms of intervention effectiveness in the areas of prevention, addiction, and self-management of single diseases. Implications for research are discussed.

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Figures

Figure 1
Figure 1
A general model of the determinants of behavior change. Taken from Committee on Communication for Behavior Change in the 21st Century: Improving the Health of Diverse Populations, Board on Neuroscience and Behavioral Health, Institute of Medicine of the National Academies. Chapter 2: Theory in, Speaking of Health: Assessing Health Communication Strategies for Diverse Populations. The National Academies Press, Washington, D.C. 2002. page 42.
See this image and copyright information in PMC

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