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Preventive adolescent health care in family practice: a program summary
Barry Knishkowy1, Moshe Schein, Alexander Kiderman
1Department of Mother, Child and Adolescent Health, Ministry of Health, Jerusalem, Israel. barry.k@moh.health.gov.il
Thescientificworldjournal
|June 13, 2006
Summary
Implementing the AMA Guidelines for Adolescent Preventive Services (GAPS) in family practices effectively identifies adolescent health issues. A community-oriented approach enhances adolescent participation in preventive care visits.
Area of Science:
- Family Medicine
- Adolescent Health
- Preventive Care
Background:
- The AMA Guidelines for Adolescent Preventive Services (GAPS) are crucial for adolescent healthcare but lack documented implementation in family medicine.
- Few studies explore the practical application and outcomes of GAPS in real-world clinical settings.
Purpose of the Study:
- To overview a family practice-based adolescent preventive health program using GAPS recommendations.
- To report on the compliance, feasibility, and identified health issues within this program.
Main Methods:
- A Community-Oriented Primary Care (COPC) program was implemented in two Israeli family practices for adolescents aged 12-18.
- Preventive health visits included medical evaluation, GAPS-recommended screening, and counseling; parents were also invited.
- Data collected on attendance, visit duration, health issues, and follow-up rates.
Main Results:
- 184 out of 321 (57%) invited adolescents attended preventive health visits.
- Common issues included overweight, acne, dysmenorrhea, and psychosocial/behavioral problems like substance use and depression.
- 78% of adolescents desired discussion on personal health concerns; 27% received follow-up visit invitations.
Conclusions:
- A community-oriented approach enhances adolescent engagement in preventive health visits.
- These visits effectively reveal numerous undetected health issues, especially psychosocial and behavioral concerns.
- A concerns checklist is valuable for addressing adolescents' personal health needs.
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