American healthcare already knows how to prevent disease. The screening guidelines exist, the quality measures exist, and the dashboards multiply every year. Yet eligible patients are still identified but not reached, care gaps are still documented but not closed, and quality is still measured after the fact, when it is too late to change the outcome. Prevention does not fail for lack of knowledge. It fails at execution.
That argument now has a book behind it. The Preventive Care Ecosystem, the new scholarly monograph by our founder, Paul Arthur Osaroejii, sets out a complete operating architecture for preventive care, built on a seven-step sequence: Identify, Prioritize, Engage, Route, Close, Measure, and Improve. Grounded in the CFIR and RE-AIM implementation frameworks, its 23 chapters take up the American prevention paradox, the preventive visit as the front door of care, screening orchestration, care-gap closure as an operating core, health equity as a real-time discipline, and the workforce and policy agendas a national prevention system requires. Every claim in the book is backed by a fully verified reference list of 102 sources.
A note on what this book is, and is not. It is a work of scholarship, written for health services researchers, healthcare executives, policymakers, population health and quality leaders, implementation scientists, and graduate students. It names no company and no product, including ours. It is the evidence base and the thinking that preventive care work, ours included, should be held to.
The book is available now in Kindle and paperback editions: https://www.amazon.com/dp/B0HNF36STZ
If the argument interests you, or if your organization is wrestling with the same execution gap, we would welcome the conversation: Contact Axiom
Preventive care, intelligently orchestrated.