Population-based health principles in medical and public health practice.
Traditionally, medical education, research, and practice have focused on the care of the individual but an increasing emphasis on the care of populations has raised awareness among academic medical centers, integrated delivery systems, and managed care organizations of the value of embracing population-based health principles. Five principles are relevant in this regard: a community perspective, a clinical epidemiology perspective, evidence-based practice, an emphasis on outcomes, and an emphasis on prevention. This article describes these interrelated concepts together with specific strategies to effect implementation. Widespread awareness and adoption of these principles will have a profound impact on medical and public health education, practice, and ultimately the public's health.
Ibrahim
M A
MA
School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Savitz
L A
LA
Carey
T S
TS
Wagner
E H
EH
D018672:Community Health Planning; D004059:Diffusion of Innovation; D004501:Education, Medical; D019317:Evidence-Based Medicine; D006801:Humans; D008329:Managed Care Programs; D017063:Outcome Assessment, Health Care; D010346:Patient Care Management; D011159:Population Surveillance; D011315:Preventive Medicine; D015980:Public Health Practice / Q000592:standards*; D014481:United States