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Rethinking Prevention in Primary Care: Applying the Chronic Care Model to Address Health Risk Behaviors
Author(s) -
HUNG DOROTHY Y.,
RUNDALL THOMAS G.,
TALLIA ALFRED F.,
COHEN DEBORAH J.,
HALPIN HELEN ANN,
CRABTREE BENJAMIN F.
Publication year - 2007
Publication title -
the milbank quarterly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 101
eISSN - 1468-0009
pISSN - 0887-378X
DOI - 10.1111/j.1468-0009.2007.00477.x
Subject(s) - medicine , dieticians , referral , health promotion , nursing , primary care , health care , community health , family medicine , public health , economics , economic growth
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.