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The impact of Put Prevention into Practice on selected clinical preventive services in five Texas sites
N H Gottlieb1, P P Huang, S A Blozis
1Department of Kinesiology and Health Education, University of Texas, Austin, Texas 78712, USA. ngottlieb@mail.utexas.edu
Objective:
To determine whether the implementation of the Put Prevention Into Practice (PPIP) office-based system would increase the delivery rates of specific clinical preventive services among demonstration clinics.
Methods:
Chart review was conducted before (n=372) and 33 to 39 months after (n=376) the implementation of the PPIP office-based system in two community health centers and three family practice residency programs in Texas. The population included all adult patients aged > or = 19 years who had presented to the clinic during the study periods.
Results:
Documentation of timely cholesterol screening increased from 70% to 84%; smoking assessment, from 56% to 80%; for women, up-to-date Papanicolaou smear, from 70% to 81%; annual mammograms (women aged > or =51), from 30% to 48%; and up-to-date tetanus-diphtheria immunizations, from 19% to 59%. For adults aged > or =66 years, documentation of pneumococcal immunization increased from 22% to 48%, while influenza immunizations improved, although not significantly (45% to 49%). Blood pressure screening was almost universal (99%) at baseline and at 33- to 39-month follow-up.
Conclusion:
PPIP system changes were associated with an observed increase in delivery of selected clinical preventive services.