Management of chronic disease by practitioners and patients: are we teaching the wrong things?

doi:10.1136/bmj.320.7234.572

BMJ 2000;320:572-575 ( 26 February )

Education and debate

Management of chronic disease by practitioners and patients: are we teaching the wrong things?

Noreen M Clark, dean, Molly Gong, senior research associate.

University of Michigan School of Public Health, 109 S Observatory Street, Ann Arbor, Michigan 48109-2029, USA

Correspondence to: N M Clark nmclark@umich.edu

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

The patient should be the primary manager of chronic disease, guided and coached by a doctor or other practitioner to devisethe best therapeutic regimen.¹ The practitioner and patientshould work as partners,² developing strategies that give thepatient the best chance to control his or her own disease andreduce the physical, psychological, social, and economic consequencesof chronicillness.

In this article we consider the quality of education for patients and practitioners who are trying to manage chronic disease.We argue that neither patients nor practitioners are taught theskills that will most enable each to carry out his or her roleand responsibility for disease management. We use asthma, a chroniclung disease, to show how patients and practitioners are beingtaught the wrong things.

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Methods

We searched Medline and used previously published reviews to find articles on managing asthma. We did not formally assessthe methodological quality . . . [Full text of this article]

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