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This article has been peer reviewed. It is the authors' final version prior to publication in Primary Care. 2012 Jun;39(2):433-47. The published version is available at DOI: 10.1016/j.pop.2012.03.011. Copyright © Elsevier B.V.


With the growing burden of chronic disease, the medical and public health communities are re-examining their roles and opportunities for more effective prevention and clinical interventions. The potential to significantly improve chronic disease prevention and have an impact on morbidity and mortality from chronic conditions is enhanced by adopting strategies that incorporate a social ecology perspective, realigning the patient-physician relationship, integrating population health perspectives into the Chronic Care Model, and effectively engaging communities using established principles of community engagement.

Copyright © 2012 Elsevier Inc. All rights reserved.