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Am J Prev Med. 2016 Oct;51(4 Suppl 2):S106-18. doi: 10.1016/j.amepre.2016.05.014. Epub 2016 Aug 3.

Primary Health Care: Potential Home for Family-Focused Preventive Interventions.

Author information

1
American Board of Pediatrics, Tufts University School of Medicine, Boston, Massachusetts.
2
Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
3
Social Development Research Group, School of Social Work, University of Washington, Seattle, Washington. Electronic address: jdh@uw.edu.
4
Cincinnati Children's Hospital Medical Center, Dean Emeritus, University of Cincinnati College of Medicine, Cincinnati, Ohio.
5
George Washington University School of Medicine, George Mason University, Washington, District of Columbia.
6
Department of Pediatrics, Monroe Carell Jr. Children's Hospital, Vanderbilt University, Nashville, Tennessee.
7
Division of Developmental-Behavioral Pediatrics, Floating Hospital for Children, Tufts Medical Center, Boston, Massachusetts.
8
Oregon Research Institute, Eugene, Oregon.
9
Miller School of Medicine, University of Miami, Miami, Florida.
10
Department of Child Health and Wellness, American Academy of Pediatrics, Elk Grove Village, Illinois.
11
Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
12
Department of Psychiatry, Harvard Medical School and Children's Hospital-Boston, Boston, Massachusetts.

Abstract

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.

PMID:
27498167
PMCID:
PMC5406159
DOI:
10.1016/j.amepre.2016.05.014
[Indexed for MEDLINE]
Free PMC Article

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