Unlocking the potential of primary care: addressing systemic challenges in chronic disease prevention

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Korean J Fam Med. 2025;46(2):120-121
Publication date (electronic) : 2025 January 15
doi : https://doi.org/10.4082/kjfm.24.0282
Department of Theology and Religious Education, De La Salle University, Manila, Philippines
*Corresponding Author: Jose Eric Mella Lacsa Tel: +63-8524-4611 (loc 534 or 199), E-mail: jose.eric.lacsa@dlsu.edu.ph
Received 2024 October 25; Revised 2024 November 23; Accepted 2024 November 28.

Primary care physicians are essential in addressing chronic diseases, particularly in guiding patients toward sustainable lifestyle changes to mitigate risk factors, such as physical inactivity and poor dietary habits. However, systemic challenges, such as inadequate resources, limited patient engagement, and structural barriers, often hinder their effectiveness. Addressing these issues requires enhanced support for primary care systems, improved access to preventive care, and collaboration between healthcare providers and communities to promote long-term health outcomes [1]. By incorporating lifestyle interventions into routine care, primary care physicians have the potential to improve patient outcomes and public health standards substantially.

Despite the importance of this role, significant gaps continue to limit the effectiveness of primary care in chronic disease prevention. Systemic issues, such as short consultation times and inadequate reimbursement for lifestyle counseling, hinder meaningful patient engagement and reduce the overall impact of preventive care strategies [2]. To fully realize the potential of lifestyle interventions as a standard component of medical practice, these challenges must be addressed.

Against this background, we propose solutions to these barriers by advocating innovative models that improve the efficiency of delivering lifestyle counseling. For example, the integration of digital health tools such as mobile health applications or remote monitoring systems could enhance physicians’ ability to monitor and support patients’ adherence to healthy behaviors outside clinic settings [3]. Additionally, policy reform is needed to create effective reimbursement structures that incentivize preventive care and ensure that physicians are compensated for dedicating time to lifestyle counseling.

Furthermore, there is a critical need to improve the education and training of primary care physicians to equip them with practical strategies for delivering lifestyle advice in time-constrained environments [4]. Strengthening their capacity to counsel patients on sustainable lifestyle changes will maximize the impact of primary care in addressing the rising burden of chronic diseases.

By focusing on these areas—leveraging technology, reforming reimbursement policies, and enhancing physician education—we can effectively propose solutions to existing gaps and urge primary care to adopt a more proactive and comprehensive approach to chronic disease management. This proposal is aligned with the mission of the Korean Journal of Family Medicine, which aims to foster the advancement of preventive strategies and improve healthcare delivery.

Notes

Conflict of interest

No potential conflict of interest relevant to this article was reported.

Acknowledgments

I sincerely thank my colleagues and mentors for their invaluable support, the editorial team of the Korean Journal of Family Medicine for their guidance, and the primary care physicians whose tireless work inspired this research.

Funding

None.

Data availability

Not applicable.

Author contribution

All the work for the preparation of this letter was done by Jose Eric Mella Lacsa.

References

1. Jeong SM. Primary care physicians’ important role: lifestyle modification for chronic disease management. Korean J Fam Med 2024;45:237–8.
2. Krist AH, Tong ST, Aycock RA, Longo DR. Engaging patients in decision-making and behavior change to promote prevention. Stud Health Technol Inform 2017;240:284–302.
3. Haleem A, Javaid M, Singh RP, Suman R. Telemedicine for healthcare: capabilities, features, barriers, and applications. Sens Int 2021;2:100117.
4. Shi L. The impact of primary care: a focused review. Scientifica (Cairo) 2012;2012:432892.

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