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Advancing patient-centered care: moving from outcome-based to risk factor-based models using the big four risk factors

This article reimagines the health care system to focus on risk factors rather than outcomes in order to improve patient-centered care and reduce health care expenditure. Patient-centered care has been a global priority since 2001 when the Institute of Medicine declared it an essential aim for healt...

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Autor principal: Yudkin, Joshua S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Organización Panamericana de la Salud 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9595225/
https://www.ncbi.nlm.nih.gov/pubmed/36320208
http://dx.doi.org/10.26633/RPSP.2022.162
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author Yudkin, Joshua S.
author_facet Yudkin, Joshua S.
author_sort Yudkin, Joshua S.
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description This article reimagines the health care system to focus on risk factors rather than outcomes in order to improve patient-centered care and reduce health care expenditure. Patient-centered care has been a global priority since 2001 when the Institute of Medicine declared it an essential aim for health care systems. As part of this discussion and to help facilitate this change, the concept of the big four risk factors – diet and nutrition; physical activity; smoking and tobacco use; and excessive alcohol consumption – is introduced in the context of the Americas from which it originates. Using peer-reviewed literature, health policy guidelines, theories, frameworks, and transdisciplinary implementation science strategies, this article explains how public health research and medical centers are set up in terms of disease, or outcome, rather than risk factor, or exposure. It suggests how moving from outcome-based health care models to focus on prevention using the big four risk factors will lead to better patient-centered care and health outcomes. Transdisciplinary research and complexity science, a framework largely developed and tested in Latin America, are recommended to facilitate this change and develop multicomponent, multistakeholder action and cooperation. Future research should pilot the proposed changes at various health-system levels and in different settings and report on the outcomes of implementation to assess effectiveness and improve translation of research, perhaps using the standardized RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) evaluation framework.
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spelling pubmed-95952252022-10-31 Advancing patient-centered care: moving from outcome-based to risk factor-based models using the big four risk factors Yudkin, Joshua S. Rev Panam Salud Publica Opinion and Analysis This article reimagines the health care system to focus on risk factors rather than outcomes in order to improve patient-centered care and reduce health care expenditure. Patient-centered care has been a global priority since 2001 when the Institute of Medicine declared it an essential aim for health care systems. As part of this discussion and to help facilitate this change, the concept of the big four risk factors – diet and nutrition; physical activity; smoking and tobacco use; and excessive alcohol consumption – is introduced in the context of the Americas from which it originates. Using peer-reviewed literature, health policy guidelines, theories, frameworks, and transdisciplinary implementation science strategies, this article explains how public health research and medical centers are set up in terms of disease, or outcome, rather than risk factor, or exposure. It suggests how moving from outcome-based health care models to focus on prevention using the big four risk factors will lead to better patient-centered care and health outcomes. Transdisciplinary research and complexity science, a framework largely developed and tested in Latin America, are recommended to facilitate this change and develop multicomponent, multistakeholder action and cooperation. Future research should pilot the proposed changes at various health-system levels and in different settings and report on the outcomes of implementation to assess effectiveness and improve translation of research, perhaps using the standardized RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) evaluation framework. Organización Panamericana de la Salud 2022-10-25 /pmc/articles/PMC9595225/ /pubmed/36320208 http://dx.doi.org/10.26633/RPSP.2022.162 Text en https://creativecommons.org/licenses/by-nc-nd/3.0/us/This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. No modifications or commercial use of this article are permitted. In any reproduction of this article there should not be any suggestion that PAHO or this article endorse any specific organization or products. The use of the PAHO logo is not permitted. This notice should be preserved along with the article’s original URL. Open access logo and text by PLoS, under the Creative Commons Attribution-Share Alike 3.0 Unported license.
spellingShingle Opinion and Analysis
Yudkin, Joshua S.
Advancing patient-centered care: moving from outcome-based to risk factor-based models using the big four risk factors
title Advancing patient-centered care: moving from outcome-based to risk factor-based models using the big four risk factors
title_full Advancing patient-centered care: moving from outcome-based to risk factor-based models using the big four risk factors
title_fullStr Advancing patient-centered care: moving from outcome-based to risk factor-based models using the big four risk factors
title_full_unstemmed Advancing patient-centered care: moving from outcome-based to risk factor-based models using the big four risk factors
title_short Advancing patient-centered care: moving from outcome-based to risk factor-based models using the big four risk factors
title_sort advancing patient-centered care: moving from outcome-based to risk factor-based models using the big four risk factors
topic Opinion and Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9595225/
https://www.ncbi.nlm.nih.gov/pubmed/36320208
http://dx.doi.org/10.26633/RPSP.2022.162
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