Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Dr Bodenheimer and colleagues1 examined patient self-management education in the
context of the chronic care model that emphasizes the interaction of informed
activated patients and the prepared, proactive practice team.2 Their
presentation of the case of 2 brothers with significant chronic disease, however,
illustrates the primary importance of a prepared, proactive practitioner as
a motivator of effective patient self-management. As illustrated, both brothers
were able to adopt positive self-management behaviors, albeit at different
rates, without the benefit of self-management education.
Rukeyser J, Steinbock C, Agins BD. Self-management of Chronic Disease. JAMA. 2003;289(12):1508-1509. doi:10.1001/jama.289.12.1508-a