Promoting Consistent Clinical Preventive Services Guidelines Among Competing Health Plans

Ayres, Cynthia G.; Griffith, Hurdis M.

doi:10.1111/j.1945-1474.2007.tb00192.x

Cited by 3 publications

(12 citation statements)

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“…Despite evidence that such health promotion and wellness programs decrease health risks and the associated health care dollars for treatment, insurance companies in the United States do not typically reimburse the insured for their participation in these types of programs, 118 Hoover et al /Physiotherapy Theory and Practice 25 (2009) 99-128 Physiother Theory Pract Downloaded from informahealthcare.com by University of North Carolina on 11/03/14 creating barriers to the promotion of health, wellness, and preventive medicine initiatives (Ayres and Griffith, 2007a;Ayres and Griffith, 2007b;Latts, Prochazka, Salas, and Young, 2002;McCloy, 2001). Some employers provide incentives for participation in preventative health measures in this manner by providing on-site fitness and wellness programs or covering the cost of memberships at local fitness centers, but the availability of such benefits can vary widely from one employer to the next as can the effectiveness in such programs in changing fitness or physical activity levels (Dishman, Oldenburg, O'Neal, and Shepard, 1999;Lucove, Huston, and Evenson, 2007).…”

Section: Common Themes Of Clinicsmentioning

confidence: 98%

Exploring aftercare programs following outpatient musculoskeletal physical therapy: A case series report

Hoover

Domholdt

Leland

et al. 2009

Physiotherapy Theory and Practice

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Aftercare programs allow patients to continue to exercise with supervision following discharge from physical therapy. Although not yet widespread in clinical practice, aftercare programs represent a growing trend following outpatient physical therapy settings in the United States. The purpose of this study was to explore and describe the characteristics, implementation, and impact of contemporary aftercare programs in a selected sample of outpatient physical therapy settings. A purposeful sample of three aftercare program and four clients were interviewed to provide the descriptive data for this study. Each client was also later interviewed at 3-4 months and again at 6 months. A general health outcomes measurement tool (SF-36) and musculoskeletal regional outcomes tools also were used to measure health status and function. Directors of the three programs cited similar rationales for starting their aftercare programs. However, specific features and goals of the three aftercare programs varied, as did utilization and participation. Clients were generally pleased with their aftercare involvement, and they demonstrated clinically important improvements on outcome measures of function and health-related quality of life in addition to subjective reports of satisfaction. Aftercare programs are an emerging clinical trend following physical therapy, and this study provides an initial description of the development, implementation, and effectiveness of such programs. Future study should investigate a greater variety of aftercare settings and larger samples of participants and should also further examine how well aftercare programs promote health and wellness.

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Section: Common Themes Of Clinicsmentioning

confidence: 98%

Exploring aftercare programs following outpatient musculoskeletal physical therapy: A case series report

Hoover

Domholdt

Leland

et al. 2009

Physiotherapy Theory and Practice

View full text Add to dashboard Cite

show abstract

“…Published annually by the New Jersey Department of Health and Senior Services, this report is used to promote self-evaluation and improvement by various health plan areas (Ayres & Griffith, 2007a;Fox & Cuite, 2001). Published annually by the New Jersey Department of Health and Senior Services, this report is used to promote self-evaluation and improvement by various health plan areas (Ayres & Griffith, 2007a;Fox & Cuite, 2001).…”

Section: Introductionmentioning

confidence: 99%

“…

Background: Medical directors from the largest competing health plans in the state came together in a noncompetitive way to collaborate on improving the delivery of clinical preventive service (CPS) among their provider base (Ayres & Griffith, 2007a). They identified one consistent set of CPS guidelines based on U.S. Preventive Services Task Force recommendations, the health plan consensus guidelines (HPCG), that they could endorse as priority for guideline implementation.

…”

mentioning

confidence: 99%

“…

Background: Medical directors from the largest competing health plans in the state came together in a noncompetitive way to collaborate on improving the delivery of clinical preventive service (CPS) among their provider base (Ayres & Griffith, 2007a). This approach provides a template for competing health plans nationwide to come to consensus on guidelines that support clinicians in the delivery of CPS (Ayres & Griffith, 2007a).

Purpose: The purposes of this study were to assess clinicians' knowledge and use of CPS recommendations as a guide to delivering preventive care services to their patients and, most importantly, to test the effectiveness of providing the HPCG to clinicians in an effort to increase knowledge and use of CPS guidelines.…”

mentioning

confidence: 99%

“…physical inactivity, obesity, and failure to use safety belts increase mortality risk (Ayres & Griffith, 2007a). However, despite scientific consensus that emphasizes prevention within clinicians' practices, studies (Lopezde-Munain, Torcal, Lopez, & Garay, 2001;Solberg, Kottke, & Brekke, 2001;USPSTF, 2000) have shown that clinicians often fail to provide recommended CPS (Ayres & Griffith, 2007a,b).…”

mentioning

confidence: 99%

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Consensus guidelines

Ayres

Griffith

2008

Health Care Management Review

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Taking Aim at the Injury Prevention Curriculum: Educating Residents on Talking to Patients About Firearm Injury

2022

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The medical community recognizes that firearm injury is a public health problem. Yet we lack both the tools for and the implementation of evidence-based firearm injury screening and counseling techniques. One reason for these deficits is the lack of clinical training related to engaging patients in firearm injury risk reduction. In this issue, Rickert et al describe a pre–post evaluation of a 2-part firearm injury prevention training curriculum for first-year medical residents at a single academic medical center. Their manuscript serves an important, but still preliminary, step forward for the field of postgraduate medical education on firearm injury and its prevention. Important elements of this project and paper consist of the inclusion of multiple medical disciplines and the use of standardized patients to evaluate participants’ learning. This project also points to the need for further growth. We must commit to consistently and conscientiously framing injuries from guns not as “gun violence” but rather as “firearm injuries” to ensure that they are considered squarely in both the public health space and the clinical space. An ideal curriculum would also highlight the importance of trauma-informed care, cultural competency, and antiracist medical practice while countering implicit biases (e.g., toward gun owners, victims of firearm violence, perpetrators of violence). It should address barriers, as well as facilitators, to change. And most importantly, future educational work must evaluate the effect of these trainings on actual clinical practice—and, even better, the efficacy of education in changing behavior and patient-level outcomes.

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Promoting Consistent Clinical Preventive Services Guidelines Among Competing Health Plans

Cited by 3 publications

References 12 publications

Exploring aftercare programs following outpatient musculoskeletal physical therapy: A case series report

Exploring aftercare programs following outpatient musculoskeletal physical therapy: A case series report

Consensus guidelines

Taking Aim at the Injury Prevention Curriculum: Educating Residents on Talking to Patients About Firearm Injury

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