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Changing physician behavior to improve disease prevention
S J Cohen1, H W Halvorson, C A Gosselink
1Department of Public Health Sciences, Bowman Gray School of Medicine, Winston-Salem, NC 27157.
Preventive Medicine
|May 1, 1994
Summary
Physician behavior change for preventive services is complex. Interventions using the "readiness for change" model, involving office staff and patients, can improve cancer prevention counseling and early detection.
Area of Science:
- Health Services Research
- Behavioral Science
- Medical Education
Background:
- Physicians frequently do not deliver recommended preventive services.
- Changing physician behavior is crucial for improving patient outcomes.
- The transtheoretical model's
- Purpose_of_the_Study
- Main_Methods
- Main_Results
- Conclusions
Purpose of the Study:
- To review literature on physician behavior change using the
- To illustrate how the
- To describe interventions for improving cancer prevention counseling and early detection.
Main Methods:
- Literature review on the
- Description of a statewide randomized controlled trial using a multistage intervention.
- Intervention components include practice feedback, office manuals, and staff training.
Main Results:
- Traditional continuing medical education is insufficient for behavior change.
- Motivational strategies and office-system approaches are effective.
- Multistage interventions can guide the design and implementation of practice changes.
Conclusions:
- The
- Interventions should target the entire office system, including staff and patients.
- The
- The study demonstrates a practical approach to enhancing preventive care delivery.