A Patient-Centered Outcomes Research Approach to Prevention
Gyasi Moscou-Jackson • Has nothing to disclose. 2
The United States Chronic Disease Burden • 25% of youth and 60% of adults have at least one chronic disease • A large proportion of chronic diseases are preventable • Many chronic diseases are associated with risky behaviors: • tobacco use and exposure to secondhand smoke • poor diet • lack of physical activity • excessive alcohol use • Social and economic disadvantages and vulnerabilities also place individuals at risk 3
What is prevention? • There are many definitions • Definitions usually include “interventions” that aim to: • Reduce the risk of developing a disease in a healthy population • Reduce the severity of a chronic disease in individuals that are diagnosed 4
Levels of Prevention Interventions Adapted from “Neuman, B., & Fawcett, J. (Eds.) (2011). The Neuman systems model (5th ed.). Upper Saddle River, NJ: Pearson. 5
Prevention is the responsibility of everyone, not just patients 6
Philosophy on Chronic Disease Prevention… “ An ounce of prevention is worth a pound of cure.” —Benjamin Franklin. Philadelphia fire, 1736. 7
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