Interventions in Clinical Settings

摘要: Clinicians are uniquely well-positioned to promote health behavior change. Patients view their physicians as trusted sources of information (Cohen, et al., 1994; Gerbert, 1991; Glynn 1990) and generally accept promotion disease prevention part professional role (Gemson Makadon Silin, 1995). The doctor-patient conversation is a “teachable moment” during which the patient may be particularly receptive discussing strategies for maintaining or improving his her (Barzilai 2001). Indeed, there ample evidence that even brief intervention initiated by doctor can produce significant change (Calfas 1998; Nawaz al.,1999; U.S. Department Health Human Services, 2000; Preventive Services Task Force, 1996). Nonetheless, engage in low rates counseling (CDC, 1997; Metsch 2004; al. 1999, 2000). risk behaviors have greatest impact on public health, such tobacco, recreational drugs, alcohol use, addressed fewer than 50% cases physician-delivered would appropriate (Coffield Some disincentives physiciandelivered interventions, fact activities not reimbursable insurance possibly insurmountable (Makadon Other barriers, time constraints lack specialized training, been