In Reply: Both of these letters reaffirm that
patient self-management is a critical part, but only a part, of good chronic
care. We see the systems approach to diabetes management fostered by Dr Etzwiler
as a historical precursor to the chronic care model. The human immunodeficiency
virus and acquired immunodeficiency syndrome experience of Dr Rukeyser and
colleagues is a stirring example of the potential of the activated patient.
Bodenheimer T. Self-management of Chronic Disease—ReplySelf-management of Chronic Disease—Reply. JAMA. 2003;289(12):1509. doi:10.1001/jama.289.12.1509-a
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