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Linking Practice and Community Through a Focus on Capability

Linking Practice and Community Through a Focus on Capability. ROBERT L. FERRER, MD, MPH DEPT. OF FAMILY & COMMUNITY MEDICINE UNIV. OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO. A Medical Assistant-Based Program to Promote Healthy Behaviors in Primary Care. Robert Ferrer, MD, MPH

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Linking Practice and Community Through a Focus on Capability

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  1. Linking Practice and CommunityThrough a Focus on Capability ROBERT L. FERRER, MD, MPH DEPT. OF FAMILY & COMMUNITY MEDICINE UNIV. OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO

  2. A Medical Assistant-Based Program to Promote Healthy Behaviors in Primary Care Robert Ferrer, MD, MPH Sherrie Gott, PhD Priti Mody-Bailey, MD, MA Carlos Jaén, MD, PhD Sara Araujo, BA Melissa Talamantes, MS Annals of Family Medicine 2009;7:544-512.

  3. Service outcomes:% attending interventions

  4. Behavioral outcomes:% of pts improved

  5. “Capability” • The practical opportunities to live the life one wishes

  6. Capability model Adapted from Robeyns, 2005

  7. Q: Why can’t you go walking? • A: Because I don’t know how to drive.

  8. Physicians’ advice on healthy behaviors

  9. Opportunities for healthy behaviors

  10. Barriers to healthy behaviors

  11. 1. no grocery in neighborhood. 2. groceries too expensive over whole month. 3. little time to prepare own meals. 4. family doesn’t allow to eat recommended foods. Multiple vulnerabilities: healthy eating 81.2% have 2 or more

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