Skip to main content

Main menu

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
Meeting ReportPractice management and organization

Ranking of Practice Recommendations by Primary Care Clinicians in a Health System

Ramona DeJesus, Augustine Chavez, Stephen Stacey, Susan Laabs, Erin Westfall, Richard Presutti and Thomas Thacher
The Annals of Family Medicine January 2023, 21 (Supplement 1) 3618; DOI: https://doi.org/10.1370/afm.21.s1.3618
Ramona DeJesus
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Augustine Chavez
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Stephen Stacey
DO
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Susan Laabs
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Erin Westfall
DO
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Richard Presutti
DO
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Thomas Thacher
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • eLetters
  • Info & Metrics
  • PDF
Loading

Abstract

Context: Primary care clinicians are tasked with reviewing and adopting new practice recommendations. The USPSTF alone had 23 new recommendations in 2020-2021. Our primary care learning collaborative (PCLC) in a large health system, updates clinicians with emerging information and potential practice application. A steering committee oversees dissemination of new or revised practice guidelines.

Periodic surveys assess members’ awareness and adoption of new recommendations, followed by dissemination and discussion of survey results. Surveys include a ranking question to assess how much variation from the guideline is perceived as acceptable (not critical) in the practice.

Objective: To examine the ranking of new practice recommendations by members of a PCLC in a healthcare system.

Study Design: From November 2017 to February 2022, 18 surveys were sent to PCLC members. In each survey, members ranked the relevance of each topic to practice from 1 (not critical) to 10 (very critical). Sample question: “How critical is it that practices address social determinates of health (SoDH) with patients at least annually and more often when indicated?”

Statistical Analysis: Median rankings were used as data was non-normal and skewed. Non-parametric resampling methods were used as rankings were integers.

Results: Median ranking ranged from 6 to 10. Consistent messaging on COVID safety was the only topic ranked 10. Crisis planning, post-acute COVID care, opioid stewardship, and pediatric obesity ranked 9.

HIV prophylaxis, pediatric ADHD management, addressing SoDH, treating long-COVID, screening for intimate partner violence, advanced care planning, and chronic refill management ranked 8. Diabetes guidelines, lipid management, and in-office fluoride treatment ranked 7. Adult ADHD ranked 6.

Conclusions: Clinicians within a PCLC perceived various practice recommendations with relatively high degree of importance. Consistent safety guideline information on COVID-19 was ranked very critical. The most variation was accepted for multispecialty guidelines. Although not a validated instrument, the ranking question gave members and leadership a snapshot of primary care clinicians’ views on practice recommendations. Understanding clinicians’ level of prioritization may allow those involved with practice implementation to identify standardization opportunities and barriers.

  • © 2023 Annals of Family Medicine, Inc.
Previous
Back to top

In this issue

The Annals of Family Medicine: 21 (Supplement 1)
The Annals of Family Medicine: 21 (Supplement 1)
Vol. 21, Issue Supplement 1
1 Jan 2023
  • Table of Contents
  • Index by author
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Ranking of Practice Recommendations by Primary Care Clinicians in a Health System
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
13 + 3 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Ranking of Practice Recommendations by Primary Care Clinicians in a Health System
Ramona DeJesus, Augustine Chavez, Stephen Stacey, Susan Laabs, Erin Westfall, Richard Presutti, Thomas Thacher
The Annals of Family Medicine Jan 2023, 21 (Supplement 1) 3618; DOI: 10.1370/afm.21.s1.3618

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
Ranking of Practice Recommendations by Primary Care Clinicians in a Health System
Ramona DeJesus, Augustine Chavez, Stephen Stacey, Susan Laabs, Erin Westfall, Richard Presutti, Thomas Thacher
The Annals of Family Medicine Jan 2023, 21 (Supplement 1) 3618; DOI: 10.1370/afm.21.s1.3618
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Understanding Primary Care Inbox Management: A Qualitative Study of Patient Message Prioritization and Inbox Workflow
  • Advancing Primary Care through a Model Unit for Innovative Practice Enhancement
  • Using a typology to understand and address primary care administrative workload in Atlantic Canada
Show more Practice management and organization

Similar Articles

Content

  • Current Issue
  • Past Issues
  • Early Access
  • Plain-Language Summaries
  • Multimedia
  • Podcast
  • Articles by Type
  • Articles by Subject
  • Supplements
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Job Seekers
  • Media

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2025 Annals of Family Medicine