BMJ 2000;320:526-527 ( 26 February )

Editorials

Patients as partners in managing chronic disease

Partnership is a prerequisite for effective and efficient health care

General practice p   550 Education and debate p   569

The first 150 words of the full text of this article appear below.

When acute disease was the primary cause of illness patients were generally inexperienced and passive recipients of medical care. Now that chronic disease has become the principal medical problem the patient must become a partner in the process, contributing at almost every decision or action level. This is not just because patients deserve to be partners in their own health care (which, of course, they do) but also because health care can be delivered more effectively and efficiently if patients are full partners in the process.

Today in the United States chronic disease is the major cause of disability, is the main reason why people seek health care, and consumes 70% of healthcare spending. The differences between acute and chronic diseases are seen in the box on the BMJ's website. With acute disease, the treatment aims at return to normal. With chronic disease, the patient's life is irreversibly changed. . . . [Full text of this article]

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    StumbleUpon    Technorati    What's this?

Relevant Articles

Management and preferences
BMJ 2000 320: 0. [Full Text] [PDF]

Management and preferences
BMJ 2000 320: 0. [Full Text] [PDF]

Randomised trial of monitoring, feedback, and management of care by telephone to improve treatment of depression in primary care

Gregory E Simon, Michael VonKorff, Carolyn Rutter, and Edward Wagner
BMJ 2000 320: 550-554. [Abstract] [Full Text] [PDF]

The role of patient care teams in chronic disease management

Edward H Wagner
BMJ 2000 320: 569-572. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

• McKinlay, E., McBain, L., Gray, B. (2009). Teaching and learning about chronic conditions management for undergraduate medical students: utilizing the patient-as-teacher approach. Chronic Illness 5: 209-218 [Abstract]  
• Rose, S. M., Hatzenbuehler, S. (2009). Embodying social class: The link between poverty, income inequality and health. International Social Work 52: 459-471 [Abstract]  
• Buetow, S. A. (2009). Something in Nothing: Negative Space in the Clinician-Patient Relationship. Ann Fam Med 7: 80-83 [Abstract] [Full text]  
• Dijkstra, R., Braspenning, J., Grol, R. (2008). Implementing diabetes passports to focus practice reorganization on improving diabetes care. Int J Qual Health Care 20: 72-77 [Abstract] [Full text]  
• Boyd, C. M., Boult, C., Shadmi, E., Leff, B., Brager, R., Dunbar, L., Wolff, J. L., Wegener, S. (2007). Guided Care for Multimorbid Older Adults: Kathleen Walsh Piercy, PhD, Editor. Gerontologist 47: 697-704 [Abstract] [Full text]  
• Lempp, H., Scott, D. L., Kingsley, G. H. (2006). Patients' views on the quality of health care for rheumatoid arthritis. Rheumatology (Oxford) 45: 1522-1528 [Abstract] [Full text]  
• Bell, J S., Johns, R., Rose, G., Chen, T. F (2006). A Comparative Study of Consumer Participation in Mental Health Pharmacy Education. The Annals of Pharmacotherapy 40: 1759-1765 [Abstract] [Full text]  
• Mueser, K. T., Meyer, P. S., Penn, D. L., Clancy, R., Clancy, D. M., Salyers, M. P. (2006). The Illness Management and Recovery Program: Rationale, Development, and Preliminary Findings. Schizophr Bull 32: S32-S43 [Abstract] [Full text]  
• Lempp, H., Scott, D., Kingsley, G. (2006). The personal impact of rheumatoid arthritis on patients' identity: a qualitative study. Chronic Illness 2: 109-120 [Abstract]  
• Fortin, M., Dionne, J., Pinho, G., Gignac, J., Almirall, J., Lapointe, L. (2006). Randomized Controlled Trials: Do They Have External Validity for Patients With Multiple Comorbidities?. Ann Fam Med 4: 104-108 [Abstract] [Full text]  
• Delamater, A. M. (2006). Clinical Use of Hemoglobin A1c to Improve Diabetes Management. Clin. Diabetes 24: 6-8 [Full text]  
• Stone, M., Pound, E., Pancholi, A., Farooqi, A., Khunti, K. (2005). Empowering patients with diabetes: a qualitative primary care study focusing on South Asians in Leicester, UK. Fam Pract 22: 647-652 [Abstract] [Full text]  
• Kennedy, A., Gask, L., Rogers, A. (2005). Training professionals to engage with and promote self-management. Health Educ Res 20: 567-578 [Abstract] [Full text]  
• Young, A. S., Chinman, M., Forquer, S. L., Knight, E. L., Vogel, H., Miller, A., Rowe, M., Mintz, J. (2005). Use of a Consumer-Led Intervention to Improve Provider Competencies. Psychiatr. Serv. 56: 967-975 [Abstract] [Full text]  
• Phelan, E., LoGerfo, J. (2005). New insights into the health priorities and needs of older women. CMAJ 173: 165-166 [Full text]  
• Bull, S. S., Gaglio, B., Mckay, H. G., Glasgow, R. E. (2005). Harnessing the potential of the Internet to promote chronic illness self-management: diabetes as an example of how well we are doing. Chronic Illness 1: 143-155 [Abstract]  
• Heisler, M., Piette, J. D., Spencer, M., Kieffer, E., Vijan, S. (2005). The Relationship Between Knowledge of Recent HbA1c Values and Diabetes Care Understanding and Self-Management. Diabetes Care 28: 816-822 [Abstract] [Full text]  
• Campbell, C., McGauley, G. (2005). Doctor-patient relationships in chronic illness: insights from forensic psychiatry. BMJ 330: 667-670 [Full text]  
• Dowrick, C., Dixon-Woods, M., Holman, H., Weinman, J. (2005). What is chronic illness?. Chronic Illness 1: 1-6  
• Beyth, R. J. (2005). Patient Self-Management of Anticoagulation: An Idea Whose Time Has Come. ANN INTERN MED 142: 73-74 [Full text]  
• Glasgow, R. E., Nutting, P. A., King, D. K., Nelson, C. C., Cutter, G., Gaglio, B., Rahm, A. K., Whitesides, H. (2005). Randomized Effectiveness Trial of a Computer-Assisted Intervention to Improve Diabetes Care. Diabetes Care 28: 33-39 [Abstract] [Full text]  
• O'Halloran, J., Miller, G. C, Britt, H. (2004). Defining chronic conditions for primary care with ICPC-2. Fam Pract 21: 381-386 [Abstract] [Full text]  
• Gross, R., Tabenkin, H., Porath, A., Heymann, A., Greenstein, M., Porter, B., Matzliach, R. (2003). The relationship between primary care physicians' adherence to guidelines for the treatment of diabetes and patient satisfaction: findings from a pilot study. Fam Pract 20: 563-569 [Abstract] [Full text]  
• Morrison, E., Crosbie, D., Capell, H. A. (2003). Attitude of rheumatoid arthritis patients to treatment with oral corticosteroids. Rheumatology (Oxford) 42: 1247-1250 [Abstract] [Full text]  
• Cooper, H. C., Booth, K., Gill, G. (2003). Patients' perspectives on diabetes health care education. Health Educ Res 18: 191-206 [Abstract] [Full text]  
• Bodenheimer, T., Lorig, K., Holman, H., Grumbach, K. (2002). Patient Self-management of Chronic Disease in Primary Care. JAMA 288: 2469-2475 [Abstract] [Full text]  
• Wolff, J. L., Starfield, B., Anderson, G. (2002). Prevalence, Expenditures, and Complications of Multiple Chronic Conditions in the Elderly. Arch Intern Med 162: 2269-2276 [Abstract] [Full text]  
• Swartz, L., Dick, J. (2002). Managing chronic diseases in less developed countries. BMJ 325: 914-915 [Full text]  
• Wykurz, G., Kelly, D. (2002). Developing the role of patients as teachers: literature review. BMJ 325: 818-821 [Abstract] [Full text]  
• Hart, J. T. (2001). Commentary: Can health outputs of routine practice approach those of clinical trials?. Int J Epidemiol 30: 1263-1267 [Full text]  
• Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., Bonomi, A. (2001). Improving Chronic Illness Care: Translating Evidence Into Action. Health Aff (Millwood) 20: 64-78 [Abstract] [Full text]  
• Frank, A. O., Chamberlain, M. A. (2001). Keeping our patients at work: implications for the management of those with rheumatoid arthritis and musculoskeletal conditions. Rheumatology (Oxford) 40: 1201-1205 [Full text]  
• Sindall, C. (2001). Health promotion and chronic disease: building on the Ottawa Charter, not betraying it?. HEALTH PROMOT INT 16: 215-217 [Full text]  
• Oliver, S. M (2001). Living with failing lungs: the doctor-patient relationship. Fam Pract 18: 430-439 [Abstract] [Full text]  
• BAUCHNER, H., SIMPSON, L., CHESSARE, J. (2001). Changing physician behaviour. Arch. Dis. Child. 84: 459-462 [Full text]  
• Wagner, E. H, Simon, G. E (2001). Managing depression in primary care. BMJ 322: 746-747 [Full text]  
• Davis, R. M, Wagner, E. G, Groves, T. (2000). Advances in managing chronic disease. BMJ 320: 525-526 [Full text]  

Online poll

Find out more >>