Doucet Karina, D'Angelo Nicholas
HCA Florida Orange Park Hospital, Orange Park, FL.
HCA Healthc J Med. 2024 Jun 1;5(3):191-194. doi: 10.36518/2689-0216.1816. eCollection 2024.
Description Burnout is a prevalent and expensive problem in the US, and the National Plan For Health Workforce Well-Being included a goal to institutionalize well-being as a long-term value. Lifestyle Medicine (LM), an evidence-based practice using behavioral interventions to treat, prevent, and reverse certain chronic conditions, can achieve this goal. Implementing small changes in the workplace that support lifestyle medicine has a butterfly effect on both workplace and community well-being. Furthermore, the health of health care workers (HCWs) and patients improves, and health care costs decrease. This can be done with LM wellness programs or LM training for HCWs. LM wellness programs help the individual HCWs' and patients' well-being through the implementation of the 6 pillars of lifestyle medicine (nutrition, diet, stress reduction, social connection, avoiding/reducing toxins, restorative sleep) on an institutional level. LM initiatives, like LM training, help HCWs and their patients embark on this journey of optimal well-being, disease prevention, treatment, or reversal. Aligning policies to support evidence-based lifestyle changes that improve mood and stress reduction would support restorative rest, leaving HCWs less drained and allowing for more energy to be spent devoted to other lifestyle pillars. The Lifestyle Medicine Residency Curriculum is an example of an LM training program that leads to successful lifestyle change in residents' lives, improving their ability to coach patients. Finally, health care delivery that supports lifestyle medicine, such as shared medical appointments, is in alignment with the trend towards a value-based system for the improvement of public health.
描述
职业倦怠在美国是一个普遍且代价高昂的问题，《国家卫生人力福祉计划》纳入了一项将福祉作为长期价值观制度化的目标。生活方式医学（LM）是一种基于证据的实践，运用行为干预来治疗、预防和逆转某些慢性疾病，能够实现这一目标。在工作场所实施支持生活方式医学的微小改变，会对工作场所和社区福祉产生连锁反应。此外，医护人员（HCWs）和患者的健康状况会得到改善，医疗成本也会降低。这可以通过生活方式医学健康计划或对医护人员进行生活方式医学培训来实现。生活方式医学健康计划通过在机构层面实施生活方式医学的六大支柱（营养、饮食、减压、社交联系、避免/减少毒素、恢复性睡眠）来帮助个体医护人员和患者的福祉。生活方式医学倡议，如生活方式医学培训，帮助医护人员及其患者踏上通往最佳福祉、疾病预防、治疗或逆转的旅程。调整政策以支持基于证据的生活方式改变，从而改善情绪和减轻压力，将有助于恢复性休息，使医护人员不那么疲惫，并有更多精力投入到其他生活方式支柱上。生活方式医学住院医师课程就是一个生活方式医学培训项目的例子，它能使住院医师的生活实现成功的生活方式改变，提高他们指导患者的能力。最后，支持生活方式医学的医疗服务，如共享医疗预约，与基于价值的公共卫生改善体系趋势相一致。
