A Hybrid Value-Based Lifestyle Medicine Practice Model

Primary care has been shown to significantly decrease the overall cost of a population’s health care while improving the quality of each person’s well-being. Lifestyle medicine (LM) is ideally positioned to be delivered via primary care and has been shown to improve short- and long-term health outcomes of patients and populations. Direct primary care (DPC) represents a viable alternative to the fee-for-service reimbursement model. It has been shown to be economically and financially sustainable. Furthermore, it has the potential to fulfill the Quadruple Aim of health care in the United States. LM practiced in a DPC model has the potential to transform health care delivery. This article will discuss the need for health care systems change, provide an overview of the DPC model, demonstrate a basic understanding of the benefits, and review the steps needed to de-risk the investment of time, money, and resources for our future DPC providers.

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Integrative medicine primary care: assessing the practice model through patients’ experiences

BMC Complementary and Alternative Medicine ◽

10.1186/s12906-017-1996-5 ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 6

Author(s):

Robert L. Crocker ◽

Amy J. Grizzle ◽

Jason T. Hurwitz ◽

Rick A. Rehfeld ◽

Ivo Abraham ◽

...

Keyword(s):

Primary Care ◽

Integrative Medicine ◽

Practice Model

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University of Arizona Andrew Weil Center for Integrative Medicine: Lifestyle Medicine Approaches in an Integrative Primary Care Model

Creating a Lifestyle Medicine Center ◽

10.1007/978-3-030-48088-2_29 ◽

2020 ◽

pp. 335-344

Author(s):

Robert L. Crocker

Keyword(s):

Primary Care ◽

Integrative Medicine ◽

Care Model ◽

Lifestyle Medicine ◽

Primary Care Model ◽

University Of Arizona

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When a Whole Practice Model Is the Intervention: Developing Fidelity Evaluation Components Using Program Theory-Driven Science for an Integrative Medicine Primary Care Clinic

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2013/652047 ◽

2013 ◽

Vol 2013 ◽

pp. 1-11 ◽

Cited By ~ 8

Author(s):

Sally E. Dodds ◽

Patricia M. Herman ◽

Lee Sechrest ◽

Ivo Abraham ◽

Melanie D. Logue ◽

...

Keyword(s):

Primary Care ◽

Integrative Medicine ◽

Practice Theory ◽

Primary Care Clinic ◽

Services Research ◽

Practice Model ◽

Care Clinic ◽

Intervention Integrity ◽

Integrative Health ◽

The University

Integrative medicine (IM) is a clinical paradigm of whole person healthcare that combines appropriate conventional and complementary medicine (CM) treatments. Studies of integrative healthcare systems and theory-driven evaluations of IM practice models need to be undertaken. Two health services research methods can strengthen the validity of IM healthcare studies, practice theory, and fidelity evaluation. The University of Arizona Integrative Health Center (UAIHC) is a membership-supported integrative primary care clinic in Phoenix, AZ. A comparative effectiveness evaluation is being conducted to assess its clinical and cost outcomes. A process evaluation of the clinic’s practice theory components assesses model fidelity for four purposes: (1) as a measure of intervention integrity to determine whether the practice model was delivered as intended; (2) to describe an integrative primary care clinic model as it is being developed and refined; (3) as potential covariates in the outcomes analyses, to assist in interpretation of findings, and for external validity and replication; and (4) to provide feedback for needed corrections and improvements of clinic operations over time. This paper provides a rationale for the use of practice theory and fidelity evaluation in studies of integrative practices and describes the approach and protocol used in fidelity evaluation of the UAIHC.

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Remote Pharmacist Practice Model of Collaboration in Primary Care

Circulation Cardiovascular Quality and Outcomes ◽

10.1161/circoutcomes.118.004801 ◽

2018 ◽

Vol 11 (6) ◽

Author(s):

Glen J. Pearson

Keyword(s):

Primary Care ◽

Practice Model

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Lifestyle Medicine Around the World: Lifestyle Medicine in Israel

American Journal of Lifestyle Medicine ◽

10.1177/1559827619880533 ◽

2019 ◽

Vol 14 (4) ◽

pp. 377-381

Author(s):

Lilach Malatskey ◽

Igal Hekselman ◽

Shani Afek

Keyword(s):

Primary Care ◽

Primary Care Physicians ◽

Medical Profession ◽

Daily Practice ◽

Well Being ◽

The United States ◽

Noncommunicable Disease ◽

Active Member ◽

Health Providers ◽

Lifestyle Medicine

In 2015, the Centers for Disease Control in the United States declared that 7 of 10 deaths per year are caused by chronic diseases; in Israel, the situation is consistent with this assessment. Healthy Israel 2020, an Israeli Ministry of Health initiative, places physicians at the forefront of health promotion and preventive medicine. In 2012, the Israeli Society of Lifestyle Medicine (ISLM) was established under the auspices of the Israel Association for Family Physicians. This decision was taken because we, the authors, wanted to promote change in the primary care services through the recruitment of key leaders for implementation of lifestyle medicine (LM), including improved attitudes, knowledge, motivation, and skills of primary care physicians and health providers. Today, the ISLM is an active member of the Israeli Medical Association, promoting educational activities, physician’s health, and well-being initiatives; developing tools for health-promoting clinics; and more. Our future plans are to incorporate LM as an integral part of daily practice in all sectors of the medical profession in Israel. This is challenging, but we see this as the only way to effectively combat the noncommunicable disease epidemic.

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