The health of individuals occurs within the context of their environment and the other individuals they interact with in the communities they live in, work in and visit. Promoting the health of the public requires multiple strategies aimed at improving the environment, the health knowledge of groups and individuals, maintaining adequate food and water, and reducing the spread of disease. Many d...

The objective of this study was to evaluate the impact on health care utilization and expenditure trends over time of a personalized preventive medicine program delivering individualized care focused on lifestyle behavior modification, disease prevention, and compliance with quality-related metrics. MD-Value in Prevention (MDVIP) is a network of affiliated primary care physicians who utilize a ...

The delivery of prevention services to children and adolescents through traditional healthcare settings is challenging for a variety of reasons. Parent- and community-focused services are typically not reimbursable in traditional medical settings, and personal healthcare services are often designed for acute and chronic medical treatment rather than prevention. To provide preventive services in...

Alberta's abolition of its health regions and the creation of Alberta Health Services in 2008 has integrated previously disparate providers of healthcare services. The long-term benefits of this "second-wave" approach to health systems structuring include lower administrative costs, greater equity of access, improved intraprovincial learning and economies of scale. Some benefits have begun to b...

OBJECTIVE To document the opinions of the users of the Quebec Physicians Health Program (QPHP) about the services they received. DESIGN Mailed questionnaire. SETTING Quebec. PARTICIPANTS A total of 126 physicians who used QPHP services between 1999 and 2004. MAIN OUTCOME MEASURES Users' overall rating of the QPHP services, their opinions about the program, and whether their situations i...

Is happiness good for your health? This common notion is tested in a synthetic analysis of 30 follow-up studies on happiness and longevity. It appears that happiness does not predict longevity in sick populations, but that it does predict longevity among healthy populations So, happiness does not cure illness but it does protect against becoming ill. The effect of happiness on longevity in heal...

background and aims. recent progresses in preventive dentistry and their correct application in many developed countries have remarkably decreased the rate of oro-dental diseases in children and teenagers, while the rate of oro-dental diseases is on the rise among the children in developing countries. the aim of this study was to evaluate the impact of educating school health care instructors b...

Primary health care has an important role in assessing, preventing and managing smoking, hazardous drinking, poor diet and physical inactivity. The 5As (ask, assess, advise/agree, assist and arrange) provide a framework for analysing the steps involved in preventive care and in defining the optimal roles of providers and services at the practice level. There is evidence for the effectiveness of...

From the Medical-Surgical Group, Office of Patient Care Services (R.G.D.), and the Office of Public Health and Environmental Hazards (M.J.H.), Veterans Health Administration, Washington, D.C.; and the Uniformed Services University of the Health Sciences, Bethesda, Md. (D.G.B., H.R.C.). Address reprint requests to Dr. DePalma at the Office of Patient Care Services, Veterans Health Administration...