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..
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0339750
Code Inist : 002B30A03A. Création : 12/09/1997.