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Related Concept Videos

Methods Of Healthcare Delivery System01:26

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Models of Health Promotion and Illness Prevention I01:25

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Models of Health Promotion and Illness Prevention II01:18

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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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Levels of Health Promotion and Illness Prevention01:26

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
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Implementation is the execution of the nursing care plan developed during the planning phase.
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Principles of Disease Surveillance01:26

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Bridging the "Know-Do" Gaps in Five Non-Communicable Diseases Using a Common Framework Driven by Implementation

James F Donohue1, J Stuart Elborn2, Peter Lansberg3

  • 1UNC School of Medicine, Chapel Hill, NC, USA.

Journal of Healthcare Leadership
|July 7, 2023
PubMed
Summary
This summary is machine-generated.

Non-communicable diseases (NCDs) cause two-thirds of global deaths and share common risk factors. Implementation science offers a framework to bridge the "know-do" gap, reducing NCDs in low- and middle-income countries.

Keywords:
evidence-based practiceshealthcare policiesimplementation scienceknow-do gapsnon-communicable diseases

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Area of Science:

  • Public Health
  • Implementation Science
  • Global Health

Background:

  • Five major non-communicable diseases (NCDs) – cardiovascular diseases, chronic respiratory diseases, diabetes, cancer, and mental health conditions – cause two-thirds of global mortality.
  • These NCDs share common risk factors: tobacco use, unhealthy diets, physical inactivity, alcohol consumption, and air pollution.
  • Low- and middle-income countries (LMICs) bear a disproportionately higher burden of NCDs compared to high-income countries (HICs), exacerbated by socioeconomic and health system disparities.

Purpose of the Study:

  • To review common challenges across five major NCDs.
  • To explain the principles of implementation science for addressing NCDs.
  • To advocate for an evidence-based framework for NCD prevention and management, particularly in LMICs.

Main Methods:

  • Review of common challenges in cardiovascular diseases, chronic respiratory diseases, diabetes, cancer, and mental health conditions.
  • Explanation of implementation science principles and methodologies.
  • Proposal of an evidence-based framework focusing on early detection, prevention, and empowerment.

Main Results:

  • Identified shared challenges and risk factors across five major NCDs.
  • Highlighted the "know-do" gap limiting the effectiveness of NCD interventions, especially in LMICs.
  • Proposed a framework integrating best practices from HICs and LMICs, emphasizing partnership, leadership, and continuing care.

Conclusions:

  • Implementation science provides robust methodologies to evaluate and implement sustainable NCD solutions.
  • An evidence-based, multi-component framework, supported by partnership and leadership, can reduce the burden of NCDs.
  • Transforming the healthcare ecosystem through awareness and aligned policies can make healthcare accessible, affordable, and sustainable, thereby reducing NCDs.