Integrating evidence-based clinical and community strategies to improve health.
Multiple and diverse preventive strategies in clinical and community settings are necessary to improve health. This paper (1) introduces evidence-based recommendations from the U.S. Preventive Services Task Force sponsored by the Agency for Healthcare Research and Quality and the Community Task Force sponsored by the Centers for Disease Control and Prevention, (2) examines, using a social-ecologic model, the evidence-based strategies for use in clinical and community settings to address preventable health-related problems such as tobacco use and obesity, and (3) advocates for prioritization and integration of clinical and community preventive strategies in the planning of programs and policy development, calling for additional research to develop the strategies and systems needed to integrate them.
Ockene
Judith K
JK
Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA. Judith.Ockene@umassmed.edu
Edgerton
Elizabeth A
EA
Teutsch
Steven M
SM
Marion
Lucy N
LN
Miller
Therese
T
Genevro
Janice L
JL
Loveland-Cherry
Carol J
CJ
Fielding
Jonathan E
JE
Briss
Peter A
PA
D002487:Centers for Disease Control and Prevention, U.S.; D018672:Community Health Planning / Q000458:organization & administration*; D003153:Community Health Services; D004463:Ecology; D019317:Evidence-Based Medicine; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D009765:Obesity / Q000517:prevention & control; D011315:Preventive Medicine / Q000639:trends*; D016730:Program Development; D014029:Tobacco Use Disorder / Q000517:prevention & control; D014481:United States; D014492:United States Public Health Service