Wolever Ruth Q, Caldwell Karen L, McKernan Lindsey C, Hillinger Marni G
Department of Physical Medicine and Rehabilitation, Osher Center for Integrative Medicine at Vanderbilt, Vanderbilt University Medical Center, Vanderbilt University School of Nursing, 3401 West End Avenue, Suite 380, Nashville, TN 37203, USA; Department of Psychiatry & Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Department of Human Development and Psychological Counseling, Appalachian State University, 151 College Street, Boone, NC 28608, USA.
Prim Care. 2017 Jun;44(2):229-245. doi: 10.1016/j.pop.2017.02.007.
Until system reforms allow adequate time and reimbursement for primary care providers to focus on lifestyle change to prevent and mitigate chronic disease, primary care providers need a manageable, defined role to support lifestyle change. The authors suggest this role is to serve as a catalyst, priming the patient for change; educating and pointing the patient to appropriate, evidence-based resources for additional guidance and hands-on support; and providing ongoing encouragement throughout the long journey of change while patients work more intensely with health coaches or allied health providers.
在系统改革允许初级保健提供者有足够时间和获得足够补偿以专注于通过改变生活方式来预防和缓解慢性病之前,初级保健提供者需要一个可管理、明确的角色来支持生活方式的改变。作者们认为这个角色是充当催化剂,促使患者做出改变;教育患者并为其指明合适的、基于证据的资源,以便获得更多指导和实际支持;在漫长的改变过程中持续给予鼓励,同时患者与健康教练或专职医疗人员更紧密地合作。