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Whole Person Primary Care for Chronic Conditions

In formation

The National Academies of Sciences, Engineering, and Medicine will appoint an interdisciplinary committee to examine the role of whole person primary care in the prevention, management, and reversal of chronic diseases, building on prior National Academies definitions of whole health and primary care. With emphasis on the science of salutogenesis (health creation) and the drivers of health, the committee will examine successful models of whole person primary care and care delivery tools in current use. The Committee will make actionable recommendations on how to broadly implement, scale, and spread these solutions in the nation.

Statement of Task

The National Academies of Sciences, Engineering, and Medicine will appoint an interdisciplinary committee to examine the role of whole person primary care in the prevention, management, and reversal of chronic diseases, building on prior National Academies definitions of whole health and primary care. With emphasis on the science of salutogenesis (health creation) and the drivers of health, the committee will examine successful models of whole person primary care and care delivery tools in current use. The Committee will make actionable recommendations on how to broadly implement, scale, and spread these solutions in the nation. In developing its recommendations, the committee will consider topics that include the following:

  • The core clinical and operational components of whole person primary care and their rationale and importance for influencing healing and health outcomes for individuals and communities, as well as how those components can be integrated to flexibly address drivers of whole health, including biological (disease prevention and mitigation), behavioral (mental health and lifestyle), spiritual (meaning and purpose), social (connections and supports), and environmental factors;
  • The health and cost impacts of successful whole person primary care delivery designs and payment models that integrate multiple supportive and treatment services;
  • The services, tools, payment models, workforce, education, and training needed to implement effective whole person primary care, as well as operational aspects of traditional primary care that need to change to routinely deliver whole person care;
  • Barriers and facilitators to delivering whole person primary care for chronic conditions;
  • How relevant evidence can be incorporated into decision processes regarding policies, coverage, payment, and regulation in specific contexts such as FDA approval, public and private insurance coverage, as well as ways that state and federal agencies and other key actors (e.g., private payers, philanthropy) could align policies and investments to advance whole person care infrastructures in research, education, care delivery, and payment;
  • How new research frameworks, technologies, and settings could focus on generating evidence on salutogenesis and the drivers of health to advance whole person primary care, including lessons from complementary and integrative health practices (e.g., mind and body practices, caring field and biofield therapies);
  • Approaches for building a national infrastructure in whole person care research at the community and practice level, including incorporation of public needs and interests as well as professional experience into research investments; and
  • How investments in whole person care infrastructure could enhance societal economic prosperity, and the national ROI for such investments.


Contributors

Sponsors

Ardmore Institute of Health

Healing Works Foundation, a fiscally sponsored initiative of Global Impact

John Templeton Foundation

National Academy of Sciences W.K. Kellogg

Primary Care Collaborative

Staff

Udara Perera

Lead

Marc Meisnere

Elizabeth Ferre

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