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Improving and maintaining preventive services. Part 1: Applying the patient path model.

F A Pommerenke¹, A Dietrich

¹Division of Cancer Prevention and Control, National Cancer Institute, Bethesda, MD.

The Journal of Family Practice

|January 1, 1992

Summary

Physician-modifiable factors within medical offices significantly impact patient preventive care. The Patient Path Model offers a framework for practices to enhance preventive service delivery.

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Area of Science:

Primary Care Medicine
Health Services Research

Background:

Preventive care delivery is crucial for population health.
Numerous factors influence the extent of preventive services patients receive in primary care settings.

Purpose of the Study:

To identify key variables affecting preventive care in primary care.
To present the Patient Path Model as a framework for evaluating and improving preventive care.

Main Methods:

Review of research on factors influencing preventive care over the past two decades.
Development of the Patient Path Model to categorize these factors.

Main Results:

Preventive care levels are predominantly determined by factors within the medical office.

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These office-based factors are amenable to modification by physicians.

The Patient Path Model provides a systematic approach to practice evaluation.

Conclusions:

The Patient Path Model offers a practical framework for primary care practices.
Systematic application of the model can identify opportunities to enhance preventive care delivery.