Prioritization of evidence-based preventive health services during periodic health examinations.

ABSTRACT:

Background

Delivery of preventive services sometimes falls short of guideline recommendations.

Purpose

To evaluate the multilevel factors associated with evidence-based preventive service delivery during periodic health examinations (PHEs).

Methods

Primary care physicians were recruited from an integrated delivery system in southeast Michigan. Audio recordings of PHE office visits conducted from 2007 to 2009 were used to ascertain physician recommendation for or delivery of 19 guideline-recommended preventive services. Alternating logistic regression was used to evaluate factors associated with service delivery. Data analyses were completed in 2011.

Results

Among 484 PHE visits to 64 general internal medicine and family physicians by insured patients aged 50-80

SUBMITTER: Shires DA 

PROVIDER: S-EPMC3262983 | biostudies-literature | 2012 Feb

REPOSITORIES: biostudies-literature