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  1. Delivery rates for Preventive services in 44 midwestern clinics.

    Article - En anglais


    To determine the rates at which private primary-care clinics are recommending blood pressure and cholesterol measurement, smoking cessation, clinical breast examination, screening mammography, Papanicolaou testing, and influenza and pneumococcus immunizations..

    Material and Methods 

    We conducted a mail survey of 7,997 randomly selected patients from 44 primary-care clinics in and around Minneapolis-St.

    Paul, Minnesota, of whom 6,830 (85.4%) completed the questionnaire on preventive services delivery rates.

    The responses were analyzed statistically, including stratification by reason for the clinic visit..


    On the average, about two-thirds of the patients in each clinic reported being up-to-date on preventive services before their clinic visit ; an exception was pneumococcus immunization (mean rate, 33%). Except for blood pressure and smoking cessation advice, less than 30% of patients who were not up-to-date on a preventive service were offered it if the clinic visit was for a reason other than a checkup or physical examination.

    For patients who said that they saw their physician for a checkup or physical examination, the rate was more than 50% only for Papanicolaou smear.

    In contrast, nearly all responding practitioners agreed that each of the eight preventive services was very important or important.. (...)

    Mots-clés Pascal : Soin santé primaire, Hôpital, Médecine préventive, Politique sanitaire, Etats Unis, Amérique du Nord, Amérique, Evaluation, Mammographie, Pression artérielle, Cholestérol, Tabagisme, Vaccination, Homme, Relation médecin malade, Radiodiagnostic

    Mots-clés Pascal anglais : Primary health care, Hospital, Preventive medicine, Health policy, United States, North America, America, Evaluation, Mammography, Arterial pressure, Cholesterol, Tobacco smoking, Vaccination, Human, Physician patient relation, Radiodiagnosis

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0339750

    Code Inist : 002B30A03A. Création : 12/09/1997.