Methods Inf Med 1993; 32(03): 245-248
DOI: 10.1055/s-0038-1634923
Original Article
Schattauer GmbH

HEALTH WATCH: Health Promotion and Disease Prevention in Primary Care

R. M. Schmidt
1   Center for Preventive Medicine and Health Research, HEALTH WATCH Program, California Pacific Medical Center and San Francisco State University, San Francisco CA, USA
› Author Affiliations
Further Information

Publication History

Publication Date:
06 February 2018 (online)

Abstract:

Health Watch, a longitudinal prospective study of healthy aging, was designed to characterize a healthy population of 2,200 men and women, ages 20-80 years in 1970. Biochemical, hematological, and physiological tests are performed annually over three weekly visits, combined with a self-administered Health Watch questtionnaire to measure health status and behaviors in seven areas (with over 1,330 variables). In 1988, the Health Watch study was modified to assess characteristics of an oldest old “productive aging” cohort in Kauai, Hawaii. Nutrition, physical activity, extended family, and spirituality were found to be major health determinants. During 1989 to 1991 a controlled intervention study (ten local primary care physicians and their patients, aged 65-89 years) was completed in the Sun Cities, Arizona. These studies provide evidence that primary care physicians can promote positive health outcomes in patients of any chronological age and baseline health status through active healthy aging interventions.

 
  • REFERENCES

  • 1 Schmidt RM, Wu M. Health Watch: A person-specific Health Assessment System to evaluate outcomes of healthy aging interventions, health promotion and preventive medicine in an aging America. In: Felitti VJ. ed. Health Evaluation: Searching for the Hidden Defect. Rockville Md: International Health Evaluation Association; 1991: 145-72.
  • 2 Rubenstein LZ. The efficacy of geriatric assessment programmes. In: Kane RL, Evans JG, Macfadyen D. eds. Improving the Health of Older People: a World View. New York: Oxford University Press; 1990: 417-39.
  • 3 U.S. Preventive Services Task Force. Guide to Clinical Preventive Services. An Assessment of the Effectiveness of 169 Interventions. Baltimore: Williams & Wilkins; 1989
  • 4 U.S. Public Health Service. Healthy People 2000. National Health Promotion and Disease Prevention Objektives. Washington DC: U.S. Department of Health and Human Services; DHHS Pub No. (PHS) 91-50212 1991
  • 5 Williams GZ. Individual-specific normal ranges and identification of trend changes in serum constituents. In: Yasaka T. ed. Progress in Health Monitoring. New York: Excerpta Medica; 1981: 21-34.
  • 6 Williams GZ, Harnly M. Health status and healthy habit evaluation. Med Inform 1982; 07: 193-207.
  • 7 Williams GZ. Person-specific health maintenance. In: Harris EK, Yasaka T. eds. Maintaining a Healthy State Within the Individual. Amsterdam: Elsevier Science Publ; 1987: 41-7.
  • 8 Harnly ME, Williams GZ. Health status and health habit evaluation. In: Abelin T, Brzezinski ZJ, Carstairs VDL. eds. Measurement in Health Promotion and Protection. Copenhagen: World Health Organization Regional Publications; 1987. European Series No 22 555-63.
  • 9 Hata LE, Schmidt RM. Monitoring person-specific clinical laboratory and health behavioral trends using a Macintosh computer system. In: PREVENTION 89. Atlanta: 39.
  • 10 Hata LE, Schmidt RM. Monitoring clinical laboratory and health behavioral trends in the routine clinical practice. In: Proceedings of the 46th Annual Meeting of the American Geriatrics Society Boston MA 1989: 64.
  • 11 Regan PJ, Hata LE, Schmidt RM. Use of health trend charts, health profile indices and health advice letters to modify health behavior in the primary care practice. The Gerontologist 1989; 29: 94 A
  • 12 Schmidt RM. Healthy aging: Clinical preventive medicine for an aging America. The Gerontologist 1988; 28: 1A
  • 13 Schmidt RM. Healthy aging: individual health trend assessment and intervention in the routine clinical practice. The Gerontologist 1989; 29: 1A-2 A 31 A.
  • 14 Schmidt RM. Evaluating outcomes of healthy aging interventions: The Health Watch of Arizona Study in the Sun Cities. The Gerontologist 1990; 30 (08) 13 34A-36A.
  • 15 Schmidt RM, Wu M, Williams GZ. Health Watch: A longitudinal prospective study of healthy aging in 2200 individuals. I. Preliminary analysis of biochemical, hematological and physiological data for males and females. Application to the care of older patients. In: Goldstein AL. ed. Biomedical Advances in Aging. New York: Plenum Press; 1990: 163-72.
  • 16 Schmidt RM, Wu M. Gender and age differences in reference values for red cell, white cell and platelet laboratory tests in healthy individuals: Medical Informatics in Hematology. Blood 1990; 76: 577a.
  • 17 Wu M, Kenen RM, Schmidt RM. Gender differences across the life span: A preliminary analysis of psychosocial and clinical laboratory parameters from a longitudinal prospective study of health aging. The Gerontologist 1989; 29: 36 A-37 A
  • 18 Kvitash VI, Mahler EM, Schmidt RM. Immunology, aging and the Primary Care Practice: Forecasting progression of immune dysfunction in older patients. The Gerontologist 1991; 31: 180.
  • 19 Mahler EM, Schmidt RM, Kvitash VI. An artificial intelligence system to predict progression of immune dysfunction in healthy older patients. J Med Syst. 1993. in press.
  • 20 Schmidt RM. The Kauai Healthy Aging Study: preliminary analysis of healthy aging in 16 men and women from five ethnic groups. The Gerontologist 1989; 29: 93 A
  • 21 Wallace RB, Rohrer JE. Aging, quantitative health status assessment and the effectiveness of medical care. In: Kane RL, Evans JG, Macfadyen D. eds. Improving the Health of Older People: A World View. New York: Oxford University Press; 1990: 90-106.
  • 22 Breslow L. Health status measurement in the evaluation of health promotion. In: Lohr KN, Mock GA. eds. Advances in the Assessment of Health Status. Council on Health Care Technology, Institute of Medicine, National Academy of Sciences. Washington DC: National Academy Press; 1989: 19-20.
  • 23 Bortz WM. We Live Too Short and Die Too Long. New York: Bantam; 1991
  • 24 Williams GZ, Schmidt RM. Person-specific health assessment and preventive medicine in the 21st century. In: Barber B, Cao D, Qin D, Wagner G. eds. MEDINFO 89. Amsterdam: North-Holland Publ Comp; 1989: 22-5.
  • 25 Davis K, Bialek R, Parkinson M, Smith J, Vellozzi C. Paying for preventive care: Moving the debate forward. Amer J Prevent Med 1990; 06: 7-32.