Publications by authors named "Nicolien M H Kromme"

Article Synopsis
  • Physicians need to improve their skills in Lifestyle Medicine and embrace their role as Health Advocates, but many patients feel there's no need for lifestyle changes and often don’t discuss this with their doctors.
  • A study involving 28 internists revealed that while they recognize the importance of health counseling and promotion (HC&P), they face mixed feelings about their responsibilities owing to various beliefs and systemic barriers.
  • The study highlights how confidence in patient motivation and viewing HC&P as integral to treatment can reduce ambivalence among internists, leading to a proposed framework to enhance their Health Advocate competencies.
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Background: Internists appear to define productive interactions, key concept of the Chronic Care Model, as goal-directed, catalyzed by achieving rapport, and depending on the medical context: i.e. medically explained symptoms (MES) or medically unexplained symptoms (MUS).

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