Abstract
In metabolic syndrome screening program, we conduct motivational interviewing with individual patients with metabolic syndrome as a risk factor to reduce cerebrovascular disease mortality, ischemic cardiac disease mortality, and the number of newly initiated dialysis patients with diabetic nephropathy. However, there are many determinants of health that patients could not change themselves, we need a population approach in addition to an individual approach. Chronic care model is one of the useful tools for a population approach to metabolic syndrome. We need to conduct a systematic research if this population approach based on chronic care model is really effective to prevent important outcomes. Finally, all of us who are engaged in metabolic syndrome screening program need to fulfill our responsibilities to the society by putting the concept of the concept of transdisciplinary professionalism into practice.
