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Put prevention into practice: a controlled evaluation.

J Melnikow1, N D Kohatsu, B K Chan

  • 1Department of Family and Community Medicine, University of California, Davis, USA. jamelnikow@ucdavis.edu

American Journal of Public Health
|October 13, 2000
PubMed
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The Put Prevention Into Practice (PPIP) materials initially improved clinical preventive services delivery. However, sustained improvement in preventive care requires significant system changes and ongoing support.

Area of Science:

  • Preventive Medicine
  • Health Services Research

Background:

  • Clinical preventive services are crucial for population health.
  • The Put Prevention Into Practice (PPIP) initiative aimed to improve the delivery of these services.

Purpose of the Study:

  • To evaluate the impact of Put Prevention Into Practice (PPIP) materials on the delivery of 8 clinical preventive services.

Main Methods:

  • A family medicine practice serving a diverse, low-income population received PPIP materials.
  • Medical record reviews were conducted at baseline, 6, 18, and 30 months at intervention and control sites to assess service delivery.

Main Results:

  • Delivery rates for 7 clinical preventive services increased at the intervention site by 6 months.

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  • These improved rates plateaued or declined by the 30-month follow-up.
  • Conclusions:

    • PPIP materials led to a modest, short-term improvement in the delivery of select clinical preventive services.
    • Sustaining improvements in preventive care necessitates significant systemic modifications and continuous support.