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Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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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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Models of Health Promotion and Illness Prevention I01:25

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A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
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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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Preventive Healthcare Services01:30

Preventive Healthcare Services

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Related Experiment Video

Updated: May 15, 2025

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Achieving health-promotion practice in primary care using a multifaceted implementation strategy: a non-randomized

Ylva Elisabet Nilsagård1, Daniel Robert Smith2, Fredrik Söderqvist3

  • 1University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, 701 82, Örebro, Sweden. ylva.nilsagard@oru.se.

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Summary

A multifaceted implementation strategy significantly increased health promotion activities in Swedish primary care. This approach improved patient care by enhancing the uptake of evidence-based recommendations.

Keywords:
Change ManagementClinical Practice GuidelinesHealth PromotionHealthy LifestyleImplementation SciencePrimary Health Care

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Area of Science:

  • Public Health
  • Healthcare Implementation Science
  • Primary Care Practice Improvement

Background:

  • Evidence-based recommendations for lifestyle factors (tobacco, alcohol, physical activity, diet) have poor uptake in Swedish primary care.
  • This gap limits the realization of potential patient benefits.
  • A multifaceted implementation strategy was developed to address this issue.

Purpose of the Study:

  • To evaluate the effectiveness of a 12-month multifaceted implementation strategy on health-promotion practices in primary healthcare.
  • To determine if intervention centers would significantly increase and sustain health-promotion practices compared to control centers.

Main Methods:

  • A non-randomized parallel group study compared 5 intervention centers with 5 matched control centers.
  • The intervention involved a 12-month strategy using facilitators and emphasizing leadership responsibility.
  • Medical record data on health-promotion activities and lifestyle screening were collected monthly for two years.

Main Results:

  • Intervention sites showed a statistically significant higher relative uptake rate of health-promotion activities post-implementation compared to pre-implementation.
  • Uptake rates in intervention sites were 1.07 and 2.0 times higher than control sites at 1 and 12 months, respectively.
  • This effect was largely maintained post-intervention, with significant absolute effects observed after 7 months.

Conclusions:

  • The multifaceted implementation strategy was successful in establishing a more health-promoting practice.
  • The findings support the use of such strategies to improve the delivery of evidence-based lifestyle interventions in primary care.
  • The study was registered under ClinicalTrials.gov (NCT04799860).