Browse > Article
http://dx.doi.org/10.14367/kjhep.2014.31.4.63

The Applicability of the United States' Chronic Disease Self-Management Program (CDSMP) to Korean Adults  

Ahn, SangNam (Division of Health Systems Management & Policy, School of Public Health, The University of Memphis)
Kim, Keon Yeop (Department of Preventive Medicine, School of Medicine, Kyungpook National University)
Ory, Marcia G. (Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M Health Science Center)
Na, Yoon Joo (Department of Nursing, Graduate School of Kyungpook National University)
Kim, Ki Su (Department of Preventive Medicine, School of Medicine, Kyungpook National University)
Publication Information
Korean Journal of Health Education and Promotion / v.31, no.4, 2014 , pp. 63-72 More about this Journal
Abstract
Objectives: The current study reviews the implementation and evaluation of the Chronic Disease Self-Management Program (CDSMP) in the United States (U.S.) to illustrate the program's potential contribution to improving health among Korean adults with chronic conditions while saving healthcare costs. Methods: This study examines existing literature on the history, theoretical background, essential elements, and delivery outcomes of CDSMP with special focus on the successes and challenges to be faced in the implementation of CDSMP to Koreans with chronic conditions. Results: CDSMP is designed to empower people with chronic conditions to develop skills necessary for medical, social role, and emotional management of chronic conditions. Recent studies show the utility of CDSMP in achieving the Triple Aim health reform goals (i.e., better care, better health, better value). Lessons learned from the U.S. experience emphasize the importance of establishing evidence-based studies, collaborating with community partners, and diversifying funding sources to make CDSMP more sustainable. Conclusion: The current study demonstrates the replicability of CDSMP and potential for expansion in Korea. More concerted efforts among academia, government, and communities are needed to deliver CDSMP to Korean adults and identify its effectiveness within the Korean context in terms of meeting the Triple Aim goals of better care, better health, and better value.
Keywords
Chronic disease; Chronic Disease Self-Management Program (CDSMP); Triple Aim; Program delivery; Healthcare cost savings;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Kim, H. S., Yoon S. J., Lee, K. S., Kim, H. S., Oh, S. W., Ryu, H. S., Choo, J. A., Lee, K. H., Ryu, B. W., Lee, D. O., and Park, D. R. (2011). Effects of a self-management program for metabolic syndrome: a metabolic syndrome management program in Seoul. Korean Journal of Health Education and Promotion, 28(2), 51-62.   과학기술학회마을
2 Korea Centers for Disease Control & Prevention. (2013). 2012 Korea national health & nutrition examination survey. Seoul, Korea; Author.
3 Korea Institute for Health and Social Affairs. (2013). A study on the effective chronic disease management. Seoul, Korea; Author.
4 Bandura, A. (1991). Social cognitive theory of self-regulation. Organizational behavior and human decision processes, 50(2), 248-287.   DOI
5 World Health Organization. (2014). Noncommunicable diseases country profiles 2014. Retrieved from http://apps.who.int/iris/bitstream/10665/128038/1/9789241507509_eng.pdf
6 Park, N. H. (2003). The effects of a self-help program for hypertensives in community area. Korean Journal of Health Education and Promotion, 20(3), 207-219.
7 U.S. Department of Health and Human Services Administration on Aging. (2012). ARRA-Communities Putting Prevention to Work: Chronic Disease Self-Management Program. Retrieved from http://www.cfda.gov/?s=program&mode=form&tab=step1&id=5469a61f2c5f25cf3984fc3b94051b5f
8 Wagner, E. H. (1998). Chronic disease management: What will it take to improve care for chronic illness?. Effective Clinical Practice, 1(1), 2-4.
9 World Health Organization. (2002). Innovative Care for Chronic Conditions: building blocks for action: global report. Retrieved from http://www.who.int/chp/knowledge/publications/icccglobalreport.pdf?ua=1.
10 World Health Organization. (2013). Global action plan for the prevention and control of noncommunicable diseases 2013-2020. Retrieved from http://apps.who.int/iris/bitstream/10665/94384/1/9789241506236_eng.pdf
11 Yoo, H. R., & Park, J. W. (2005). A chronic disease self-management program for the elderly in Korea. Journal of Korean Academy of Community Health Nursing, 16(4), 404-414.   과학기술학회마을
12 Oh, D. K., Lee, H. S., Yim, J., Cheong, W., & Youn, M. K. (2012). The effect of health point system on health-related lifestyle. Journal of East-West Nursing Research, 18(1): 25-30.   과학기술학회마을
13 Lorig, K. R., Sobel, D. S., Stewart, A. L., Brown Jr, B. W., Ritter, P., Gonzalez V. M., Laurent D. D., & Holman, H. R. (1999d). Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. Medical Care, 37(1), 5-14.   DOI   ScienceOn
14 McKenna, M. & Collins, J. (2010). Current issues and challenges in chronic disease control. IN: Remington PL, Brownson R, Wegner MV (Eds). Chronic Disease Epidemiology and Control (3rd Ed). Washington, DC : American Public Health Association,
15 Ministry of Health & Welfare. (2013). The result of 2012 community health survey. Retrieved from http://www.mw.go.kr/front_new/al/sal0301ls.jsp?PAR_MENU_ID=04&MENU_ID=0403&
16 Oh, I. H., Yoon, S. J., & Kim E. J. (2011). The burden of disease in Korea. Journal of the Korean Medical Association, 54(6), 646-652.   DOI   ScienceOn
17 Ory, M. G., Ahn, S., Jiang, L., Lorig, K. R., Ritter, P., Laurent, D. D., Whitelaw N., & Smith, M. L. (2013a). National study of chronic disease self-management six-month outcome findings. Journal of Aging and Health, 25(7), 1258-1274.   DOI   ScienceOn
18 Ory, M. G., Ahn, S., Jiang, L., Smith, M. L., Ritter, P., Whitelaw, N., & Lorig, K. (2013b). Successes of a national study of the chronic disease self-management program: meeting the triple aim of health care reform. Medical Care, 51(11), 992-998.   DOI   ScienceOn
19 Kulinski, K., Smith, M. L., & Ory, M. G. (2014). The Chronic Disease Self-Management Program: Process, Organization, and Data Collection. National Council on Aging. Washington, DC.
20 Ory, M. G., Smith, M. L., Patton, K., Lorig, K., Zenker, W., & Whitelaw, N. (2013c). Self-management at the tipping Point: Reaching 100,000 Americans with Evidence-Based Programs. Journal of the American Geriatrics Society, 61(5), 821-823.   DOI   ScienceOn
21 Lee, H. J., Lee, J. J., Hwang, T. Y., & Kam, S. (2012). Development and evaluation of a community staged education program for the cardiocerebrovascular disease high-risk patients. Journal of Agricultural Medicine and Community Health, 37(3), 167-180.   DOI   ScienceOn
22 Lorig, K. R., & Holman, H. R. (2003). Self-management education: history, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26(1), 1-7.
23 Lorig, K. R., Holman, H. R., Sobel, D., Laurent, D., Gonzalez, V., & Minor, M. (2006a). Living a Healthy Life with Chronic Conditions: Self Management of Heart Disease, Arthritis, Diabetes, Asthma, Bronchitis, Emphysema and others (3rd ed.). Boulder, CO: Bull Publishing Company.
24 Lorig, K. R., Holman, H. R., Sobel, D., Laurent, D., Gonzalez, V., & Minor, M. (2012b). Living a Healthy Life with Chronic Conditions: Self-Management of Heart Disease, Arthritis, Diabetes, Depression, Asthma, Bronchitis, Emphysema and Other Physical and Mental Health Conditions (4th ed.). Boulder, CO: Bull Publishing Company.
25 Lorig, K. R., Hurwicz, M. L, Sobel, D,, Hobbs, M. & Ritter, P. L. (2005). A national dissemination of an evidence-based self-management program: a process evaluation study. Patient Eduction and Counseling, 59(1), 69-79.   DOI   ScienceOn
26 Glanz, K., Rimer, B. K., & Viswanath, K. (2008). Health behavior and health education: Theory, research, and practice. SanFrancisco, CA: Jossey-Bass.
27 Lorig, K. R., Ritter, P. L., & Jacquez, A. (2005). Outcomes of border health Spanish/English chronic disease self-management programs. The Diabetes Educator, 31(3), 401-409.   DOI
28 Lorig, K. R., Ritter, P., Stewart, A. L., Sobel, D. S., Brown Jr, B. W., Bandura, A., Gonzalez V. M., Laurent D. D., & Holman, H. R. (2001c). Chronic disease self-management program: 2-year health status and health care utilization outcomes. Medical Care, 39(11), 1217-1223.   DOI   ScienceOn
29 Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: care, health, and cost. Health Affairs, 27(3), 759-769. doi:10.1377/hlthaff.27.3.759   DOI   ScienceOn
30 Gyeongsangbukdo. (2014). Hypertension & DM Self-Management Program. Retrieved from http://www.ilovegb.kr/page.php?mnu_uid=96&
31 Institute of Medicine. (2012). Living well with chronic illness: A call for public health action. Washington, DC: The National Academies Press.
32 Kim, E. Y., & So, A. Y. (2009). The effect of a community-based selp-help management program for patients with diabetes mellitus. Journal of Korean Academy of Community Health Nursing, 20(3), 307-315.   과학기술학회마을
33 Ahn, S., Basu, R., Smith, M. L., Jiang, L., Lorig, K., Whitelaw, N., & Ory, M. G. (2013). The impact of chronic disease self-management programs: healthcare savings through a community-based intervention. BMC Public Health, 13(1), 1141. doi:10.1186/1471-2458-13-1141   DOI   ScienceOn
34 Ahn, S., Smith, M. L., Altpeter, M., Post, L., & Ory, M. G. (2014). Estimating Health Cost Savings Associated with Chronic Disease Self-Management Program(CDSMP): A New Tool for Program Administrators and Decision Makers. University of Memphis School of Public Health.
35 Park, J. W., Yoo, H. R., & Kwon B, E. (2007). The effects of a self-management program on successful aging. Journal of Korean Academy of Community Health Nursing, 18(4), 513-522.   과학기술학회마을
36 Lorig, K. R., (2014). Chronic Disease Self-Management Program: Insights from the eye of the storm. Stanford University, School of Medicine, Patient Education Research Center. Stanford, CA, USA.