TY - JOUR AU - Brady, Teresa J. AU - Sacks, Jeffrey J. AU - Terrillion, Albert J. AU - Colligan, Erin M. PY - 2018 TI - Operationalizing Surveillance of Chronic Disease Self-Management and Self-Management Support T2 - Preventing Chronic Disease JO - Prev Chronic Dis SP - E40 VL - 15 CY - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. N2 - Sixty percent of US adults have at least one chronic condition, and more than 40% have multiple conditions. Self-management (SM) by the individual, along with self-management support (SMS) by others, are nonpharmacological interventions with few side effects that are critical to optimal chronic disease control. Ruiz and colleagues laid the conceptual groundwork for surveillance of SM/SMS at 5 socio-ecological levels (individual, health system, community, policy, and media). We extend that work by proposing operationalized indicators at each socio-ecologic level and suggest that the indicators be embedded in existing surveillance systems at national, state, and local levels. Without a robust measurement system at the population level, we will not know how far we have to go or how far we have come in making SM and SMS a reality. The data can also be used to facilitate planning and service delivery strategies, monitor temporal changes, and stimulate SM/SMS-related research. SN - 1545-1151 UR - https://doi.org/10.5888/pcd15.170475 DO - 10.5888/pcd15.170475 ER - 国产精品久久久久久一级毛片