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The Diabetes Educator, Vol. 33, No. Supplement 6, 185S-192S (2007)
DOI: 10.1177/0145721707304171
© 2007 American Association of Diabetes Educators; Published by SAGE Publications

FEATURES

Characteristics of Organizational Resources and Supports for Self Management in Primary Care

Gowri Shetty, MS, MPH and Carol A. Brownson, MSPH

From the National Program Office of the Robert Wood Johnson Foundation Diabetes Initiative, Division of Health Behavior Research, Washington University School of Medicine, St Louis, Missouri.

Correspondence to Carol A. Brownson, MSPH, Washington University School of Medicine, Division of Health Behavior Research, 4444 Forest Park Avenue, Suite 6700, St Louis, MO 63108-2212 (cbrownso{at}im.wustl.edu).

Purpose

The purpose of this article is to describe components of organizational support for self-management in primary care and provide illustrations of each of these components from the Diabetes Initiative's Advancing Diabetes Self Management (ADSM) projects.

Methods

Elements of organizational resources and supports for diabetes self-management in primary care were developed from the experience of the ADSM projects and in collaboration with Diabetes Initiative staff and experts.

Results

Eight elements of organizational support for self-management were identified: (1) the establishment of patient care teams, (2) continuity of care, (3) coordination of referrals, (4) documentation of self-management support, (5) ongoing quality improvement, (6) patient input, (7) staff training and education, and (8) integration of self-management into primary care.

Conclusion

Establishing a comprehensive system of care for people with diabetes is enabled by an infrastructure of organizational resources and supports for self-management in primary care settings. These components of organizational support provide guidance for integrating diabetes self-management services into primary care settings.


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E. B. Fisher, C. A. Brownson, M. L. O'Toole, V. V. Anwuri, and G. Shetty
Perspectives on Self-Management From the Diabetes Initiative of the Robert Wood Johnson Foundation
The Diabetes Educator, June 1, 2007; 33(Supplement_6): 216S - 224S.
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