A majority of the US adult population has one or more chronic conditions that require medical intervention and long-term self-management. Such conditions are among the 10 leading causes of mortality; an estimated 86% of the nation's $2.7 trillion in annual health care expenditures goes toward their treatment and management. Patient self-management of chronic diseases is increasingly essential to improve health behaviors, health outcomes, and quality of life and, in some cases, has demonstrated effectiveness for reducing health care utilization and the societal cost burden of chronic conditions. This review synthesizes the current state of the science of chronic disease self-management interventions and the evidence for their effectiveness, especially when applied with a systematic application of theories or models that account for a wide range of influences on behavior. Our analysis of selected outcomes from randomized controlled trials of chronic disease self-management interventions contained in 10 Cochrane systematic reviews provides additional evidence to demonstrate that self-management can improve quality of life and reduce utilization across several conditions.

中文翻译：

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支持慢性疾病行为自我管理的干预措施。

美国大多数成年人患有一种或多种慢性病，需要医疗干预和长期自我管理。这种状况是造成死亡的十大主要原因之一。据估计，美国每年2.7万亿美元的医疗保健支出中有86％用于治疗和管理。慢性疾病的患者自我管理对于改善健康行为，健康结局和生活质量越来越重要，并且在某些情况下，已证明可有效减少慢性病的医疗保健利用率和社会成本负担。这篇综述综合了慢性病自我管理干预措施的科学现状以及其有效性的证据，尤其是在系统地应用理论或模型的情况下，这些理论或模型对行为产生了广泛的影响。我们对10份Cochrane系统评价中所包含的慢性病自我管理干预措施的随机对照试验的部分结果进行的分析，提供了更多证据证明自我管理可以改善生活质量并降低多种情况下的利用率。