Health Maintenance

2012/10/30

Health Maintenance

Health Maintenance
4
1.
2.
3.
4.

DMACE

Susceptible

Asymptomatic

Symptomatic

1)

2)

3)

4)

5)

USPSTF
19841998Agency for
Healthcare Research and Quality (AHRQ)

the leading independent panel of privatesector experts in prevention and primary care

http://www.ahrq.gov/clinic/uspstfix.htm

USPSTF

Cancer
Heart and Vascular Diseases
Infectious Diseases
Injury and Violence
Mental Health Conditions and Substance Abuse
Metabolic, Nutritional, and Endocrine Conditions
Musculoskeletal Disorders
Obstetric and Gynecologic Conditions
Pediatric Disorders
Vision and Hearing Disorders
Miscellaneous

Dissemination and Implementation

Put Prevention Into Practice (PPIP)

http://www.ahrq.gov/clinic/ppipix.htm
Adult Preventive Care Timeline
http://www.ahrq.gov/ppip/timelinead.htm

AAFP
Preventive Services

http://www.aafp.org/online/en/home/clinical/
exam.html

Guideline
National Guideline Clearinghouse
http://www.guideline.gov/
Guideline Synthesis
http://www.guideline.gov/compare/
synthesis.aspx

COPD

AB

HIV

HBV

HPV

HPhttp://idsc.nih.go.jp/vaccine/dschedule.html

CaVit.D

Vit.K

(??)

(??)

ACEI/ARB


1.(QOL)()

2.
3.

4.

5.

6.

Criteria of Frame and Carlson on Effective Screening Method


1.
2.
3.
4.
5.
6.




http://
canscreen.ncc.go.jp/index.html

4074

Population-based screening

Opportunistic screening


5 As
Ask, Advise, Assess, Assist, Arrange

FRAMES protocol
Feedback about personal risk, Responsibility of patient, Advice to change, Menu of
strategies, Empathetic style, Promote self-efficacy

Stage of change
Precontemplation, Contemplation, Preparation, Action, Maintenance

Motivational interviewing
Agenda setting, Exploration, Providing information, Listing and summarizing, Generating
options and contracting

BATHE
Background, Affect, Troubles, Handling, Empathy
Realistic Approaches to Counseling in the Office Setting AFP Vol.79, No.4 2009

DV

COPD

DV

CGA

CODE

Practice-Case1
28

HM

Practice-Case2
62A1c5

HM12
2
12

Lacrimal Duct Obstruction

Birth to Age 5

Sudden Infant Death Syndrome

1/2000

Birth to Age 5

21

Hirschsprung

HM
HM

USPSTFAAFP

HM

HM
HM