Dr Cate Collings describes the simple steps clinicians can take to help underresourced populations adopt healthy lifestyle habits.
Director of Lifestyle Medicine, Silicon Valley Medical Development; Past President, American College of Lifestyle Medicine, Mountain View, California
All patients' lived experiences are unique, and there is a wide range of potential challenges to achieving lifestyle behavior change. Lack of access to nutritious food or transportation, a shortage of safe greenspaces, unstable housing, and low health literacy are examples of social determinants of health that affect lifestyle choices. Ignoring these obstacles is a disservice to patients and almost certainly results in treatment failure.
It is true that early adopters of lifestyle medicine often had difficulty practicing in underresourced communities. Those practitioners were forced to operate on a cash-pay basis, making access to care cost-prohibitive for many patients. However, board certification has been available since 2017, and lifestyle medicine is being integrated into medical schools and residency programs. Many such board-certified clinicians now work in large health systems and bill under the usual methods.
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