To determine the rate of health-habit counseling of adolescents seeing community family physicians and to identify the factors associated with the delivery of recommended preventive counseling services.
Cross-sectional multimethod study emphasizing direct observation of patient visits.
Community family practices in northeast Ohio.
Adolescents (n=445) aged 1 to 21 years who were being seen for outpatient visits to community family physicians (n=119) during 2 days of observation by trained research nurses.
Direct observation of the delivery of clinical preventive counseling services recommended by the Guidelines for Adolescent Preventive Services.
During the 445 visits made by adolescents, the most frequently delivered counseling service was exercise advice (13%). At least 1 health-habit counseling service was delivered during 38% of visits.
In multivariable analyses, older patient age was strongly associated with increased service delivery.
Visits for well care, longer visits, and new patient visits were also associated with the provision of counseling.
Visits including preventive counseling services were on average 2.5 minutes longer than visits without preventive counseling.
The rates of delivery of preventive counseling services in clinical practice were low, raising concern about the feasibility ofcurrent recommendations. (...)
Mots-clés Pascal : Comportement, Santé, Recommandation, Médecin généraliste, Pratique professionnelle, Evaluation, Adolescent, Homme, Prévention, Ohio, Etats Unis, Amérique du Nord, Amérique, Personnel sanitaire
Mots-clés Pascal anglais : Behavior, Health, Recommendation, General practitioner, Professional practice, Evaluation, Adolescent, Human, Prevention, Ohio, United States, North America, America, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0226892
Code Inist : 002B30A03B. Création : 16/11/1999.