미국 만성질환자가관리프로그램(CDSMP)의 성공 사례와 국내 적용가능성
The Applicability of the United States’ Chronic Disease Self-Management Program (CDSMP) to Korean Adults
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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 chronicconditions while saving healthcare costs. Methods: This study examines existing literature on the history, theoretical background, essentialelements, and delivery outcomes of CDSMP with special focus on the successes and challenges to be faced in the implementation ofCDSMP to Koreans with chronic conditions. Results: CDSMP is designed to empower people with chronic conditions to develop skillsnecessary for medical, social role, and emotional management of chronic conditions. Recent studies show the utility of CDSMP in achievingthe Triple Aim health reform goals (i.e., better care, better health, better value). Lessons learned from the U.S. experience emphasize theimportance of establishing evidence-based studies, collaborating with community partners, and diversifying funding sources to make CDSMPmore sustainable. Conclusion: The current study demonstrates the replicability of CDSMP and potential for expansion in Korea. Moreconcerted efforts among academia, government, and communities are needed to deliver CDSMP to Korean adults and identify itseffectiveness within the Korean context in terms of meeting the Triple Aim goals of better care, better health, and better value.
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 chronicconditions while saving healthcare costs. Methods: This study examines existing literature on the history, theoretical background, essentialelements, and delivery outcomes of CDSMP with special focus on the successes and challenges to be faced in the implementation ofCDSMP to Koreans with chronic conditions. Results: CDSMP is designed to empower people with chronic conditions to develop skillsnecessary for medical, social role, and emotional management of chronic conditions. Recent studies show the utility of CDSMP in achievingthe Triple Aim health reform goals (i.e., better care, better health, better value). Lessons learned from the U.S. experience emphasize theimportance of establishing evidence-based studies, collaborating with community partners, and diversifying funding sources to make CDSMPmore sustainable. Conclusion: The current study demonstrates the replicability of CDSMP and potential for expansion in Korea. Moreconcerted efforts among academia, government, and communities are needed to deliver CDSMP to Korean adults and identify itseffectiveness within the Korean context in terms of meeting the Triple Aim goals of better care, better health, and better value.
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