Self-Management for Chronically Ill Pays Off with Improved Outcomes, Fewer Office Visits

Creation of a chronic disease management system for primary care practice

    • May 27, 2003

From 1998 to 2002, researchers at the Stanford University School of Medicine developed and evaluated a disease management/patient self-care program for patients with chronic disease. The program, called "Health Partners," offered patients a choice of enrolling in either self-management education workshops or group visits with physicians or both.

Key Findings

Key findings derived from the first year of observations included:

  • Measured physical disability continued to increase during the first year of observation, but most other measured outcomes remained stable or improved.
  • Participants made fewer office visits than they had before entering the program.
  • Participants in group visits found the experience more helpful than did workshop attendees, but the latter improved more on the measured outcomes.