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. 2021 Jun 30;5(3):BJGPO.2020.0186.
doi: 10.3399/BJGPO.2020.0186. Print 2021 Jun.

Does education of primary care professionals promote patient self-management and improve outcomes in chronic disease? An updated systematic review

Claire Collins  1 , Gillian Doran  2 , Patricia Patton  3 , Roisin Fitzgerald  4 , Andree Rochfort  5
Affiliations

Does education of primary care professionals promote patient self-management and improve outcomes in chronic disease? An updated systematic review

Claire Collins et al. BJGP Open. .

Abstract

Background: Primary care has a vital role in supporting patient autonomy to enable people with long-term conditions to manage their own health and wellness. Evidence is needed on whether education and training of health professionals helps support patient self-management and improves outcomes. The authors' first systematic review included only two articles showing patient outcomes following health professional training for promoting patient self-management.

Aim: To present an updated review undertaken from September 2013 to August 2018.

Design & setting: A systematic review was undertaken using the PRISMA guidelines, following the methodology of the first review and is outlined in the PROSPERO registered protocol.

Method: Six databases were searched - Cochrane Library, PubMed, ERIC, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PsycINFO - in addition to web searches, hand searches, and bibliographies for articles published from 1 September 2013 to 31 August 2018.

Results: The updated systematic review showed more evidence is now available with 18 articles in the 5-year period from the 4284 abstracts located. Twelve of these articles showed a difference between intervention and control groups. Of the 18 articles identified, 11 were assessed as having a low risk of bias and five overall were rated of weak quality. The educational interventions with health professionals spanned a range of techniques and modalities, and many incorporated multiple interventions including patient components. There may be a lack of adoption owing to several challenges, including that complex interventions may not be delivered as planned and are difficult to assess, and owing to patient engagement and the need for ongoing follow-up.

Conclusion: More high-quality research is needed on what methods work best, for which patients, and for what clinical conditions in the primary care setting. The practical implications of training healthcare professionals require specific attention.

Keywords: chronic conditions; patient empowerment; patient participation; primary health care; self-management.

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Figure 1.
Figure 1.. PRISMA flow diagram (see Table 1 for definition of exclusion code). F/T = full-text.
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References

    1. World Health Organization Innovative care for chronic diseases: building blocks for action: global report. https://www.who.int/chp/knowledge/publications/icccglobalreport.pdf. [31 Mar 2021];2002
    1. Wagner EH, Austin BT, Von Korff M. Organizing care for patients with chronic illness. Milbank Q. 1996;74(4):511–544. doi: 10.2307/3350391. - DOI - PubMed
    1. WONCA Europe The European definition of general practice/family medicine. https://www.globalfamilydoctor.com/site/DefaultSite/filesystem/documents.... [31 Mar 2021];2011
    1. Mola E, De Bonis JA, Giancane R. Integrating patient empowerment as an essential characteristic of the discipline of general practice/family medicine. Eur J Gen Pract. 2008;14(2):89–94. doi: 10.1080/13814780802423463. - DOI - PubMed
    1. Wagner EH, Austin BT, Davis C, et al. Improving chronic illness care: translating evidence into action. Health Aff. 2001;20(6):64–78. doi: 10.1377/hlthaff.20.6.64. - DOI - PubMed

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