TY  - JOUR
A1  - Elissen, Arianne
A1  - Nolte, Ellen
A1  - Knai, Cécile
A1  - Brunn, Matthias
A1  - Chevreul, Karine
A1  - Conklin, Annalijn
A1  - Durand-Zaleski, Isabelle
A1  - Erler, Antje
A1  - Flamm, Maria
A1  - Frølich, Anne
A1  - Fullerton, Birgit
A1  - Jacobsen, Ramune
A1  - Saz-Parkinson, Zuleika
A1  - Sarria-Santamera, Antonio
A1  - Sönnichsen, Andreas
A1  - Vrijhoef, Hubertus
T1  - Is Europe putting theory into practice? : a study of the level of self-management support in coordinated care approaches for chronically ill
T2  - International journal of integrated care
N2  - Objectives: This study explores whether and how self-management support (SMS), a key element of well-coordinated chronic care, is integrated into existing chronic care approaches in 13 European countries.
Methodology: An expert review was conducted using a data template informed by the Chronic Care Model. Key informants (researchers and policymakers) from the 13 countries presented a sample of exemplary chronic care approaches and related SMS strategies. This was complemented by interviews with 27 Dutch care professionals investigating SMS implementation in practice.
Results: SMS remains relatively underdeveloped in Europe. Country-specific strategies are similar in involved providers (nurses) and settings (primary care), yet differ considerably in mode, format and materials used. SMS focuses mainly on patients medical and behavioral management, and less on emotional management. According to Dutch providers, barriers in financing and medical culture (e.g. length of consultation, patient-doctor communication) hamper implementation of SMS as an integral part of chronic care.
Conclusion: While Europe might increasingly be talking the talk of patient participation in chronic care, it appears far from walking the walk. Care professionals experience difficulties in operationalizing SMS in their daily routines. Stronger integration with the health promotion field may help patients and professionals to engage in productive partnerships.
KW  - chronic care
KW  - self-management support
KW  - Europe
KW  - expert review
KW  - barriers to implementation
Y1  - 2017
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/44212
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-442121
SN  - 1568-4156
N1  - This in an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 license (unless stated otherwise) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright is retained by the author(s)
VL  - 13
IS  - 8
PB  - Igitur
CY  - Utrecht
ER  -