Models for Caring for Patients with Complex Lifestyle, Medical, and Social Needs
A small fraction of the US population accounts for the majority of the country’s healthcare spending. Patients who are frequently hospitalized tend to experience multiple chronic conditions, often brought on and exacerbated by environmental and lifestyle
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Creating a Lifestyle Medicine Center From Concept to Clinical Practice
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Creating a Lifestyle Medicine Center
Jeffrey I. Mechanick • Robert F. Kushner Editors
Creating a Lifestyle Medicine Center From Concept to Clinical Practice
Editors Jeffrey I. Mechanick The Marie-Josée and Henry R. Kravis Center for Cardiovascular Health at Mount Sinai Heart, and the Division of Endocrinology, Diabetes and Bone Disease Icahn School of Medicine at Mount Sinai New York, NY USA
Robert F. Kushner Departments of Medicine and Medical Education Northwestern University Chicago, IL USA
ISBN 978-3-030-48087-5 ISBN 978-3-030-48088-2 (eBook) https://doi.org/10.1007/978-3-030-48088-2 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
We wish to thank our friends and colleagues at the Kravis Center for Cardiovascular Health at Mount Sinai Heart and Northwestern Medicine Center for Lifestyle Medicine who share our passion and commitment to providing exceptional care, our patients who teach us how to be better doctors, and our families who keep us grounded. – JM and RK
Foreword
Cardiovascular disease is the number one cause of mortality worldwide and impels the coordinated quest for scientifically valid strategies, along with safe and effective actions. Unfortunately, humans have had to bear witness to the many false starts, misdirections, and premature conclusions to what have been regarded as best laid plans. Where are the failings? What are we doing wrong inasmuch as epidemiological evidence continues to demonstrate worsening of cardiovascular disease and prevalence rates of modifiable risk factors in certain populations? My lifelong aspiration is to better und
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