experts and the patients' role does not extend much beyond reporting on their symptoms and following the "orders" set by health professionals. However, this relationship is moving toward a patient-professional partnership, in which patients play a more significant role in their care. A patient-professional partnership involves collaborative care, in which the physician and patient make decisions together. A patient-professional partnership is also characterized by more education about self-management. Whereas traditionally the physician educates patients by offering information and technical skills, health professionals are now providing self-management education, which includes teaching problem-solving skills (Bodenheimer, Lorig, Holman, & Grumbach, 2002). Other commonly used terms for these two medical models include paternalistic and shared decision making (Elwyn, Edwards, Gwyn, & Grol, 1999). Evidence from clinical trials suggests that interventions teaching such selfmanagement skills are more effective than information-only patient education in improving clinical outcomes, even for patients with multiple chronic conditions (Bodenheimer et al., 2002). An increase in involvement from the patient as compared to the traditional physician-centered medical model has many additional benefits, including reduced costs (