Goal-Oriented Prevention: How to Fit a Square Peg into a Round Hole

Journal of the American Board of Family Medicine: JABFM

article

James W. Mold¹  Darren A. DeWalt²  F. Daniel Duffy³ 

[1]University of Oklahoma Health Sciences Center

[2]Division of General Medicine and Clinical Epidemiology, University of North Carolina School of Medicine

[3]Internal Medicine and Medical Informatics, University of Oklahoma–Tulsa School of Community Medicine

关键词: Chronic Disease;    Clinical Decision-Making;    Clinical Medicine;    Disease Management;    Health Promotion;    Lifestyle;    Patient-Centered Care;    Preventive Care;    Primary Health Care;   

DOI  :  10.3122/jabfm.2022.220283R1

学科分类：过敏症与临床免疫学

来源: The American Board of Family Medicine

【 摘 要 】

Prevention does not fit well within our problem-oriented medical paradigm in which the focus is on curing or ameliorating existing diseases. It is easier and more satisfying to solve existing problems than it is to advise and motivate patients to implement measures to prevent future problems that may or may not occur. Clinician motivation is further diminished by the time required to help people make lifestyle changes, the low reimbursement rate, and the fact that the benefits, if any, are often not apparent for years. Typical patient panel sizes make it difficult to provide all of the recommended disease-oriented preventive services and to also address the social and lifestyle factors that can impact future health problems. One solution to this square peg-round hole mismatch is to focus on the goals, life extension and prevention of future disabilities.

【 授权许可】

CC BY