Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

How to move the needle on wellness

Dean Ornish, MD
Physician
August 21, 2014
Share
Tweet
Share

When it comes to preserving health and prolonging life, study after study shows that prevention is essential. From type 2 diabetes to early-stage prostate cancer, clinical trials have demonstrated that countless diseases can be avoided or even reversed through (often simple) lifestyle changes. We know the solution. Yet the challenge is reaching it. For example, tens of millions of overweight Americans are dieting at any given moment, but only a small percentage of these individuals lose weight and keep it off.

The explanation, borne out by research, is intuitive: While providing patients with information is important, this isn’t what motivates people to make lasting changes and adhere to them. Rather, it’s a sense of community. There’s an innate human understanding that anything that can connect us is really healing. Indeed, if you look at the inverse, studies show that people who report feeling lonely or isolated are ten times more likely to die prematurely.

So what can we do as physicians to help move this needle closer to wellness?

The palliative-centric model has proven unsatisfying for both doctors and patients, yet there are challenges to creating a new paradigm. For overworked physicians, time is an increasingly precious resource. Many of us are lucky to get a long enough visit with a patient when he or she walks into our office; while the will may be there, there is simply no way we can give each individual the kind of consistent, day-to-day support he or she may need to make long-term lifestyle changes.

Yet even in that brief window we do get, there are some steps we can take. We can, for example, help our patients map out who will be part of their day-to-day support network. We can ask, for example, whether they have family or friends nearby who can help support their wellness goals.

Further, data shows that our health patterns tend to mimic those of our peers; obesity is contagious insofar as we are more likely to overeat if our friends do. But by that token, wellness can be viral, too, and we can ask our patients if they know anyone within a five-mile radius of their home with whom they can make a regular walking date.

The answers to simple questions like these give us insight into how much social support our patients already have access to, and that can help us prescribe further support tools. There’s no question, for instance, that trackers and apps can be a useful adjunct for many people. If we take a little time to familiarize ourselves with what’s out there, we can help guide patients to the technologies best suited to their needs. High on this list should be the ones that offer ways for people not just to connect with an accountability tool, but also with each other.

We can also, of course, recommend resources and programs within our communities. From hospitals and community centers to gyms and even retail outlets, wellness programs abound. Not only are many of them free, but also some may net patients prevention points from their insurance providers. For best outcomes, make sure that the programs you choose seem to offer participants a channel to talk openly and authentically without fear of being judged.

What’s most exciting, perhaps, is what’s ahead. As our reimbursement model moves increasingly toward prevention, it’s beginning to become sustainable for providers to create support groups and care teams for patients. A nutritionist-led diabetes group that meets in our office every Thursday evening, for instance, will not only deepen our patients’ knowledge of their condition, it will also do what’s needed most – offer them support and community in managing their condition.

To date, so much of our society’s approach to health has been fear-based, and we’re seeing that this is not really sustainable in the long run. Fortifying wellness with encouragement and empathy is what, I believe, will cross us over from sick care to true health care.

Dean Ornish is a clinical professor of medicine, University of California, San Francisco, and founder and president, Preventive Medicine Research Institute. This article originally appeared on The Doctor Blog.

Prev

How we cope with a cancer diagnosis starts in childhood

August 21, 2014 Kevin 2
…
Next

Missed opportunities give leverage to cancer

August 21, 2014 Kevin 0
…

Tagged as: Primary Care

Post navigation

< Previous Post
How we cope with a cancer diagnosis starts in childhood
Next Post >
Missed opportunities give leverage to cancer

ADVERTISEMENT

More in Physician

  • What burnout does to your executive function

    Seleipiri Akobo, MD, MPH, MBA
  • Dealing with physician negative feedback

    Jessie Mahoney, MD
  • Why CPT coding ambiguity harms doctors

    Muhamad Aly Rifai, MD
  • Moral injury, toxic shame, and the new DSM Z code

    Brian Lynch, MD
  • The problem with the 15-minute doctor appointment

    Mick Connors, MD
  • Honoring medical veterans and health care heroes

    Gene Uzawa Dorio, MD
  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • Reimagining medical education for the 21st century [PODCAST]

      The Podcast by KevinMD | Podcast
    • A pediatrician’s reckoning with behavior therapy

      Ronald L. Lindsay, MD | Physician
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • A question about maternal health and the rise in autism [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why early diagnosis of memory loss is crucial

      Scott Tzorfas, MD | Conditions
    • Rethinking stimulants for ADHD

      Carrie Friedman, NP | Conditions
    • Why young people need to care about bone health now

      Surgical Fitness Research Pod & Yoshihiro Katsuura, MD | Conditions
    • What burnout does to your executive function

      Seleipiri Akobo, MD, MPH, MBA | Physician
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • Reimagining medical education for the 21st century [PODCAST]

      The Podcast by KevinMD | Podcast
    • A pediatrician’s reckoning with behavior therapy

      Ronald L. Lindsay, MD | Physician
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • A question about maternal health and the rise in autism [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why early diagnosis of memory loss is crucial

      Scott Tzorfas, MD | Conditions
    • Rethinking stimulants for ADHD

      Carrie Friedman, NP | Conditions
    • Why young people need to care about bone health now

      Surgical Fitness Research Pod & Yoshihiro Katsuura, MD | Conditions
    • What burnout does to your executive function

      Seleipiri Akobo, MD, MPH, MBA | Physician
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

How to move the needle on wellness
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...