Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Variation in clinical preventive services.

L I Solberg1, T E Kottke, M L Brekke

  • 1HealthPartners Research Foundation, Minneapolis, Minn., USA. leif.i.solberg@healthpartners.com

Effective Clinical Practice : ECP
|July 4, 2001
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Continued smoking following successful percutaneous coronary revascularization increased the risk of all-cause mortality and Q-wave MI.

Evidence-based cardiovascular medicine·2005
Same author

Sudden cardiac death in diabetes mellitus: risk factors in the Rochester diabetic neuropathy study.

Journal of neurology, neurosurgery, and psychiatry·2005
Same author

Preventing heart disease and stroke: messages from the United States.

The Keio journal of medicine·2002
Same author

The failure of a controlled trial to improve depression care: a qualitative study.

The Joint Commission journal on quality improvement·2002
Same author

A CQI intervention to change the care of depression: a controlled study.

Effective clinical practice : ECP·2002
Same author

Aids to quitting tobacco use: how important are they outside controlled trials?

Preventive medicine·2001
Same journal

Using the Veterans Health Administration inpatient care database: trends in the use of antireflux surgery.

Effective clinical practice : ECP·2002
Same journal

Veterans Health Administration inpatient and outpatient care data: an overview.

Effective clinical practice : ECP·2002
Same journal

Using the National Health Interview Survey: time trends in influenza vaccinations among targeted adults.

Effective clinical practice : ECP·2002
Same journal

The National Health Interview Survey: an overview.

Effective clinical practice : ECP·2002
Same journal

The Medical Expenditure Panel Survey: an overview.

Effective clinical practice : ECP·2002
Same journal

The healthcare cost and utilization project: an overview.

Effective clinical practice : ECP·2002
See all related articles

Preventive service delivery varies significantly across primary care clinics. Improving organized prevention systems targeting multiple services is crucial for enhancing patient care.

Area of Science:

  • Primary Care Medicine
  • Health Services Research
  • Preventive Healthcare

Background:

  • Preventive service delivery in primary care is suboptimal.
  • A systems approach is recommended for improving preventive care.
  • Studying inter-clinic variation can reveal system utilization.

Purpose of the Study:

  • To assess the variation in preventive service delivery across primary care practices.
  • To examine patient adherence to recommended preventive screenings and vaccinations.

Main Methods:

  • Surveyed 6830 patients across 44 Midwest primary care practices.
  • Assessed rates for Papanicolaou (Pap) smear, cholesterol testing, mammography, clinical breast examination, blood pressure measurement, influenza and pneumococcal vaccinations, and tobacco use advice.

Related Experiment Videos

  • Analyzed patient-reported up-to-date status for preventive services.

    • Main Results:

    • Significant variation observed in patient up-to-date rates for preventive services among clinics.
    • Up-to-date rates for Pap smears ranged from 70% to 93%; cholesterol screening from 45% to 88%.
    • Low correlation between clinic performance across different preventive services, suggesting fragmented systems.

    Conclusions:

    • Wide variation exists in the performance of preventive services, both between and within clinics.
    • Lack of integrated, multi-service prevention systems likely drives this variation.
    • Variation presents a target for quality improvement initiatives in primary care.