Decision Making For Introducing Clinical Preventive Services

Pels, R.

doi:10.1146/annurev.publhealth.10.1.363

Cited by 4 publications

(7 citation statements)

References 49 publications

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“…Physician reminders include stickers or notes to prompt physicians to perform certain tests or discuss certain topics with patients during or after their visit, or both. Reminders have been shown to improve compliance with preventive care guidelines in many areas, including cancer detection and immunizations (Bird et al 1990; Barton and Schoenbaum 1990;Pels, Bor, and Lawrence 1989). In a study by Bird et al (1990), physicians received cancer screening reminders, listing the screening procedures and intervals appropriate to the patients' age and sex, as well as the date of the previous screening and the &dquo;due&dquo; date for the next for each test.…”

Section: Establishing Standards Of Carementioning

confidence: 99%

“…Several studies have shown that telephone or mail reminders can improve patient utilization of preventive services, including influenza vaccines, Pap smears, blood pressure screening, professional breast exams, and mammography (McDowell, Newell, and Rosser 1986;Pels, Bor, and Lawrence 1989;Bird et al 1990;Wolosin 1990). …”

Section: Establishing Standards Of Carementioning

confidence: 99%

“…Physician feedback can consist of feedback about the care of an individual patient, about the physician's practice profile, about his or her practice compared to that of a peer group, and about overall group practice patterns (Pels, Bor, and Lawrence 1989;Belcher, Berg, and Inui 1988). Results for both acute and preventive services have been mixed with regard to the effectiveness of physician feedback in changing physician practice patterns.…”

Section: Providing Feedback To Physiciansmentioning

confidence: 99%

“…Feedback on compliance with preventive service recommendations appears to improve performance if the feedback is individualized and timely (Pels, Bor, and Lawrence 1989;Belcher, Berg, and Inui 1988). One study found that physicians improved their rates of colorectal screening after feedback on individual performance but not after feedback on group performance (Winikoff, Coltin, Morgan, et al 1984).…”

Section: Providing Feedback To Physiciansmentioning

confidence: 99%

See 3 more Smart Citations

Managed Care for Preventive Services: A Review of Policy Options

Schauffler

Rodriguez²

1993

Medical Care Review

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Section: Establishing Standards Of Carementioning

confidence: 99%

Section: Establishing Standards Of Carementioning

confidence: 99%

Section: Providing Feedback To Physiciansmentioning

confidence: 99%

Section: Providing Feedback To Physiciansmentioning

confidence: 99%

See 2 more Smart Citations

Managed Care for Preventive Services: A Review of Policy Options

Schauffler

Rodriguez²

1993

Medical Care Review

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“…21 Furthermore, most patients are reluctant to initiate such discussions with their physicians. Yet, I…”

Section: Health Promotion/disease Prevention In Clinical Practicementioning

confidence: 99%

Prevention and the Elderly: Appropriate Policies

Omenn¹

1990

Health Affairs

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Rural, Suburban, and Urban Differences in Factors That Impact Physician Adherence to Clinical Preventive Service Guidelines

Khoong

Gibbert

Garbutt

et al. 2013

The Journal of Rural Health

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Purpose Rural-urban disparities in provision of preventive services exist, but there is sparse research on how rural, suburban, or urban differences impact physician adherence to clinical preventive service guidelines. We aimed to identify factors that may cause differences in adherence to preventive service guidelines among rural, suburban, and urban primary care physicians. Methods This qualitative study involved in-depth semi-structured interviews with 29 purposively sampled primary care physicians (10 rural, 10 suburban, 9 urban) in Missouri. Physicians were asked to describe barriers and facilitators to clinical preventive service guideline adherence. Using techniques from grounded theory analysis, 2 coders first independently conducted content analysis then reconciled differences in coding to ensure agreement on intended meaning of transcripts. Findings Patient epidemiologic differences, distance to health care services, and care coordination were reported as prominent factors that produced differences in preventive service guideline adherence among rural, suburban, and urban physicians. Epidemiologic differences impacted all physicians, but rural physicians highlighted the importance of occupational risk factors in their patients. Greater distance to health care services reduced visit frequency and was a prominent barrier for rural physicians. Care coordination among health care providers was problematic for suburban and urban physicians. Patient resistance to medical care and inadequate access to resources and specialists were identified as barriers by some rural physicians. Conclusions The rural, suburban, or urban context impacts whether a physician will adhere to clinical preventive service guidelines. Efforts to increase guideline adherence should consider the barriers and facilitators unique to rural, suburban, or urban areas.

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Decision Making For Introducing Clinical Preventive Services

Cited by 4 publications

References 49 publications

Managed Care for Preventive Services: A Review of Policy Options

Managed Care for Preventive Services: A Review of Policy Options

Prevention and the Elderly: Appropriate Policies

Rural, Suburban, and Urban Differences in Factors That Impact Physician Adherence to Clinical Preventive Service Guidelines

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