1. Cohen, Marya J. MD, MPH
  2. Morton, Suzanne MPH, MBA
  3. Scholle, Sarah Hudson DrPH, MPH
  4. Solberg, Leif I. MD
  5. Kormos, William A. MD, MPH


Innovation in primary care has increased interest in patient self-management techniques; little is known about the methods practices use to support self-management. This study is a survey of small practices, fewer than 5 physicians, with NCQA (National Committee for Quality Assurance) recognition (response rate 59.1%). Main measures include the number and delegation of self-management support activities. Practices reported a high proportion of self-management support activities. Physicians perform most of these activities. Practices that reported receiving training in self-management were more likely to have high self-management support to delegate. Self-management support activities are performed mainly by physicians. Practices that perform more of these activities have more nonindependent health care providers.