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Rethinking Prevention in Primary Care: Applying the Chronic Care Model to Address Health Risk Behaviors
- Source :
- Milbank Quarterly. 85:69-91
- Publication Year :
- 2007
- Publisher :
- Wiley, 2007.
-
Abstract
- This study examines the Chronic Care Model (CCM) as a framework for preventing health risk behaviors such as tobacco use, risky drinking, unhealthy dietary patterns, and physical inactivity. Data were obtained from primary care practices participating in a national health promotion initiative sponsored by the Robert Wood Johnson Foundation. Practices owned by a hospital health system and exhibiting a culture of quality improvement were more likely to offer recommended services such as health risk assessment, behavioral counseling, and referral to community-based programs. Practices that had a multispecialty physician staff and staff dieticians, decision support in the form of point-of-care reminders and clinical staff meetings, and clinical information systems such as electronic medical records were also more likely to offer recommended services. Adaptation of the CCM for preventive purposes may offer a useful framework for addressing important health risk behaviors.
- Subjects :
- Chronic care
medicine.medical_specialty
Quality management
Health risk assessment
Referral
business.industry
Health Policy
Medical record
media_common.quotation_subject
Public Health, Environmental and Occupational Health
Promotion (rank)
Health promotion
Nursing
Family medicine
Health care
Medicine
business
media_common
Subjects
Details
- ISSN :
- 0887378X
- Volume :
- 85
- Database :
- OpenAIRE
- Journal :
- Milbank Quarterly
- Accession number :
- edsair.doi...........9d51d339e1d1911e286cec3804bc55ad