Primary Health Care: Potential Home for Family-Focused Preventive Interventions.
Primary Health Care: Potential Home for Family-Focused Preventive Interventions.
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DOI：
10.1016/j.amepre.2016.05.014
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发表时间：
2016-10
影响因子：
5.5
通讯作者：
Beardslee W
中科院分区：
文献类型：
--
作者：
Leslie LK;Mehus CJ;Hawkins JD;Boat T;McCabe MA;Barkin S;Perrin EC;Metzler CW;Prado G;Tait VF;Brown R;Beardslee W
以家庭为重点的预防计划已被证明可以有效地减少一系列负面的行为健康结果，但影响范围有限。必须克服三个关键障碍，以扩大以家庭为重点的预防方案的覆盖面，从而实现重大的公共卫生影响。这些障碍是：（1）当前的社会规范和对育儿计划的看法;（2）对赞助组织提供育儿建议的专业知识和合法性的担忧;（3）缺乏稳定，可持续的资金机制。初级保健机构有能力克服这些障碍。最近的变化，在卫生保健的初级保健设置越来越有利于家庭为重点的预防，并建议可持续资助家庭为重点的预防方案的可能性。本文讨论了现有的优势，初级保健设置，并制定了一个计划，以实现潜在的公共卫生影响，以家庭为中心的预防，通过广泛实施的初级保健设置。
Family-focused prevention programs have been shown to effectively reduce a range of negative behavioral health outcomes but have had limited reach. Three key barriers must be overcome to expand the reach of family-focused prevention programs and thereby achieve a significant public health impact. These barriers are: (1) current social norms and perceptions of parenting programs; (2) concerns about the expertise and legitimacy of sponsoring organizations to offer parenting advice; and (3) a paucity of stable, sustainable funding mechanisms. Primary healthcare settings are well positioned to overcome these barriers. Recent changes within health care make primary care settings an increasingly favorable home for family-focused prevention and suggest possibilities for sustainable funding of family-focused prevention programs. This paper discusses the existing advantages of primary care settings and lays out a plan to move toward realizing the potential public health impact of family-focused prevention through widespread implementation in primary healthcare settings.