Given that 99.99% of a person's time is spent outside a physician's care, how important is patient activation and a person's ability to self manage?

Self management: Collaborative care and shared decision making are important for determining an effective treatment plan from the outset with a provider. Doing so can improve outcomes by making sure the provider and patient are on the same page and agree on a plan that may include elements of self management. This requires consistent communication by a patient especially when self management is needed. But overall