Reducing Care Utilisation through Self-management Interventions

"Very few self-management support interventions achieve reductions in utilisation while compromising patient outcomes. Evidence for significant reductions in utilisation were strongest for respiratory disorders and cardiac disorders."

Reducing Care Utilisation through Self-management Interventions (RECURSIVE): a systematic review and meta-analysis
M Panagioti, G Richardson, E Murray, A Rogers, A Kennedy, S Newman, et al.
Health Service Delivery Research 2014;2(54).

Read more here.

A knowledge translation tool improved osteoporosis disease management in primary care

"Our multicomponent Op-KT tool significantly increased osteoporosis disease management in three family practices. This study highlights the potential of using decision support tools at the point of care in busy, short-visit practices to facilitate patient self-management."

A knowledge translation tool improved osteoporosis disease management in primary care: an interrupted time series analysis
M Kastner et al.
Implementation Science 2014, 9:109

Read more here.

Ideas into action: person-centred care in practice

"This report aims to inform health care professionals, commissioners and providers about what to consider when implementing shared decision making and self-management support as part of their drive to make person-centred care a reality."

Ideas into action: person-centred care in practice. What to consider when implementing shared decision making and self-management support
Health Foundation
October 2014

Read more here.

Self-management support interventions to reduce health care utilisation without compromising outcomes

"Self-management support interventions can reduce health service utilization without compromising patient health outcomes, although effects were generally small, and the evidence was strongest in respiratory and cardiovascular disorders. Further work is needed to determine which components of self-management support are most effective."

Self-management support interventions to reduce health care utilisation without compromising outcomes: a systematic review and meta-analysis
M Panagioti et al.
BMC Health Services Research 2014, 14:356

Read more here.

Prioritising person-centred care - the evidence

"In our search for evidence we looked at how patient involvement interventions contribute to four key outcomes:

•   improving people’s knowledge
•   enhancing people’s experience of services
•   impact on service use and cost, and
•   impact on people’s health"

Prioritising person-centred care - the evidence: summarising evidence from systematic reviews
National Voices
2014

Read more and access the summaries/guides here.

Supporting people to manage their health

"In the United Kingdom, patient activation has largely been considered in relation to supporting patient involvement in health care. Given the links between low levels of activation and poor outcomes, the role of the Patient Activation Model in addressing health inequalities should be considered further."

Supporting people to manage their health: an introduction to patient activation
J Hibbard, H Gilburt
The King's Fund
May 2014

Read more here.

Networks that work: partnerships for integrated care and services

"This publication shows how third sector organisations can develop and provide services that can help people to get themselves on top of their conditions."

Networks that work: partnerships for integrated care and services
NESTA Innovation Unit
August 2013

Read more here.

Breaking boundaries: a manifesto for primary care by the NHS Alliance

"This manifesto calls for all of us – patients, professionals, managers and policy makers – to break the boundaries that too often disable people from caring for themselves and prevent clinicians from delivering high quality, cost effective, integrated care with a new focus on health and wellbeing and prevention."

Breaking boundaries: a manifesto for primary care by the NHS Alliance
NHS Alliance
March 2013

Read more here.

Effectiveness of booklet based vestibular rehabilitation for chronic dizziness in primary care

"Booklet based vestibular rehabilitation for chronic dizziness is a simple and cost effective means of improving patient reported outcomes in primary care."

Clinical and cost effectiveness of booklet based vestibular rehabilitation for chronic dizziness in primary care: single blind, parallel group, pragmatic, randomised controlled trial
L Yardley, F Barker, I Muller, D Turner, S Kirby, M Mullee, A Morris, P Little
British Medical Journal, 2012, 344:e2237

Read more here.

Co-creating health: evaluation of first phase

"The first phase of the Co-creating Health improvement programme was a three year initiative in eight sites across the UK that aimed to demonstrate the impact, on clinicians and patients alike, of integrating self-management support into routine care for people with long-term conditions."

Co-creating health: evaluation of first phase
LM Wallace, A Turner, J Kosmala-Anderson, S Sharma, J Jesuthasan, C Bourne, A Realpe
The Health Foundation
April 2012

Self-management of diabetes in hospital

"The aim of the document is to improve the safety of the in hospital management of diabetes."

Self-management of diabetes in hospital
Joint British Diabetes Societies for Inpatient Care Group
March 2012

Read more here.

Self management support resource centre

This self management support area has been developed by The Health Foundation, to support healthcare professionals, service managers and commissioners develop their understanding of self management support.

Find out more here.