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The Article in Brief
Updated Priorities Among Effective Clinical Preventive Services
Michael V. Maciosek , and colleagues
Background The National Commission on Prevention Priorities has updated its 2006 rankings of 28 clinical preventive services. The Commission used sophisticated microsimulation modeling to estimate the relative health impact and cost-effectiveness of each service. The findings are intended to assist clinicians and other decision-makers in their efforts to plan quality improvement initiatives, develop performance measurements, build primary care medical homes, and incorporate preventive services into the contracts of accountable care organizations.
What This Study Found The three highest ranking preventive services are immunizing children, counseling to prevent tobacco initiation among youth, and tobacco-use screening and brief intervention to encourage cessation among adults. Other high-ranking services include alcohol misuse screening with brief intervention; discussing aspirin use with high-risk adults; screenings for colorectal cancer, cervical cancer, chlamydia and gonorrhea, cholesterol, hypertension, and obesity; healthy diet counseling for those at a higher risk of cardiovascular disease; abdominal aortic aneurysm screening in high risk men; HIV screening; human papillomavirus immunization; influenza immunization; syphilis screening; and vision screening for children.
Implications
- There are substantial opportunities for primary care to improve population health through increased implementation of these evidence-based services.