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Focus on End of Life Care

The end of life is not a phase of life any individual wishes to think about, but care during this time is critical. Loved ones approaching the end of their life require physical comfort, mental and emotional comfort, and often spiritual guidance as well. Those with access to primary care can receive guidance through this challenging time and are able to better fulfill the dying person’s wishes and needs.

Questions to ask your primary care doctor:

Since there is no cure, what will happen next?
Why are you suggesting this test or treatment?
Will the treatment bring physical comfort?
Will the treatment speed up or slow down the dying process?
What can we expect to happen in the coming days or weeks?

Questions to ask the caregiver:

How are you doing? Do you need someone to talk with?
Would you like to go out for an hour or two? I could stay here while you are away.
Who has offered to help you? Do you want me to work with them to coordinate our efforts?
Can I help, maybe … walk the dog, answer the phone, go to the drug store or the grocery store, or watch the children (for example)…for you?

These questions can serve as guiding steps when preparing someone for the end of life. Read more about how you can work with your primary care provider to help ease the pain and offer comfort to help a dying person rest peacefully.

Patient Resources:

End of Life Care: Providing Comfort (English) (Spanish)

End of Life Care: Advance Directives (English) (Spanish)

Focus on smoking cessation

Quitting smoking can at times seem impossible but it is necessary for your health. Smoking can cause both immediate and long-term health issues and affect those around you through secondhand smoke. It isn’t easy to stop smoking, but it is important to come up with a plan that works for you and to stick with it. Your primary care doctor can be an effective partner in helping you quit because he or she knows you and your lifestyle.

The Facts: Tobacco Addiction

Smoking can cause serious health issues, right now and in the future:

Smoking raises your heartbeat and blood pressure and damages your immune system, making you more susceptible to colds, the flu or pneumonia.
Smoking can shorten your life by as much as 14 years.
Smoking can cause many diseases, including lung cancer, mouth cancers and heart disease. It can also cause a cough that won't go away, and it may make it hard for you to breathe.
Even a few cigarettes a day are harmful. Once you start smoking, it can be very hard to stop because the nicotine in cigarettes is highly addictive.

Primary Care: Helping You Quit for Good

Your primary care doctor can help you stop smoking. He or she can work with you to develop a personalized plan based on your medical history and lifestyle and connect you with helpful resources, such as a stop-smoking program at a local hospital or health center.

Quitting can be a long, difficult process. People who stop smoking often start again because of withdrawal symptoms, stress and weight gain. Your primary care doctor can tell you what to expect and help keep you on track.

Protect your health before it’s too late by talking to your primary care doctor about how you can quit smoking.

Patient Resources:

Focus on smoking cessation: (English) (Spanish)

All information is sourced from the Centers for Disease Control and Prevention and FamilyDoctor.org, a resource operated by the American Academy of Family Physicians (AAFP).

Focus on Immunizations

Regardless of age, we all need immunizations to help keep us healthy. Receiving all CDC-recommended immunizations on time is crucial to protecting yourself and others against serious and sometimes deadly diseases. Primary care doctors treat families across their lifespan and can help make sure you and your family stay up-to-date on vaccines throughout your lives.

The Facts: Vaccines

Vaccines prevent diseases in babies, children, teens and adults.

Infants are particularly vulnerable to infectious diseases; that is why it is critical to protect them through immunization. Each day, nearly 12,000 babies are born in the United States who will need to be immunized before age two against 14 vaccine-preventable diseases.
Any visit to the doctor—from annual health checkups to sports, camp, or college physicals—can be a good time for preteens and teens to get their recommended vaccinations.
Each year, thousands of adults in the United States are hospitalized, or even die, due to serious health problems caused by diseases that could be prevented by regular vaccinations.

Primary Care: Ensuring Prevention Across the Lifespan

Your primary care doctor is an important resource for keeping you and your family up-to-date on vaccinations. If you’re not sure if you or your child has received a particular vaccine, ask your doctor. Andy visit to your primary care doctor is a great time to ask about recommended vaccinations.

While most parents know the importance of vaccinating their young children, many may forget about important vaccinations later in life, as the rates of vaccination for adolescents and adults is much lower than vaccination rates for young children in the U.S.

Help raise vaccination rates by talking to your primary care doctor about the vaccines all members of your family need.

Patient resources:

Focus on immunizations: (English)

Recommended Immunizations for Infants, Children and Teens: (English) (Spanish)

Recommended Immunizations for Adults: (English) (Spanish)

Focus on Chronic Disease Management

Although many chronic diseases are preventable, they are the leading causes of death and disability in the United States. Family doctors are in a unique position to help patients prevent or manage chronic disease. They build relationships with patients and often treat multiple members of the same family, allowing them to better understand family medical histories that can help identify risk factors for chronic disease. Because they treat the whole patient, not just one condition, family doctors can advise patients on how best to manage chronic diseases.

The Facts: Behaviors and Chronic Disease

A significant portion of the sickness and early death associated with chronic disease can be attributed to four behaviors: lack of exercise, poor nutrition, tobacco use and excessive alcohol consumption. These are unhealthy behaviors that can be changed.

About half of U.S. adults (47%) have at least one of the following major risk factors for heart disease or stroke: uncontrolled high blood pressure, uncontrolled high LDL cholesterol, or are current smokers.
More than 42 million adults—close to 1 in every 5—said they smoked cigarettes in 2012. Cigarette smoking accounts for nearly 500,000 deaths each year.
Drinking too much alcohol is responsible for 88,000 deaths each year, more than half of which are due to binge drinking.

Primary Care: Connecting the Dots for Patients with Chronic Disease

A growing body of evidence shows that chronic medical conditions are best managed in a primary care setting. In areas of the country where there are more primary care providers per person, death rates from chronic diseases like cancer, heart disease and stroke are lower and people are less likely to be hospitalized.¹

That’s because patients with access to coordinated, comprehensive care have better outcomes.

Family doctors treat patients, not conditions. We want everyone to have a doctor who sees them as a whole person and provides them with quality, coordinated care.

Patient resources:

Focus on hypertension: (English) (Spanish)

Focus on diabetes: (English) (Spanish)

Focus on heart disease: (English) (Spanish)

[1] The Commonwealth Fund. “Health Reform & You – Primary Care: Our First Line of Defense. June 12, 2013. Available at http://www.commonwealthfund.org/~/media/files/publications/health-reform-and-you/health-reform_primary-care_612.pdf.

Focus on Fitness and Nutrition

When it comes to nutrition and exercise, there is no shortage of fads. But the facts remain the same: most of what makes us healthy results from the choices we make each day. Patients with access to primary care can get ongoing, fact-based guidance about their nutrition and exercise—and the support they need to create life-long, health habits.

Nutrition and Fitness Habits of Americans in 2015

More than 83% of Americans are looking to make a change in their diet and exercise habits this year;
Fewer than half (43%) will consult their doctor before making a diet/exercise change;
4 in 5 Americans Americans consider their lifestyle healthy, yet half of respondents report exercising two or less in the two weeks leading up to the survey; and
Americans have by far the most trust in physicians to provide advice about healthy behaviors, yet turn most often to online sources.

Primary care can improve patient health and includes the promotion of physical activity and a healthy diet.¹ Evidence shows that obesity is less prevalent in communities with a higher ratio of primary care physicians.¹ Access to primary care can help patients:

Learn to make healthy food choices

Learn what foods are best for your body, especially if you have a medical problem or other risk factors.

Create a custom fitness program

Ask your doctor to write a “prescription” for your exercise program that describes what type of exercise to do, how often to exercise, and for how long.

Achieve health and fitness goals

Build a plan to get in shape and improve your overall health in a safe, efficient way.

Focus on your fitness.

Focus on your nutrition.

Focus on fitness and nutrition (Spanish).

[1] Starfield, B., Shi, L., Macinko, J. “Contribution of Primary Care to Health Systems and Health.” The Milbank Quarterly, Vol. 83, No. 3, 2005 (pp. 457–502). Available at http://www.commonwealthfund.org/usr_doc/Starfield_Milbank.pdf. Accessed 12/9/14.

All other information sourced from FamilyDoctor.org, a resource operated by the American Academy of Family Physicians (AAFP)

Focus on Mental Health

Mental health is a critical aspect of a patient’s overall well-being. At least one in every five adults suffers from mental illness each year. Individuals living with serious mental illness face an increased risk of having chronic medical conditions and die earlier than others - often due to treatable medical conditions. Primary care is an important place for patients to address mental health issues. Increasingly, primary care practices are integrating mental and behavior health as part of an effort to treat the whole patient. Under this approach primary care teams and behavioral health specialists work hand in hand to share patient medical records, treatment plans and manage all aspects – mind and body – of their patients’ healthcare needs.

The Facts: Mental Health

Mental health is “a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.” It is estimated that only about 17% of U.S adults are considered to be in a state of optimal mental health. There is emerging evidence that positive mental health is associated with improved health outcomes.

Mental illness is defined as “collectively all diagnosable mental disorders” or “health conditions that are characterized by alterations in thinking, mood, or behavior (or some combination hereof) associated with distress and/or impaired functioning.” Depression is the most common type of mental illness, affecting more than 26% of the U.S. adult population.

Evidence has shown that mental disorders, especially depressive disorders, are strongly related to the occurrence, successful treatment, and course of many chronic diseases including diabetes, cancer, cardiovascular disease, asthma, and obesity and many risk behaviors for chronic disease; such as, physical inactivity, smoking, excessive drinking, and insufficient sleep.

Primary Care: Plays a Key Role in Mental Health

Integrating mental health services into primary care is the most viable way of closing the treatment gap and ensuring that people get the mental health care they need. Family physicians are an important and currently underutilized resource for improving access to mental health care. Primary care for mental health is affordable and cost effective, and results in good patient outcomes. The continuity of care inherent in family medicine makes early recognition of problems possible; by treating the whole family, they are often better able to recognize problems and provide interventions.

Patient Resources:

Focus on mental health: (English) (Spanish)

All information is sourced from the Centers for Disease Control and Prevention and FamilyDoctor.org, a resource operated by the American Academy of Family Physicians (AAFP).

Focus on Healthy Aging

As we age, our bodies change, requiring extra care and attention. It is important to maintain a healthy lifestyle as you get older, including making good food choices, getting moderate exercise, and getting plenty of sleep. It is especially important to see a primary care doctor as you age to make sure you are taking the right steps to stay healthy.

The Facts: Healthy Aging

Vaccinations, screenings, and other preventive services are especially important for older adults. For example, influenza vaccination is crucial, as 85% of deaths from influenza are in people 65 years of age or older.
Exercise is key. You will want to do some type of aerobic activity for at least 30 minutes on most days of the week.
Good nutrition is very important for all older adults. It is estimated that 3.7 million older adults in the U.S. are malnourished.

Primary Care and Aging

Your primary care doctor can help make sure you are staying healthy as you age. He or she can give you advice on how to stay fit and eat healthy. Your primary care doctor knows you and your lifestyle so he or she can help you make adjustments as you age that work for you.

It is also important to see a primary care doctor to manage both chronic conditions and any other health issues that may arise as you age. Primary care doctors can manage all of your conditions across the lifespan.

Patient Resources

Focus on staying active (English) (Spanish)

Focus on body and brain (English) (Spanish)

All information is sourced from FamilyDoctor.org, a resource operated by the American Academy of Family Physicians (AAFP).

Focus On Caregiver Health

As a caregiver, you are at risk for health problems. You may find that you spend much of your time caring for others, but neglect your own health. You may also feel stressed or overwhelmed by being a caregiver, so it is important to make wellness a priority.

The Facts: Caregiver Health

Studies show that caregivers have an increased risk for alcohol, tobacco and drug abuse, anxiety disorders, cancer, diabetes, heart disease, heartburn, infection, obesity, pain, stress and depression.

According to the Administration on Aging, approximately two-thirds of all family caregivers also work outside the home.

The Family and Medical Leave Act entitles eligible employees to take 12 weeks per year of unpaid leave to care for a family member. Taking this leave would not impact your health insurance coverage or job security.

Primary Care and Caregiver Health

Your primary care doctor can help you if you think you might have a physical or emotional problem from caregiving. Even if you don’t think you’re sick, it’s still important to see your doctor for regular check-ups.

Your primary care doctor can help you stay healthy by providing preventative services including health tests and screenings, vaccinations and health advice.

Patient Resources

Focus on mental health: (English) ( Spanish)

All information is sourced from the Centers for Disease Control and Prevention and FamilyDoctor.org, a resource operated by the American Academy of Family Physicians (AAFP).

Focus on Women’s Health

Taking care of your health requires information and knowledge about your body’s needs. As a woman, there are specific needs for your body, and staying informed of the facts you need to know will ensure you are in the best health. It’s important to talk to your family doctor about your health as a woman, and what your body specifically needs.

The Facts: Women’s Health

More than 75% of women 40-60 years old have at least one risk factor for heart disease, the most common cause of death in women in the United States.
Almost one of every two pregnancies is unplanned. Women should talk to their doctor about family planning and birth control.
More than twice as many women than men have been diagnosed with anxiety.

Primary Care and Women’s Health

Breast cancer is a leading cause of death for women. Talk to your doctor about when you should start getting mammograms.
Women should get routine pap smears; women ages 21 to 65 should get tested every 3 years. This may differ if you have certain conditions or have had your cervix removed.
Set health goals, such as being active and maintaining a healthy weight.

Patient resources:

Women’s Health: (English) (Spanish)

Focus on Men’s Health

Taking care of your health requires information and knowledge about your body’s needs. As a man, there are specific needs for your body, and staying informed of the facts you need to know will ensure you are in the best health. It’s important to talk to your family doctor about men’s health, and what your body specifically needs.

The Facts: Men’s Health

Heart disease is the leading cause of death for men in the United States, killing 321,000 men in 2013—that’s 1 in every 4 male deaths.
Heart disease is the leading cause of death for men of most racial/ethnic groups in the United States, including African Americans, American Indians or Alaska Natives, Hispanics, and whites. For Asian American or Pacific Islander men, heart disease is second only to cancer.
About 8.5% of all white men, 7.9% of black men, and 6.3% of Mexican American men have coronary heart disease.
Half of the men who die suddenly of coronary heart disease have no previous symptoms. Even if you have no symptoms, you may still be at risk for heart disease.
Between 70% and 89% of sudden cardiac events occur in men.

Patient resources:

Men’s Health: (English) (Spanish)

Focus on Patient Engagement

This month, Health is Primary is focusing on patients and their central role in health care. Engaged patients are an important part of the health care system—patients who are active in their own health and health care have better outcomes and at lower cost to the system (Health Affairs, 2013). Primary care practices across the country are committed to making patients and their families are part of the health care team.

Facts About Patient Engagement:

Research shows that patients who are active participants in their health have better outcomes at lower costs.
Long-term relationships built on trust between patient and doctor are the foundation of good health. That’s why primary care practices treat patients and their families as core members of their health care team.
Family doctors are dedicated to treating the whole person and are seen by their patients as partners. We believe every patient should have access to a health care team that understands and respects them.

Resources:

July Toolkit. Download these resources to promote the importance of patients in delivering better care and better health.

FACTS ABOUT IMMUNIZATIONS:

Each year, thousands of adults in the United States are hospitalized, or even die, due to serious health problems caused by diseases that could be prevented by regular vaccination
In the US, vaccine-preventable infections kill more individuals annually than HIV/AIDS, breast cancer or traffic accidents
Approximately 50,000 adults die each year from vaccine-preventable diseases in the US
Access to primary care is associated with improved health outcomes, including more complete immunization
Continuity of care with a single provider is positively associated with primary preventive care, including influenza immunization

Focus on Adolescent Health

In July, Health is Primary is highlighting the importance of adolescent health. We are sharing the facts about what adolescents need to do to take care of their health and how, with the help of a primary care physician, they can prevent health complications later in life by taking care of themselves now. Join us and spread the word.

Risk factors for chronic diseases, such as alcohol and tobacco use, sedentary habits and poor diet, begin in adolescence. (AAFP)

Seventy percent of adolescents have a preventive health visit every four years, on average. (AAFP)
Up to 20 percent of adolescents have a mental health condition, less than 20 percent of whom receive treatment. (AAFP)
Obesity rates among adolescents are increasing, and only 29 percent of adolescents are physically active at least 60 minutes every day. (AAFP)

July Toolkit. Download these resources to join us to raise awareness about adolescent health. #MakeHealthPrimary #AdolescentHealthisPrimary

Focus on Primary Care

This month, Health is Primary is promoting the broad message of Primary Care and providing tools and messages to spread the word about the value of Primary Care.

The Facts About Primary Care:

Studies suggest that as many as 127,617 deaths per year in the US could be averted through an increase in the number of primary care physicians.
Access to primary care is associated with improved outcomes: more complete immunization, better blood pressure control, improved dental health, reduced mortality and improved quality of life.
Primary care supply has a positive effect on the entire population, but the magnitude of this effect is greater in areas with higher levels of income inequality and on outcomes for African Americans.
In the US, the states with higher ratios of primary care physicians to population have lower smoking rates, less obesity and higher seatbelt use than states with lower ratios.

Resources:

October Toolkit. Download these resources to promote the value of Primary Care. Remember: Primary Care Week is October 1-7, 2017.

Focus on Smoking Cessation

In November, Health is Primary is promoting the importance of smoking cessation to prevent serious health problems. We are also highlighting the important connection between primary care and public health in tackling issues like smoking.

The Facts About Smoking Cessation:

Smoking raises your heartbeat and blood pressure and damages your immune system, making you more susceptible to colds, the flu or pneumonia.
Smoking can shorten your life by as much as 14 years.
Smoking can cause many diseases, including lung cancer, mouth cancers and heart disease. It can also cause a cough that won’t go away, and it may make it hard for you to breathe.
In the U.S., states with higher ratios of primary care physicians to population have lower smoking rates, less obesity and higher seat belt use than states with lower ratios.
Good primary care, as determined by peoples’ ratings of its main characteristics, is positively associated with smoking cessation and influenza immunization, as shown in an ongoing 60-community study in the U.S.

Resources:

November Toolkit. Download these resources to join us in promoting smoking cessation and the value of primary care.

Focus on Obesity

In Decembar, Health is Primary is focusing on obesity and how to address this epidemic.

The Facts About Obesity:

The obesity epidemic in the United States has worsened over the past 50 years. Annual cost estimates range from $70 to $100 billion.
In 2003, obesity was leading cause of preventable death in the United States, and it is projected to overtake smoking as the leading cause if current trends continue.
Maintaining a healthy body weight is one of the best ways to avoid weight-related health problems, such as type 2 diabetes or heart disease.
The higher your BMI, the greater your risk of developing a weight-related illness.
A BMI between 25 and 30 is defined as overweight, and a BMI of 30 or more is considered obese.

Resources:

Decembar Toolkit. Download these resources to join us to raise awareness about obesity.

Focus on Fitness and Nutrition

In January, Health is Primary is focusing on fitness and nutrition:

The Facts About Fitness and Nutrition:

Only about half of Americans 18 and over meet the recommended physical activity guidelines for aerobic activity.
In 2011-2012, children and adolescents consumed on average 12.4 percent of their daily calories from fast food restaurants.
Primary care physicians play a key role in encouraging healthy lifestyles.
In the US, states with higher ratios of primary care physicians to population have less obesity.
Patients’ trust and commitment to their physician favorably influence their health behaviors, level of satisfaction and adherence to a medical regimen.

Resources:

January Toolkit. Download these resources to join us to raise awareness about fitness and nutrition.

Focus on Heart Health

In February, Health is Primary is focusing on heart health:

The Facts About Heart Disease:

About 610,000 people die of heart disease in the United States every year – that’s 1 in every 4 deaths.
Heart disease is the leading cause of death for both men and women. More than half of the deaths due to heart disease in 2009 were in men.
Heart disease is the leading cause of death in the United States. Every hour in the U.S., about 83 Americans die from heart disease and stroke. More than a quarter of these deaths could have been prevented or delayed with better control of key risk factors and health promoting behaviors, including physical activity, healthy diet and avoiding tobacco use.
Prevention and management of chronic disease are best performed by multidisciplinary teams in primary care and public health.
Continuity of care, which implies that individuals use their primary source of care over time for most of their health care needs, is associated with great satisfaction, better compliance, and lower hospitalization and emergency room use.

Resources:

February Toolkit. Download these resources to join us to raise awareness about heart health.

Focus on Caregiver Health

In March, Health is Primary is focusing on caregiver health:

The Facts About Caregiver Health:

In 2009, nearly 66 million Americans (three in 10 U.S. households) reported at least one person providing unpaid care as a family caregiver. (Am Fam Physician, 2011)
Approximately two-thirds of all family caregivers also work outside the home. (Administration on Aging)
More adults with chronic conditions and disabilities are living at home than ever before, and family caregivers have an even higher level of responsibility. (Am Fam Physician, 2011)
Caring for loved ones is associated with several benefits, including personal fulfillment. However, caregiving is also associated with physical, psychological, and financial burdens. (Am Fam Physician, 2011)
Although caregiving can have a negative impact on caregivers’ health and well-being, research demonstrates its effects can be alleviated at least partially by primary care interventions that address caregiver needs. (Family Caregiver Alliance)

Resources:

March Toolkit. Download these resources to join us to raise awareness about caregiver health.

Focus on Health Equity

In April, Health is Primary is focusing on health equity:

Health disparities continue to undermine opportunities for economic and social development in too many communities across the United States and globally. (Health Equity Initiative)
Urban and rural communities that have an adequate supply of primary care practitioners experience lower infant mortality, higher birth weights and immunization rates at or above national standards despite social disparities. (Phillips, R., & Bazemore, A., 2010)
Health Equity is providing every person with the same opportunity to stay healthy and/or effectively cope with disease or health-related emergencies—regardless of their race, gender, age, economic conditions, social status, environment and other socially determined factors. (Health Equity Initiative)
In the U.S. alone, combined costs (direct and indirect costs) of health inequities totaled $1.24 trillion over a three-year period. (Health Equity Initiative)

Resources:

April Toolkit. Download these resources to join us to raise awareness about health equity.

Focus on Mental Health

In May, Health is Primary is focusing on mental health:

Facts about mental health in America:

Only about 17 percent of U.S. adults are considered to be in a state of optimal mental health.
One in four adults − approximately 61.5 million Americans − experience mental illness in a given year.
Integrating mental health services into primary care is the most viable way of closing the treatment gap and ensuring that people get the mental health care they need.
Primary care for mental health is affordable and cost effective and leads to positive patient outcomes.
Through residency training and continuing medical education, family physicians are prepared to manage mental health problems in children, adolescents and adults.

Resources:

May Toolkit. Download these resources to join us to raise awareness about mental health.

Focus on Safe Use of Prescription Medicines

In June, Health is Primary is focusing on safe use of prescription medicines:

An estimated 54 million people (more than 20 percent of those ages 12 and older) have used prescription medications for nonmedical reasons at least once in their lifetime. (National Institute on Drug Abuse)
According to results from the 2014 National Survey on Drug Use and Health, an estimated 2.1 million Americans used prescription drugs non-medically for the first time within the past year, which averages to approximately 5,750 initiates per day. (National Institute on Drug Abuse)
Although misuse of prescription drugs affects many Americans, certain populations such as youth, older adults, and women may be at particular risk. (National Institute on Drug Abuse)
Nonmedical use of prescription drugs is highest among young adults aged 18 to 25, with 4.4 percent reporting nonmedical use in the past month. (National Institute on Drug Abuse)
More than 80 percent of older patients (aged 57 to 85 years) use at least one prescription medication on a daily basis, with more than 50 percent taking more than five medications or supplements daily. (National Institute on Drug Abuse)

June Toolkit. Download these resources to join us to raise awareness about safe use of prescription medicines.

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Adolescent Health

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Obesity

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WHO WE ARE:

BE A CHAMPION FOR PRIMARY CARE

YouTube Video

Campaign News

Family Physicians Honor Congressional Primary Care Champions+–

Stories of Primary Care Innovation

Increasing Physician Pipeline With New Teaching Hospitals, Residency Programs—State of Georgia+–

FOCUS ON HEALTH

Adolescent Health

Safe Use of Prescription Medicines

Mental Health

Health Equity

Caregiver Health

Heart Health

Fitness and Nutrition

Obesity

Family Physicians Honor Congressional Primary Care Champions
+–

Increasing Physician Pipeline With New Teaching Hospitals, Residency Programs—State of Georgia
+–