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Conclusions An intervention to enhance self management support in routine primary care did not add noticeable value to existing care for long term conditions. Primary care is increasingly seen as the optimal context to deliver https://www.amstructures.co.uk care for people with long term conditions because it is accessible, adidas shoes pink and purple
is efficient, and can tackle inequalities related to socioeconomic deprivation.1 2 The chronic care model has been proposed as a guide to organise primary care for patients with long term conditions.3 In UK primary care, features of the model (such as clinical information systems and decision support) have been implemented through the Quality and Outcomes Framework, a pay for performance contract that has improved quality of care.4 Interventions for self management support are https://www.amstructures.co.uk also critical to improving quality of care in the chronic care model.5 6 However, commensurate improvements in self management support have not been prioritised.
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