Evidence based summary

• Collaborative and adaptive approaches to self care that are structured and integrated into medical services improve outcomes for many chronic diseases

• Systematic setting of therapeutic goals and monitoring of clinical treatment and outcomes are integral to this approach

• Such an approach to health care will often require changes to the way in which teams and primary and secondary care services interact

Department of Health. The expert patient: a new approach to chronic disease management for the 21st century (www.ohn.gov.uk/ohn/people/ep_report.pdf)

Gibson PG, Coughlan J, Wilson AJ, Abramson M, Bauman A, Hensley MJ, et al.

Self-management education and regular practitioner review for adults with asthma. Cochrane Database Syst Rev 2000;(2): CD001117

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