Self-management of osteoarthritis: A culturallyspecific Chronic Care Model for South Asians

Osteoarthritis (OA) is the most common and frequently disabling of the joint disorders. By age 75 years, 85% of the population has either radiographic or clinical evidence of OA. For many people, OA is chronic, progressively painful and impedes mobility and diminishes quality of life. Developing effective programs for managing OA is a health care imperative. The Chronic Care Model is an approach to improving chronic illness care and is based on four pillars: self management, decision supports, delivery system design and information systems. The CCM has been widely tested and found to improve patient care and outcomes (Coleman et al., 2009). Immigration from South Asian (SA) countries has increased ethnic diversity in cities world wide. Family systems, beliefs and values held by immigrants influence their interactions, perceptions and experiences in managing osteoarthritis. The purpose of this paper is to introduce the reader to the South Asian culture and the Chronic Care Model applied to osteoarthritis management. The Chronic Care Model may be a useful tool to guide the planning of culturally appropriate health care services for this population. (C) 2012 Elsevier Ltd. All rights reserved.