{"id":49899,"date":"2005-11-01T00:00:00","date_gmt":"2018-12-04T04:05:16","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/mainstreaming-prevention-prescribing-fruit-and-vegetables\/"},"modified":"2018-12-04T05:05:16","modified_gmt":"2018-12-04T04:05:16","slug":"mainstreaming-prevention-prescribing-fruit-and-vegetables","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/mainstreaming-prevention-prescribing-fruit-and-vegetables\/","title":{"rendered":"Mainstreaming prevention: prescribing fruit and vegetables as a brief intervention in primary care."},"content":{"rendered":"<p>This paper examines a brief preventive intervention as a model for embedding public health action in primary care. BACKGROUND: Low fruit and vegetable intake is a major risk factor for cancer, coronary heart disease and stroke. The recommended intake of five portions per day would reduce death rates from these causes by 20%. However, average daily consumption in the UK is under three portions, and it is significantly lower in men, young people and lower socio-economic groups. In order to tackle risk factors such as poor diet, the white paper Choosing Health promises action and funding to mainstream prevention and transform the NHS from a sickness service to a genuine health service. THE INTERVENTION: To promote increased fruit and vegetable consumption, primary care professionals working in a deprived area issue prescriptions which offer the patient discounts on fruit and vegetable purchases. Hand over of each prescription to the patient is linked explicitly to key five a day messages. This brief intervention takes 1-2 min to deploy. IMMEDIATE OUTCOMES: Evaluation is ongoing. However, early feedback suggests that the intervention of prescription plus key messages has a significant impact on patients in highlighting the connection between food and health. Clinicians express satisfaction at having a preventive intervention that can be deployed with confidence and consistency in routine primary care consultations. DISCUSSION: This brief intervention is presented as a potential model for embedding prevention in the day-to-day work of health professionals. Primary care is a natural setting for the promotion of health, but despite success in implementing some public health programmes, it has a patchy record in primary prevention. The reasons for this are examined, the impact of new contractual and commissioning levers is explored, and a general framework for mainstreaming public health action in primary care is proposed.<\/p>\n","protected":false},"template":"","mots_cles":[225],"class_list":["post-49899","resume","type-resume","status-publish","hentry","mots_cles-prevention"],"acf":{"adresse":"Castlefields Health Centre, Chester Close, Runcorn, and Community Studies Unit, School of Medical Education, University of Liverpool, Liverpool L69 3GH, UK. matt.kearney@btinternet.com\r\n","annee":"2005","mois":"11","numero":"119:11","page":"981-986","auteurs":[{"ID":4474,"post_author":"0","post_date":"2018-12-03 17:17:50","post_date_gmt":"2018-12-03 16:17:50","post_content":"","post_title":"Patricia M Kearney","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"patricia-m-kearney","to_ping":"","pinged":"","post_modified":"2018-12-03 17:17:50","post_modified_gmt":"2018-12-03 16:17:50","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/patricia-m-kearney\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":49896,"post_author":"0","post_date":"2018-12-04 05:05:12","post_date_gmt":"2018-12-04 04:05:12","post_content":"","post_title":"Bradbury","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"bradbury-2","to_ping":"","pinged":"","post_modified":"2018-12-04 05:05:12","post_modified_gmt":"2018-12-04 04:05:12","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/bradbury-2\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":49897,"post_author":"0","post_date":"2018-12-04 05:05:13","post_date_gmt":"2018-12-04 04:05:13","post_content":"","post_title":"Ellahi","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"ellahi","to_ping":"","pinged":"","post_modified":"2018-12-04 05:05:13","post_modified_gmt":"2018-12-04 04:05:13","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/ellahi\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":2410,"post_author":"0","post_date":"2018-12-03 16:55:23","post_date_gmt":"2018-12-03 15:55:23","post_content":"","post_title":"Jonathan M Hodgson","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"jonathan-m-hodgson","to_ping":"","pinged":"","post_modified":"2018-12-03 16:55:23","post_modified_gmt":"2018-12-03 15:55:23","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/jonathan-m-hodgson\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":49898,"post_author":"0","post_date":"2018-12-04 05:05:15","post_date_gmt":"2018-12-04 04:05:15","post_content":"","post_title":"Thurston","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"thurston","to_ping":"","pinged":"","post_modified":"2018-12-04 05:05:15","post_modified_gmt":"2018-12-04 04:05:15","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/thurston\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":6053,"post_author":"0","post_date":"2018-12-03 17:34:19","post_date_gmt":"2018-12-03 16:34:19","post_content":"","post_title":"Public health","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"public-health","to_ping":"","pinged":"","post_modified":"2018-12-03 17:34:19","post_modified_gmt":"2018-12-03 16:34:19","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/public-health\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - 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