Larson Mary
Department of Public Health, North Dakota State University (NDSU), Fargo, ND, USA.
Am J Lifestyle Med. 2024 Dec 1:15598276241303728. doi: 10.1177/15598276241303728.
The Ottawa Charter for Health Promotion, issued by the World Health Organization in 1986, called for several strategies to promote the public's health. One of the strategies was to create health-promoting health services. Over 35 years have passed since the Ottawa Charter was released, since then, efforts to improve health care have been implemented such as the Patient-Centered Medical Home, the Triple Aim, and the Affordable Care Act, yet little has been done to reorient the cultural and physical environment of health care services to one focused on health promotion. In this perspective, the author offers a compelling description of how one primary care clinic, serving an ethnically and economically diverse population, utilized a settings-based approach to design and implement several health-promoting policies, systems, and environmental strategies. This reorientation of a primary care clinic to one that is health-promoting leveraged the clinical specialty of lifestyle medicine as a cornerstone of the settings-based approach.
世界卫生组织于1986年发布的《渥太华促进健康宪章》呼吁采取多种策略来促进公众健康。其中一项策略是创建促进健康的医疗服务。自《渥太华宪章》发布以来，35年已经过去，从那时起，人们已经实施了一些改善医疗保健的举措，如以患者为中心的医疗之家、三重目标和《平价医疗法案》，然而，在将医疗服务的文化和物理环境重新定位为以促进健康为重点方面，几乎没有取得什么进展。从这个角度来看，作者令人信服地描述了一家为不同种族和经济背景的人群服务的初级保健诊所，是如何采用基于环境的方法来设计和实施多项促进健康的政策、系统和环境策略的。这家初级保健诊所向促进健康方向的重新定位，利用了生活方式医学这一临床专业作为基于环境方法的基石。
