Application of Disease Etiology and Natural History to Prevention in Primary Health Care: A Discourse.


Journal

Medical principles and practice : international journal of the Kuwait University, Health Science Centre
ISSN: 1423-0151
Titre abrégé: Med Princ Pract
Pays: Switzerland
ID NLM: 8901334

Informations de publication

Date de publication:
2020
Historique:
received: 12 12 2019
accepted: 17 05 2020
pubmed: 19 5 2020
medline: 6 10 2021
entrez: 19 5 2020
Statut: ppublish

Résumé

The principles of etiology and natural history of disease are essential to recognizing opportunities for prevention across the illness spectrum. They have a bearing on how illness is experienced, how differently it can be perceived at the time of first contact with the health system, and how it may appear at later stages. Opportunities for prevention arise at every stage in the process, and three main levels are described: primary, secondary, and tertiary. Prevention strategies include health promotion focused on determinants, clinical prevention to reduce modifiable risk factors, case finding, screening, and addressing functional outcomes relevant to quality of life; the importance of preventing errors is also recognized. The distinction between incidence effects and treatment effects of prevention is explored. This review also examines the differing roles of language in health science and public communication, aspects of disease classification, related issues in patient-centered care, the prevention paradox, and integrated models of disease prevention.

Identifiants

pubmed: 32422632
pii: 000508718
doi: 10.1159/000508718
pmc: PMC7768156
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

501-513

Informations de copyright

© 2020 The Author(s) Published by S. Karger AG, Basel.

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Auteurs

Franklin White (F)

Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada, fwhite.pacificsci@shaw.ca.
Pacific Health and Development Sciences, Victoria, British Columbia, Canada, fwhite.pacificsci@shaw.ca.

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