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Research ArticleOriginal Research

Delivery of Clinical Preventive Services in Family Medicine Offices

Benjamin F. Crabtree, William L. Miller, Alfred F. Tallia, Deborah J. Cohen, Barbara DiCicco-Bloom, Helen E. McIlvain, Virginia A. Aita, John G. Scott, Patrice B. Gregory, Kurt C. Stange and Reuben R. McDaniel
The Annals of Family Medicine September 2005, 3 (5) 430-435; DOI: https://doi.org/10.1370/afm.345
Benjamin F. Crabtree
PhD
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William L. Miller
MD, MA
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Alfred F. Tallia
MD, MPH
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Deborah J. Cohen
PhD
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Barbara DiCicco-Bloom
RN, PhD
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Helen E. McIlvain
PhD
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Virginia A. Aita
RN, PhD
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John G. Scott
MD, PhD
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Patrice B. Gregory
PhD, MPH
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Kurt C. Stange
MD, PhD
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Reuben R. McDaniel Jr
EdD
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Additional Files

  • Supplemental Appendixes and Tables

    Supplemental Appendix 1. Details on Sampling, Data Management, and Data Analysis; Supplemental Appendix 2. Three Contrasting Case Illustrations. Supplemental Table 1. Key Characteristics of Participating Practices and Approaches to Delivering Preventive Services.

    Files in this Data Supplement:

    • Supplemental data: Appendix 1-2 - PDF file, 5 pages, 113KB
    • Supplemental data: Table - PDF file, 4 pages, 114KB
  • The Article in Brief

    Delivery of Clinical Preventive Services in Family Medicine Offices

    By Benjamin F. Crabtree, PhD, and colleagues
    Background: Although doctors believe that preventing disease is important, they deliver clinical preventive services at low rates. Clinicians and practices have many demands on their time and resources, and little is known about how they incorporate and deliver preventive services among their many priorities. The goal of this research was to better understand the organizational features of primary care practice that help explain how and why practices deliver clinical preventive services. The study of Midwestern family medicine practices used medical records, observation of outpatient visits, and patient exit cards to calculate rates at which practices deliver preventive services.
    What this study found: Practices develop individualized approaches for delivering preventive services, such as counseling to stop smoking, cholesterol screening, and immunizations, with no one approach being successful across practices. Delivery of preventive services is often crowded out by care of acute and chronic illnesses. Preventive services delivery rates are influenced by the economic concerns of the practice and whether the practice has a doctor who champions prevention and makes it a priority.
    Implications
    � Medical practices are diverse, so efforts at applying standardized processes for implementing preventive services are likely to fail.
    � The variability of practices, their patients, and their communities need to be taken into account in developing efforts to increase the delivery of preventive services.
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The Annals of Family Medicine: 3 (5)
The Annals of Family Medicine: 3 (5)
Vol. 3, Issue 5
1 Sep 2005
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Delivery of Clinical Preventive Services in Family Medicine Offices
Benjamin F. Crabtree, William L. Miller, Alfred F. Tallia, Deborah J. Cohen, Barbara DiCicco-Bloom, Helen E. McIlvain, Virginia A. Aita, John G. Scott, Patrice B. Gregory, Kurt C. Stange, Reuben R. McDaniel
The Annals of Family Medicine Sep 2005, 3 (5) 430-435; DOI: 10.1370/afm.345

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Delivery of Clinical Preventive Services in Family Medicine Offices
Benjamin F. Crabtree, William L. Miller, Alfred F. Tallia, Deborah J. Cohen, Barbara DiCicco-Bloom, Helen E. McIlvain, Virginia A. Aita, John G. Scott, Patrice B. Gregory, Kurt C. Stange, Reuben R. McDaniel
The Annals of Family Medicine Sep 2005, 3 (5) 430-435; DOI: 10.1370/afm.345
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