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Vanmeerbeek M, Mathonet J, Miermans MC, et al. Prévention et promotion de la santé : quels modèles pour soutenir l'évolution des pratiques en soins de santé primaires ? [Preventive health care and health promotion: Which models for supporting the evolution of clinical practice in primary health care?]. Presse Med. 2015;44(6):e211-20doi: 10.1016/j.lpm.2014.09.027.
Vanmeerbeek, M., Mathonet, J., Miermans, M. C., Lenoir, A. L., & Vandoorne, C. (2015). Prévention et promotion de la santé : quels modèles pour soutenir l'évolution des pratiques en soins de santé primaires ? [Preventive health care and health promotion: Which models for supporting the evolution of clinical practice in primary health care?]. Presse medicale (Paris, France : 1983), 44(6), e211-20. https://doi.org/10.1016/j.lpm.2014.09.027
Vanmeerbeek, Marc, et al. "Prévention et promotion de la santé : quels modèles pour soutenir l'évolution des pratiques en soins de santé primaires ?" [Preventive health care and health promotion: Which models for supporting the evolution of clinical practice in primary health care?]. Presse medicale (Paris, France : 1983) vol. 44,6 (2015): e211-20. doi: https://doi.org/10.1016/j.lpm.2014.09.027
Vanmeerbeek M, Mathonet J, Miermans MC, Lenoir AL, Vandoorne C. Prévention et promotion de la santé : quels modèles pour soutenir l'évolution des pratiques en soins de santé primaires ? [Preventive health care and health promotion: Which models for supporting the evolution of clinical practice in primary health care?]. Presse Med. 2015 Jun;44(6):e211-20. doi: 10.1016/j.lpm.2014.09.027. Epub 2015 May 02. French. PMID: 25943795.
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Presse Med. 2015 Jun;44(6):e211-20. doi: 10.1016/j.lpm.2014.09.027. Epub 2015 May 02.

[Preventive health care and health promotion: Which models for supporting the evolution of clinical practice in primary health care?].

Presse medicale (Paris, France : 1983)

[Article in French]
Marc Vanmeerbeek, Julien Mathonet, Marie-Christine Miermans, Anne-Laure Lenoir, Chantal Vandoorne

Affiliations

  1. CHU du Sart-Tilman B23, université de Liège, département de médecine générale, 4000 Liège, Belgique. Electronic address: [email protected].
  2. CHU du Sart-Tilman B23, université de Liège, département de médecine générale, 4000 Liège, Belgique.
  3. CHU du Sart-Tilman B23, université de Liège, appui en promotion et en éducation pour la santé, école de santé publique, 4000 Liège, Belgique.

PMID: 25943795 DOI: 10.1016/j.lpm.2014.09.027

Abstract

OBJECTIVES: Published operating models about preventive health care and health promotion in primary care were sought with the aim of (1) compiling a functional inventory; and (2) to formulate working hypotheses for the improvement of clinical practice towards more efficiency and more equity.

METHODS: Narrative literature review, using keywords related to the various prevention classes, health promotion, primary care, practice models and health care delivery. The diversity of models led to a multi-criteria analysis.

RESULTS: Twelve models were selected. Their characteristics were unevenly distributed. The models, whose authors announce that they apply to prevention, mainly describe approaches that focus on individuals within physician-patient relationship, and take into account practice organization. Some socio-ecological and systems models illustrate health promotion: educational practice, group- or population-based targets, community environment and social determinants of health. There is little room for patients in elaborating the models, as they have little role in health care systems. The definitions of prevention, health promotion and patient education greatly differ from one model to another.

DISCUSSION: Little is known about practical implementation of the models; assessment data are scarce. Some elements valued by health promotion could be integrated to health care: empowerment of citizens, addressing community environment; increased involvement in local health professionals' networks; integration of individual and collective approaches within the same health care facilities to address simultaneously individual customization, efficiency and equity objectives. These developments may call for adaptation in vocational training and continuous professional development: communication skills, awareness to public health concepts, and early and longitudinal exposure to community-based learning experiences for students.

Copyright © 2015. Published by Elsevier Masson SAS.

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