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Clinician reflections on promotion of healthy behaviors in primary care practice
Flocke, S A ; Crabtree, B F ; Stange, K C .
Afiliação
  • Flocke, S A ; Department of Family Medicine. Case Western Reserve University. Cleveland. United States
  • Stange, K C ; Department of Family Medicine. Case Western Reserve University. Cleveland. United States
Health policy ; 84(2-3): 277-283, Dec. 2007. tab
Artigo em Inglês | CidSaúde - Cidades saudáveis | ID: cid-59964
Biblioteca responsável: BR67.1
Localização: BR67.1
ABSTRACT

OBJECTIVE:

Recommendations to use integrated models for health behavior change abound, however, the translation to practice has been poor. We used stimulated reflections of primary care physicians and nurse practitioners to generate insights about current practices and opportunities for changing how health behavior advice is addressed.

METHOD:

Twenty-one community practicing primary care clinicians invited to a nationally sponsored practice-based research network conference on promotion of healthy behaviors were asked to record aspects of health behaviors they addressed during a day of outpatient visits. In response to eight questions, clinicians reflected insights which were then analyzed by a multidisciplinary team to identify over-arching themes.

RESULTS:

Health behavior discussions are initiated and carried out predominantly by the clinician. These discussions occur primarily during health care maintenance visits or visits in which presenting complaints or chronic illnesses can be linked to health behaviors. Clinicians' reflections on viable opportunities for change include different modes of patient education materials such as web-based materials. Suprisingly infrequent were solutions outside of the clinical encounter or strategies that engage other staff or other community partners.

CONCLUSION:

Implementation of the integrated care model as an opportunity to enhance health promotion seems far from the current realities and future vision of even motivated network-based clinicians. (AU)
Assuntos
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Coleções: Bases de dados temática Contexto em Saúde: 11_ODS3_cobertura_universal Tema em saúde: 11_delivery_arrangements Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Atenção Primária à Saúde / Comportamentos Relacionados com a Saúde / Promoção da Saúde Tipo de estudo: Guia de prática clínica Limite: Humanos País/Região como assunto: América do Norte Idioma: Inglês Revista: Health policy Ano de publicação: 2007 Tipo de documento: Artigo Instituição/País de afiliação: Department of Family Medicine/United States
Buscar no Google
Coleções: Bases de dados temática Contexto em Saúde: 11_ODS3_cobertura_universal Tema em saúde: 11_delivery_arrangements Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Atenção Primária à Saúde / Comportamentos Relacionados com a Saúde / Promoção da Saúde Tipo de estudo: Guia de prática clínica Limite: Humanos País/Região como assunto: América do Norte Idioma: Inglês Revista: Health policy Ano de publicação: 2007 Tipo de documento: Artigo Instituição/País de afiliação: Department of Family Medicine/United States
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