CDSM Support Models

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ô Introduction

The four models presented in this section of the guide have all been developed from the Case Studies and the associated learnings.

The first model (Self-management support strategies reported in the Case Studies) presented below incorporates all of the strategies that were reported in the case studies. They have been grouped into, or have been classed as coming from, the medical model of health promotion or from one of the five health promotion actions suggested by the 1986 Ottawa Charter.
 
The second model (Self-management support for General Practice) recognises that General Practice is not funded to provide the complete range of self-management support strategies. The model presented is appropriate for the current fee-for-service arrangements. The model is derived from the Case studies listed in the adjacent shaded box and recognises the need for General Practice to:
  •  refer patients for further treatment, education, or support
  •  integrate their service provision with other providers

The third model (Self-management support for Aboriginal Health Services) presents the self-management support that exists within the primary health care, and population health focus, of an Aboriginal Health Service. With clinical teams, and access to fee-for-service payments, Aboriginal Health Services can offer the same model of care as General Practice. However, because they also receive recurrent funding, they can:

The final model  (Supporting the self-management of Diabetes in Aboriginal communities) presents a model of self-management support that was developed by the Elders Ambassador Group of the Port Lincoln Aboriginal community. Case Study 4 reported on the development of the model as an example of community participation in health-related decision making.

The description of the models in this section of the guide assumes that the reader is familiar with the tools and strategies of self-management support, as outlined in Section Two of this guide.

Notes:

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ô A model for the integration of self-management support strategies reported in the Case Studies

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ô Model of self-management support for General Practice
ô Model of self-management support for Aboriginal Health Services
ô Model for supporting the Self-management of diabetes in Aboriginal Communities