HA540 - Evaluating Patient Self-Management in Healthcare Operations

This presentation addresses the critical role of patient self-management as a priority within the current healthcare landscape, highlighting challenges such as efficiency, political injustices, and health illiteracy that impact effective service delivery. It defines patient self-management as the provision of supportive interventions and education to enhance patients' skills and confidence in managing their health, emphasizing strategies like regular health assessments and active health practices. The presentation underscores the importance of a cross-cutting support system to help patients manage conditions and lead productive lives, advocating for evidence-based programs focusing on problem-solving and shared decision-making. It outlines the responsibilities of care teams, including assessing patient needs, connecting them with support mechanisms, and utilizing validated assessment tools. The presentation further focuses on supporting self-care activities, medication adherence, and patient self-efficacy, using diabetes education for teachers as a target industry example, involving stakeholders like diabetes educators and nutritionists. The goal is to improve operations by providing quality, evidence-based self-management, and engaging medical staff and community partners. The presentation concludes by stressing the need for healthy professionals in education and addressing the impact of chronic conditions on productivity, with provided references for further exploration.

Patient Self-management as Priority of Importance in Healthcare today
Institution
Date

Introduction
The global health care system is facing several
challenges that affect effective delivery of health
services to the global community (Haak, 2017).
Challenges:
Efficiency
political injustices
poor allocation of resources
health illiteracy
Need: Focus on specific priorities with the aim of
ensuring that the industry remains effective despite
the challenges.

Patient Self-Management
Definition: is the systematic provision of
supportive interventions and education by
health care providers
Aim: increasing the confidence and skills of
patients in managing their health challenges
(Dumser & Grey, 2009).
 Strategies:
 regular assessment of health problems
 Monitoring or health progress
 Practicing active and healthy

Importance of Self-management
It is importance through
 cross-cutting support system targeting at
different patients within the community
(Vallis, Willaing, & Holt, 2018)
 support patients to identify effective
strategies that can be adopted by different
communities
 Help patients manage their health conditions
while leaving a productive and active life
(Haak, 2017).

Health Strategy
the health industry needs to prioritize on the
evidence-based health programs towards self-
management such as;
 problem solving
 shared decision-making
 symptom management producers that are
applicable to diverse populations

Responsibilities of the Care Teams in the
Community
The care teams are also expected to:
 routinely assess the health management
needs for the patient, their interests, and
skills with the aim of identifying the
associated barriers.
 Barriers include: depression, distress, or
even financial issues (Scott & Clarke, 2018).

Cont..
Connecting the Patients with available
support mechanisms, i.e.
 support groups
 community resources
 friends and family members
 Relevant stakeholders
Ensuring they adopt validated assessments
methods or tools essential for assessing or
identifying changes in these factors

Areas of Focus
Support to the patients should target:
 self-care activities
 medication-taking behaviors
 patient self-efficacy
 Motivating active life style

Education as Target Industry
Target Population: Teachers leaving with
diabetes
Stakeholders:
Association of Diabetes Educators
Nutritionists
Family and Friends

How will the strategy improve operations
in the industry
Provide quality, evidence-based, and
standardized diabetes self-management for
the patients.
Exploring effective ways of engaging the
medical office staff within the community,
qualified community partners, and other
relevant stakeholders to reinforce optimal
diabetes education and care.

Conclusion
Professionals in the education sector such as
teachers, lecturers, and students among
other stakeholders needs to be healthy for
them to achieve the education goals.
Challenge:
- those leaving with chronic conditions such as
diabetes are greatly affected in terms of
productivity and performance.

References
Dumser, S., & Grey, M. (2009). A New Self-Report Measure of Self-
Management of Type I Diabetes for Adolescents. Nursing Research, 58(4),
228–236.
Haak, T. (2017). Depression is linked to hyperglycaemia via suboptimal
diabetes self-management: A cross-sectional mediation analysis. Journal of
Psychosomatic Research, 94, 17–23.
Rutten, G. M., & Schellevis, F. G. (2014). Living with diabetes: a group-based
self-management support programme for T2DM patients in the early phases
of illness and their partners, study protocol of a randomised controlled
trial. BMC Health Services Research, 14(1), 1–8.
Scott, J., & Clarke, J. M. (2018). Pilot feasibility study examining a structured
self-management diabetes education programme, DESMOND- ID, targeting
HbA1c in adults with intellectual disabilities. Diabetic Medicine, 35(1), 137–
146.
Vallis, M., Willaing, I., & Holt, R. I. G. (2018). Emerging adulthood and Type
1 diabetes: insights from the DAWN2 Study. Diabetic Medicine, 35(2), 203–
213.