Improving adolescent preventive services through state, managed care, and community partnerships

Klein, Jonathan D.; Gawronski, Beth; Handwerker, Lisa; Sesselberg, Tracy S.; Gesten, Foster; Schettine, Anne

doi:10.1016/s1054-139x(02)00673-0

Cited by 3 publications

(3 citation statements)

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“…In Israel, this role is often hampered by lack of training in adolescent medicine among primary care physicians 9 . Physician training in adolescent health care has been shown to increase the delivery of preventive health services 10 . In Israel, there is a need to increase training in adolescent health care at both the medical school and the residency levels, as well as for practitioners in the community.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Health Issues and Concerns of Israeli Seventh Graders During School Physician Examinations: A Pilot Study

Knishkowy

Amitai

Hardoff

et al. 2007

Journal of School Health

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Section: Discussionmentioning

confidence: 99%

Assessment of Health Issues and Concerns of Israeli Seventh Graders During School Physician Examinations: A Pilot Study

Knishkowy

Amitai

Hardoff

et al. 2007

Journal of School Health

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“…Moreover, provider-perceived self-efficacy to deliver adolescent preventive services is related to actual screening rates [23]. Physician training can improve the situation; in fact, continuing education sessions on preventive care have been shown to increase the delivery of adolescent preventive health services [24].…”

Section: Discussionmentioning

confidence: 99%

Preventive Adolescent Health Care in Family Practice: A Program Summary

Knishkowy

Schein

Kiderman

et al. 2006

The Scientific World JOURNAL

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The AMA Guidelines for Adolescent Preventive Services (GAPS) has been the cornerstone of preventive care for teenagers since its publication in 1994. Despite this, there has been little documentation of their implementation in the family medicine literature. This article gives an overview of a family practice–based adolescent preventive health program based on GAPS recommendations, and reports on compliance, feasibility and health issues. A Community-Oriented Primary Care (COPC) program targeted all adolescent patients aged 12—18 years in two Israeli family practices. 321 teenagers were invited to participate. Every 7th and 10th grader was invited for a preventive health visit with the family physician and nurse. The visits included a medical evaluation, screening and counseling regarding health issues recommended by GAPS, and counseling regarding personal health concerns. Parents were also invited to meet with the staff. 184 (57%) of the adolescents invited for health visits attended. The overall visit time was 47 minutes, including 12 minutes for a questionnaire and 35 minutes with providers. Common biomedical problems included overweight, acne and dysmenorrhea. Health risk behaviors and psychosocial problems included cigarette or alcohol use, dieting, infrequent/never seat belt use, and feeling depressed. 78% wanted to discuss at least one personal health issue. 27% were invited for follow-up visits. Only 3% of the parents came for visits. A community-oriented approach facilitates bringing adolescents for preventive health visits. Many previously undetected health issues, particularly psychosocial and behavioral, are revealed during these visits. A concerns checklist aids in addressing personal health concerns.

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“…Efforts comparable to those over the past two decades to increase the delivery of preventive services to adolescents are just beginning for young adults. Multiple models shown to increase preventive screening in adolescents could be adapted for use for young adults (Boekeloo and Griffin, 2007;Boekeloo et al, 2003;Klein et al, 2003;Olson et al, 2009;Ozer, 2007;Ozer et al, 2005;Sanci et al, 2012;Stevens et al, 2008;Tylee et al, 2007).…”

Section: Implementation Of Guidelinesmentioning

confidence: 99%

Investing In The Health And Well-Being Of Young Adults

2014

Forefront Group

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Investing in the Health and Well-Being of Young AdultsThe National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Victor J. Dzau is president of the Institute of Medicine.The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy's purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.

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Improving adolescent preventive services through state, managed care, and community partnerships

Cited by 3 publications

References 0 publications

Assessment of Health Issues and Concerns of Israeli Seventh Graders During School Physician Examinations: A Pilot Study

Assessment of Health Issues and Concerns of Israeli Seventh Graders During School Physician Examinations: A Pilot Study

Preventive Adolescent Health Care in Family Practice: A Program Summary

Investing In The Health And Well-Being Of Young Adults

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