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A shift in prevalence from infectious to lifestylerelated chronic diseases in developed societies requires a modified approach to clinical management and health policy. The emerging practice of lifestyle medicine draws on existing strategies as well as developing new knowledge, skills, procedures and tools to help manage the modern tsunami of lifes...
Context in source publication
Context 1
... triaging is being used increas- ingly in the UK to speed up the process of consulting with a doctor or appropriate allied health professional. Because health matters relating to lifestyle require more than a cursory 10-minute consultation, screening by phone using a questionnaire similar to the one in Figure 2 enables oth- ers in the medical centre to triage cases into different levels of need or assistance at all stages of the healthcare process. ...
Similar publications
A shift in prevalence from infectious to lifestyle-related chronic diseases in developed societies requires a modified approach to clinical management and health policy. The emerging practice of lifestyle medicine draws on existing strategies as well as developing new knowledge, skills, procedures and tools to help manage the modern tsunami of life...
Citations
... postgraduate training is currently offered in several institutions, and a growing number of texts are now available. 6,[8][9][10] A structure and methodology for lifestyle medicine (explained in detail elsewhere) 7,11 has been outlined under four categories: 1. Epidemiology (the science) 2. Skills (the art) 3. Tools (the materials) 4. Processes (the actions). ...
... In one systematic review, 19 [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] individual clinical visits over one year led to an average of 4-7 kg more weight loss, compared with the control group. If extrapolated to Australia, and assuming an average of 18 consultations lasting 15 minutes at a cost of MBS item number 23, this would cost ~$670 and require 4.5 general practice hours per patient. ...
... postgraduate training is currently offered in several institutions, and a growing number of texts are now available. 6,[8][9][10] A structure and methodology for lifestyle medicine (explained in detail elsewhere) 7,11 has been outlined under four categories: 1. Epidemiology (the science) 2. Skills (the art) 3. Tools (the materials) 4. Processes (the actions). ...
... In one systematic review, 19 [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] individual clinical visits over one year led to an average of 4-7 kg more weight loss, compared with the control group. If extrapolated to Australia, and assuming an average of 18 consultations lasting 15 minutes at a cost of MBS item number 23, this would cost ~$670 and require 4.5 general practice hours per patient. ...
Background:
In 2013, the Australasian Society of Lifestyle Medicine (ASLM) introduced shared medical appointments (SMAs) for managing chronic disease in clinical practice. The popularity of SMAs has increased with the shift towards a Health Care Homes model. Programmed shared medical appointments (PSMAs) are an extension of the standard SMA model, designed to help manage more complex and specific chronic disease issues.
Objective:
The objective of this article is to describe the process of PSMAs and consider their use in primary care.
Discussion:
PSMAs combine sequential medical consultations with peer support and interaction in a semi-structured group education arrangement. SMAs and PSMAs are ideally suited to the Health Care Homes model of clinical care currently proposed by the federal Department of Health. Proof of concept is currently being tested for PSMAs. Conditions suitable for future trials include overweight and obesity, diabetes (including pre-diabetes), cardiovascular diseases, chronic kidney disease, chronic obstructive pulmonary disease or emphysema, chronic pain or arthritis, mild anxiety or depression, perisurgical management and cancer survival.
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