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

Autor:	Mold JW; From the University of Oklahoma Health Sciences Center, Chapel Hill, NC (JWM); Division of General Medicine and Clinical Epidemiology, University of North Carolina School of Medicine, Chapel Hill, (DAD); Internal Medicine and Medical Informatics, University of Oklahoma-Tulsa School of Community Medicine, Tulsa (FDD). jameswmold@gmail.com., DeWalt DA; From the University of Oklahoma Health Sciences Center, Chapel Hill, NC (JWM); Division of General Medicine and Clinical Epidemiology, University of North Carolina School of Medicine, Chapel Hill, (DAD); Internal Medicine and Medical Informatics, University of Oklahoma-Tulsa School of Community Medicine, Tulsa (FDD)., Duffy FD; From the University of Oklahoma Health Sciences Center, Chapel Hill, NC (JWM); Division of General Medicine and Clinical Epidemiology, University of North Carolina School of Medicine, Chapel Hill, (DAD); Internal Medicine and Medical Informatics, University of Oklahoma-Tulsa School of Community Medicine, Tulsa (FDD).
Jazyk:	angličtina
Zdroj:	Journal of the American Board of Family Medicine : JABFM [J Am Board Fam Med] 2023 Apr 03; Vol. 36 (2), pp. 333-338. Date of Electronic Publication: 2023 Mar 03.
DOI:	10.3122/jabfm.2022.220283R1
Abstrakt:	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. Competing Interests: Conflict of interest: JWM has published two books on the subject of goal-oriented care from which he receives income. (© Copyright by the American Board of Family Medicine.)
Databáze:	MEDLINE
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