title: Health promotion in a shrinking military: the call for structural integration and a conceptual systems approach.
abstract: The evolution of health promotion in the military is reviewed and contrasted with developments in private sector activities. Programs in both arenas generally take a mechanistic, mortality and risk factor-based approach which targets lifestyle and behavioral change. In the military, that has resulted in a fragmentation of function and perception in the line and medical communities about health promotion. A "world view" model and a conceptual systems approach to health promotion are presented in which human resources, occupational health, life-style, and health benefits programs are integrated to achieve efficiencies in program management, decreased mortality, and reduced medical care costs.
authors.affiliation: Uniformed Services University of the Health Sciences.
authors.forename: B S
authors.initials: BS
authors.lastname: Collins
authors.forename: S H
authors.initials: SH
authors.lastname: Custis
mesh_terms: D006293:Health Promotion; D006801:Humans; D008887:Military Medicine; D014481:United States