PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of pubhealthrepPublic Health Reports
 
Public Health Rep. 1988 Jul-Aug; 103(4): 360–365.
PMCID: PMC1478102

The role of physicians in a community-wide program for prevention of cardiovascular disease: the Minnesota Heart Health Program.

Abstract

The Minnesota Heart Health Program (MHHP) aims to reduce cardiovascular disease (CVD) morbidity and mortality by reducing risk factors among the mass of residents in three midwestern communities. A major aspect of the program is the involvement of community physicians because they have high credibility as citizen leaders, especially on health issues. In the MHHP, physicians contributed in a number of ways. The initial contacts with physicians resulted in their providing support and introductions to other community leaders, whose active support was also gained. Physicians sit as members of the central Community Advisory Borads of MHHP and serve on the executive committees of these boards. All MHHP issues related to medical practice are brought before Physicians' Advisory Groups in each community for resolution. Primary care physicians attend MHHP continuing education programs. In a survey of 109 physicians in one of the MHHP communities, 95 percent of respondents believed cigarette smoking to be an important risk factor for CVD, but only 15 percent judged themselves to be effective in dealing with patients who smoked. Forty-one percent of respondents said that elevated blood cholesterol is an important risk factor, but only 20 percent felt effective in treating the condition. Only 18 percent of the physicians in the sample believed that a poor eating pattern plays a substantial role in CVD, and 9 percent felt effective in counseling patients about eating habits. This pattern of results indicates the need not only for continuing education about risk factors for CVD, but also for training to improve patient counseling skills.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1003K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Blackburn H. Research and demonstration projects in community cardiovascular disease prevention. J Public Health Policy. 1983 Dec;4(4):398–421. [PubMed]
  • Puska P, Nissinen A, Tuomilehto J, Salonen JT, Koskela K, McAlister A, Kottke TE, Maccoby N, Farquhar JW. The community-based strategy to prevent coronary heart disease: conclusions from the ten years of the North Karelia project. Annu Rev Public Health. 1985;6:147–193. [PubMed]
  • Farquhar JW, Fortmann SP, Maccoby N, Haskell WL, Williams PT, Flora JA, Taylor CB, Brown BW, Jr, Solomon DS, Hulley SB. The Stanford Five-City Project: design and methods. Am J Epidemiol. 1985 Aug;122(2):323–334. [PubMed]
  • Gutzwiller F, Nater B, Martin J. Community-based primary prevention of cardiovascular disease in Switzerland: methods and results of the National Research Program (NRP 1A). Prev Med. 1985 Jul;14(4):482–491. [PubMed]
  • Kornitzer M, Rose G. WHO European Collaborative Trial of multifactorial prevention of coronary heart disease. Prev Med. 1985 May;14(3):272–278. [PubMed]
  • Jacobs DR, Jr, Luepker RV, Mittelmark MB, Folsom AR, Pirie PL, Mascioli SR, Hannan PJ, Pechacek TF, Bracht NF, Carlaw RW, et al. Community-wide prevention strategies: evaluation design of the Minnesota Heart Health Program. J Chronic Dis. 1986;39(10):775–788. [PubMed]
  • Carlaw RW, Mittlemark MB, Bracht N, Luepker R. Organization for a community cardiovascular health program: experiences from the Minnesota Heart Health Program. Health Educ Q. 1984 Fall;11(3):243–252. [PubMed]
  • Mittelmark MB, Luepker RV, Jacobs DR, Bracht NF, Carlaw RW, Crow RS, Finnegan J, Grimm RH, Jeffery RW, Kline FG, et al. Community-wide prevention of cardiovascular disease: education strategies of the Minnesota Heart Health Program. Prev Med. 1986 Jan;15(1):1–17. [PubMed]
  • Murray DM, Luepker RV, Pirie PL, Grimm RH, Jr, Bloom E, Davis MA, Blackburn H. Systematic risk factor screening and education: a community-wide approach to prevention of coronary heart disease. Prev Med. 1986 Nov;15(6):661–672. [PubMed]
  • Perry CL, Murray DM. Enhancing the transition years: the challenge of adolescent health promotion. J Sch Health. 1982 May;52(5):307–311. [PubMed]
  • Rose G. Strategy of prevention: lessons from cardiovascular disease. Br Med J (Clin Res Ed) 1981 Jun 6;282(6279):1847–1851. [PMC free article] [PubMed]
  • Kottke TE, Puska P, Salonen JT, Tuomilehto J, Nissinen A. Projected effects of high-risk versus population-based prevention strategies in coronary heart disease. Am J Epidemiol. 1985 May;121(5):697–704. [PubMed]
  • Blackburn H, Grimm R, Jr, Luepker RV, Mittelmark M. The primary prevention of high blood pressure: a population approach. Prev Med. 1985 Jul;14(4):466–481. [PubMed]
  • Fortmann SP, Sallis JF, Magnus PM, Farquhar JW. Attitudes and practices of physicians regarding hypertension and smoking: The Stanford Five City Project. Prev Med. 1985 Jan;14(1):70–80. [PubMed]
  • Valente CM, Sobal J, Muncie HL, Jr, Levine DM, Antlitz AM. Health promotion: physicians' beliefs, attitudes, and practices. Am J Prev Med. 1986 Mar-Apr;2(2):82–88. [PubMed]
  • Segall A, Barker W, Jr, Cobb S, Jackson G, Carey J. A general model for preventive intervention in clinical practice. J Med Educ. 1981 Apr;56(4):324–333. [PubMed]

Articles from Public Health Reports are provided here courtesy of SAGE Publications