International networking: coordinating health promotion strategies with multiple interventions

Although practice variations in medical care is gaining wide attention, practicing physicians in the U.S. who were surveyed found time commitments and inadequate reimbursement were major barriers to recommending preventive procedures and advice to their patients. Those internists in the Pulmonary Disease Clinical specialty area are reported to have included patient counseling during thirty percent of all patient encounters during the study period. The comprehensive effects of health promotion interventions are recognised only as those practiced by populations independent of physicians' intervention. The health and population status reports for Singapore and the U.S.A. are presented. Green's health promotion evaluation model provides a process for inquiry, efficacy, and evaluation outcomes for health promotion strategies and programs. Resources and international networking are presented representing those within the University of North Carolina at Chapel Hill, U.S.A.