Facilitating prevention in primary care.
We believe that many general practitioners would practice preventive medicine if they had the opportunity to organise their practice to do this. We therefore provided a "facilitator," who understands the work of a general practice, to help practices that were interested in prevention to set up programmes. She, for example, helped the primary care team to set up objectives, trained practice nurses to measure blood pressure, and set up a system to measure the progress of the programme.
Abstract The results of the Tennessee study and the recent Brookings consensus statement present a moment for the field to reflect collectively on the preschool evidence base writ large and on what should come next. In this brief commentary, I review the broader preschool literature and offer seven specific takeaways regarding what we know about public preschool programs and about how to improve them. I argue that making progress requires a pivot in the field to specifically how to create new high-quality programs and improve existing ones. I offer specific directions for policy, practice, and research aimed at guiding this pivot.