Health promotion and disease prevention strategies for today's physicians

Am J Med Sci. 2015 Jan;349(1):73-9. doi: 10.1097/MAJ.0000000000000320.


The majority of preventable diseases in both developed and developing countries could be strategically controlled by effectively implementing existing health promotion and disease prevention (HPDP) interventions. An important juncture for the implementation of risk-reduction strategies is the point of interaction between health care providers and patients during their scheduled visits. This article targets strategies for physicians to effectively implement HPDP interventions in a clinical setting. The factors that improve delivery of HPDP interventions are discussed briefly. We subsequently introduce and discuss the conceptual framework for enhanced patient education, which is based on the information-motivation-behavioral skills model and the health belief model. The article also describes an adapted patient-practitioner collaborative model for HPDP. This adapted model may serve as a blueprint for physicians to effectively execute HPDP interventions during clinical encounters. The recommended models and our conceptual frameworks could have limitations which need to be field tested.

MeSH terms

  • Attitude to Health
  • Decision Making
  • Health Promotion*
  • Humans
  • Models, Theoretical*
  • Patient Education as Topic
  • Physician-Patient Relations*
  • Physicians
  • Primary Prevention*