Enhancing patient engagement in chronic disease self-management support initiatives in Australia: the need for an integrated approach

Med J Aust. 2008 Nov 17;189(S10):S9-S13. doi: 10.5694/j.1326-5377.2008.tb02202.x.


Although emphasis on the prevention of chronic disease is important, governments in Australia need to balance this with continued assistance to the 77% of Australians reported to have at least one long-term medical condition. Self-management support is provided by health care and community services to enhance patients' ability to care for their chronic conditions in a cooperative framework. In Australia, there is a range of self-management support initiatives that have targeted patients (most notably, chronic disease self-management education programs) and health professionals (financial incentives, education and training). To date, there has been little coordination or integration of these self-management initiatives to enhance the patient-health professional clinical encounter. If self-management support is to work, there is a need to better understand the infrastructure, systems and training that are required to engage the key stakeholders - patients, carers, health professionals, and health care organisations. A coordinated approach is required in implementing these elements within existing and new health service models to enhance uptake and sustainability.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Australia / epidemiology
  • Benchmarking / organization & administration
  • Chronic Disease / epidemiology
  • Chronic Disease / therapy*
  • Delivery of Health Care, Integrated / organization & administration
  • Health Education / organization & administration*
  • Health Knowledge, Attitudes, Practice
  • Health Promotion / organization & administration*
  • Humans
  • Interprofessional Relations
  • Patient Education as Topic / methods*
  • Patient-Centered Care / organization & administration
  • Primary Health Care / organization & administration*
  • Self Care / methods*
  • Social Support
  • Total Quality Management / methods