Abstract

1 Arthritis Program, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA 2 Healthy Aging Program, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA 3 Rollins School of Public Health, Emory University, Atlanta, GA, USA 4 Epilepsy Program, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA *Correspondence: tob9@cdc.gov

Highlights

  • A PUBLIC HEALTH PRIORITY The Centers for Disease Control and Prevention (CDC) has a longstanding commitment to developing and promoting evidence-based strategies to prevent or delay disease and disability [1, 2]

  • CDC’s National Center for Chronic Disease Prevention and Health Promotion includes among its four priorities efforts to help ensure that “communities support and clinics refer patients to programs that improve management of chronic conditions” [7]

  • The U.S Department of Health and Human Services recognized the importance of self-management support in its framework for addressing multiple chronic conditions (MCC)

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Summary

PUBLIC HEALTH

Chronic disease self-management support occurs at the intersection of public health, clinical healthcare delivery, social services, aging services networks, and other community resources. In this commentary, we provide a public health perspective on self-management support, identify examples of CDC investment in selfmanagement support activities, and discuss potential future directions. AN INTERNATIONAL FOUNDATION FOR UNDERSTANDING Consistent with a public health perspective, we advance an expanded definition of self-management support from the International Framework for Chronic Condition Self-Management Support This definition describes self-management support as a grouping of policies, programs, services, and structures that extend across healthcare, social sectors, and communities to support and improve the way individuals manage their chronic conditions [11].

Advance evidence Improve effectiveness and appropriateness of services
Professional training opportunities Capacity building
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