TY - JOUR T1 - Integrating public health and primary care systems: Potential strategies from an iom report AU - Landon BE, Grumbach K, Wallace PJ Y1 - 2012/08/01 N1 - 10.1001/jama.2012.8227 JO - JAMA SP - 461 EP - 462 VL - 308 IS - 5 N2 - A primary care physician sits in her office withher patient, an overweight 57-year-old man withdiabetes and hypertension. She knows that inaddition to treating his chronic medical conditions, she also should encourage him to quit smoking, modify his diet, and increase his level of activity to reduce the risk of developing disabling or fatal heart disease or stroke. At the same time, a public health officer in another part of town focuses on overcoming the challenges presented by lack of access to healthy foods and open space for exercise and by the easy availability of cigarettes in the community in which this patient lives—all of which likely have contributed to the development of the patient's chronic medical conditions. SN - 0098-7484 M3 - doi: 10.1001/jama.2012.8227 UR - http://dx.doi.org/10.1001/jama.2012.8227 ER -