Case Series in Lifestyle Medicine

Kent, Kevin; Johnson, Jamieson D.; Simeon, Kate; Frates, Elizabeth Pegg

doi:10.1177/1559827616638288

Cited by 13 publications

(9 citation statements)

References 15 publications

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“…One solution could be to engage other team members beyond the physicians to play supportive roles. 44 We have found that various team members are already involved in supporting patient lifestyle interventions in family medicine practices. However, only 70% of physicians are practicing team-based care approaches.…”

Section: Discussionmentioning

confidence: 99%

Incorporating Lifestyle Medicine Into Primary Care Practice: Perceptions and Practices of Family Physicians

Bharati

Kovach

Bonnet

et al. 2022

American Journal of Lifestyle Medicine

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Introduction: Lifestyle medicine (LM) uses therapeutic lifestyle behavior change to address the root causes of chronic diseases. The purpose of this study was to assess family physicians’ perceptions and utilization of LM principles in their primary care practices, as well as identify reported barriers to implementation. Methods: A survey was administered to 5770 family physicians registered with the American Academy of Family Physicians (AAFP). The survey questions assessed the gap between perception and practice of LM core competencies and the 6 domains of LM. Results: The responses from 447 family physicians were included in the study. Respondents’ perceived importance and reported practice was higher for clinical skills compared to the community partnerships and advocacy. There was a substantial gap in the reported comfort with and practice of certain LM domains, such as sleep (47%) and relationships (39.4%). However, LM board-certified physicians had a significantly higher frequency of practice in these domains. The majority of participants identified both difficulty with changing patient behavior (89%) and having limited time (81%) as major barriers to incorporate LM into their practice. Conclusion: Lifestyle medicine concepts resonate strongly with family physicians although gaps exist surrounding engaging in community partnerships, advocacy, and certain domains of LM. This study assesses family physicians’ perceptions and utilization of LM principles in their primary care practices, and identifies reported barriers to implementation.

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Section: Discussionmentioning

confidence: 99%

Incorporating Lifestyle Medicine Into Primary Care Practice: Perceptions and Practices of Family Physicians

Bharati

Kovach

Bonnet

et al. 2022

American Journal of Lifestyle Medicine

View full text Add to dashboard Cite

show abstract

“…10,13,14,24,49,50 Specific to this sample, our previous analysis of this same survey data indicates that 55% of LM practitioners reported frustration at not being able to receive reimbursement for utilizing LM in their practice, as well a lack of support for LM practice from colleagues and administrators. 51 The results of this analysis suggest that the team approach of LM, incorporating dietitians, coaches, exercise physiologists, health educators and others, 52-55 may address feelings of isolation within an ineffective system that respondents in this survey describe as rewarding volume over value. 12,46…”

Section: Discussionmentioning

confidence: 96%

Lifestyle Medicine Practitioners Implementing a Greater Proportion of Lifestyle Medicine Experience Less Burnout

Pollard¹,

Gittelsohn

Patel

et al. 2023

Am J Health Promot

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Purpose To identify reasons for burnout, characterize the effect of lifestyle medicine (LM) practice on burnout, and assess the risk of burnout in relation to the proportion of LM practice. Design Analysis of mixed methods data from a large, cross-sectional survey on LM practice. Setting Web-based survey platform. Participants Members of an LM medical professional society at the time of survey administration. Methods Practitioner members of a medical professional society were recruited to a cross-sectional, online survey. Data were collected on LM practice and experiences with burnout. Free-text data were thematically grouped and counted, and the association of burnout with the proportion of lifestyle-based medical practice was analyzed using logistic regression. Results Of 482 respondents, 58% reported currently feeling burned out, 28% used to feel burned out but no longer do, and 90% reported LM had positively impacted their professional satisfaction. Among LM practitioners surveyed, practicing more LM was associated with a 43% decrease (0.569; 95% CI: 0.384, 0.845; P = 0.0051) in the odds of experiencing burnout. Top reasons for positive impact included professional satisfaction, sense of accomplishment, and meaningfulness (44%); improved patient outcomes and patient satisfaction (26%); enjoyment of teaching/coaching and engaging in relationships (22%); and helps me personally: quality of life and stress (22%). Conclusion Implementing LM as a greater proportion of medical practice was associated with lower likelihood of burnout among LM practitioners. Results suggest that increased feelings of accomplishment due to improved patient outcomes and reduced depersonalization contribute to reduced burnout.

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“…40 Unlike acute conditions, chronic diseases require consistent care and management outside of the healthcare setting, in the community or primary care setting, in terms of medication, lifestyle management, and health behavior modification. [41][42][43][44][45] It is typically a multicomponent intervention that includes medication therapy review, patient medication education, medication monitoring, immunizations, disease self-care and support, and/or prescribing authority. Patients who take multiple medications due to chronic disease have a high risk of drug duplication, interaction, or adverse side effects, which could result in extended hospital stays and higher costs.…”

Section: Introductionmentioning

confidence: 99%

Clinical pharmacists in chronic care

Mohiuddin¹

2020

SUJHS

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Pharmacy practice has changed substantially in recent years. The professionals have the opportunity to contribute directly to patient care in order to reduce morbimortality related to medication use, promoting health and preventing diseases. Healthcare organizations worldwide are under substantial pressure from increasing patient demand. Unfortunately, a cure is not always possible particularly in this era of chronic diseases, and the role of physicians has become limited to controlling and palliating symptoms. The increasing population of patients with long-term conditions are associated with high levels of morbidity, healthcare costs and GP workloads. Clinical pharmacy took over an aspect of medical care that had been partially abandoned by physicians. Overburdened by patient loads and the explosion of new drugs, physicians turned to pharmacists more and more for drug information, especially within institutional settings. Once relegated to counting and pouring, pharmacists headed institutional reviews of drug utilization and served as consultants to all types of health-care facilities. In addition, when clinical pharmacists are active members of the care team, they enhance efficiency by: Providing critical input on medication use and dosing. Working with patients to solve problems with their medications and improve adherence.

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Case Series in Lifestyle Medicine

Cited by 13 publications

References 15 publications

Incorporating Lifestyle Medicine Into Primary Care Practice: Perceptions and Practices of Family Physicians

Incorporating Lifestyle Medicine Into Primary Care Practice: Perceptions and Practices of Family Physicians

Lifestyle Medicine Practitioners Implementing a Greater Proportion of Lifestyle Medicine Experience Less Burnout

Clinical pharmacists in chronic care

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