Using the 5As Model in a System

Of the five steps in the 5As model (assess, advise, agree, assist, and arrange), the family physician is likely to be most effective when charged with focusing on the advise and agree steps. The staff member who triages the patient may be assigned the responsibility of administering a brief health risk assessment or reviewing a flow sheet of preventive services and noting on the chart if the patient is due for an immunization or screening test. During the visit, the prompted physician can advise the patient to be more physically active and explore the patient's motivation to change or recommend a flu shot or cholesterol test. Most importantly, other members of the health care team can assist patients in learning additional information, acquiring new skills, choosing between options, and creating a personalized action plan. Team members, including nurses, medical assistants, social workers, and care managers, can link patients to resources in the community to support health behavior change and arrange follow-up (see Chapter 2).

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