Dr Rinsler has raised an important point about the difference in reduction and avoidance of disease and the promotion of health as he globally defines it. However, we believe that the first step toward good health promotion is education in the avoidance of risk factors for disease.In our own practice of primary care, we use many of Dr Rinsler's "tools" for health promotion. Unfortunately, many of these techniques are not well studied. The use of the "health hazard appraisal," for instance, has been shown to have serious potential flaws.1,2Although the future of health promotion appears bright, physicians should approach it as they have approached other areas of medical practice, with enthusiasm and rigorous scientific evaluation.
Dismuke SE, Miller ST. Promotion of Good Health-Reply. JAMA. 1984;251(12):1554–1555. doi:10.1001/jama.1984.03340360022016
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