Cramer Tonya, Rea Brenda
Loma Linda University, Loma Linda, California.
Am J Lifestyle Med. 2018 Apr 2;12(5):425-427. doi: 10.1177/1559827618766487. eCollection 2018 Sep-Oct.
Medical management of chronic health concerns relies heavily on behavioral change, most specifically medication adherence. Yet approximately 50% of patients with chronic illnesses are not thought to take their medications as prescribed. Moreover, it is recognized that lifestyle and behavioral changes can reduce the need for medication. It is well documented that patient outcomes and their success in achieving behavioral change is improved with engagement and support from a medical care team. As the inpatient lifestyle medicine service was being conceptualized at Loma Linda University Health (LLUH), it became apparent that an outpatient service would be necessary for follow-up care of the patients and support the lifestyle medicine treatments initiated in the hospital. Additionally, an outpatient clinic would be available to the patient population at Loma Linda and potentially prevent hospitalizations, morbidity, and mortality with proactive lifestyle medicine treatment. The initial outpatient clinic opened in February 2017 and was soon expanded to meet patient demand. Currently, the LLUH Lifestyle Medicine Outpatient Clinic is available 5 days a week, utilizing 5 physicians.
慢性健康问题的医疗管理在很大程度上依赖于行为改变，尤其是药物依从性。然而，据认为约50%的慢性病患者未按医嘱服药。此外，人们认识到生活方式和行为改变可以减少药物需求。有充分的文献记载，在医疗团队的参与和支持下，患者的治疗效果以及他们在实现行为改变方面的成功率会得到提高。当洛马林达大学健康中心（LLUH）开始构思住院生活方式医学服务时，很明显需要一项门诊服务来对患者进行后续护理，并支持在医院启动的生活方式医学治疗。此外，洛马林达的患者群体可以使用门诊诊所，通过积极的生活方式医学治疗，有可能预防住院、发病和死亡。最初的门诊诊所在2017年2月开业，很快就进行了扩建以满足患者需求。目前，LLUH生活方式医学门诊诊所每周开放5天，有5名医生坐诊。
