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March 26, 2003

Self-management of Chronic Disease

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(12):1508-1509. doi:10.1001/jama.289.12.1508-a

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.