Explaining the de-prioritization of primary prevention: Physicians' perceptions of their role in the delivery of primary care

Mirand, Amy L; Beehler, Gregory P.; Kuo, Christina; Mahoney, Martin C.

doi:10.1186/1471-2458-3-15

Cited by 33 publications

(33 citation statements)

References 13 publications

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“…Why have general medical and urgent care clinics failed to institute more effective HIV screening programs? One reason is the difficulty in getting providers to prioritize preventive care in the context of other patient needs 22 . Nurses perform many tasks, particularly educational ones, as well as physicians 23,24 ; assigning the responsibility for routine preventive care to nurses has been successful in a number of conditions 25,26 .…”

Section: Discussionmentioning

confidence: 99%

Improving HIV Screening and Receipt of Results by Nurse-Initiated Streamlined Counseling and Rapid Testing

et al. 2008

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Section: Discussionmentioning

confidence: 99%

Improving HIV Screening and Receipt of Results by Nurse-Initiated Streamlined Counseling and Rapid Testing

et al. 2008

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“…They believe that healthy lifestyle counselling should be a major responsibility of other health professionals, like dieteticians, nurses etc. (27). It would be necessary to conduct such surveys in our region in order to determine physicians' views on their role in health education and prevention strategies.…”

Section: Odds Ratios (Or) and 95% Confidence Intervals (Ci) For Poomentioning

confidence: 99%

Awareness of Cardiovascular Prevention Methods among Residents of Post-Communist Polish Provinces with Highest Mortality Rates

Pikala

Kaleta²,

Bielecki³

et al. 2011

Cent Eur J Public Health

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SUMMARYAim: The aim of the study was to estimate the awareness of healthy lifestyle behaviours in cardiovascular diseases (CVD) prevention and to find out possible determinants of this knowledge among adult residents of Polish provinces with the highest CVD mortality rates.Material and methods: A cross-sectional analysis of randomly selected representative sample of 2,211 (51.9% women) aged 20-74 years from Łódź and Lublin voivodeships participating in the National Polish Health Survey WOBASZ. Knowledge on CVD prevention, sociodemographic and lifestyle characteristics were collected by an interviewer-administered questionnaire. Blood pressure, anthropometrics, plasma lipids and glucose were measured according to the WHO MONICA protocol.Results: Approximately 68% of participants, had poor awareness of preventive methods and majority of them were not able to name any specific approach. Most often mentioned method of CVD prevention was relaxing/avoiding stress (51.2%). The least known healthy behaviour was a reduction of salt intake and adequate fruit/vegetables consumption, mentioned by 18.2% and 23%, respectively. About 16.4% of women and 23% of men with risk factors of CVD were not aware of any non-pharmacological preventive method. Poor knowledge of CVD prevention was significantly more prevalent among persons aged ≥65 years, with elementary education level, lower income, living in the rural settings, declaring poor self-rated health. Dietary and physical activity advice given by a primary care physician was significantly related to better knowledge among men with CVD risk factors.Conclusions: There is a need to focus on increasing educational level in this regions, especially in rural settings. Due to important role of primary care physicians in health education, more attention should be paid to individuals with CVD risk factors as their preventive knowledge level is very low and comparable to the level of low-risk individuals.

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“…Several commentators have noted the barriers doctors face in incorporating injury prevention counseling into primary medical care. [14][15][16][17] Providing injury prevention advice is an important goal, however, especially for patients with work-related disorders who may continue to face injury hazards when they return to their jobs.…”

Section: Discussionmentioning

confidence: 99%

Services Provided by Family Physicians for Patients With Occupational Injuries and Illnesses

Won

Dembe²

2006

The Annals of Family Medicine

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PURPOSE Many family doctors provide care to patients with occupational injuries and illnesses, but little is known about the type of medical services provided, or how they compare with services provided by other types of physicians. This study used national data to develop a statistical profi le of offi ce-based medical care delivered by family physicians to patients with work-related disorders.METHODS Using data from 4 years (1997)(1998)(1999)(2000) of the National Ambulatory Medical Care Survey, we classifi ed visits for patients with work-related conditions according to patient and physician characteristics, services provided, and other visit characteristics. For comparison, we also compiled profi les for visits to other types of physicians for treatment of work-related disorders, and for visits to family physicians for treatment of nonoccupational conditions. RESULTS Analyses were based on 96,183 offi ce visits made to 4,947 physicians. A majority of visits made to family physicians for occupational conditions involved patients seeing their regular primary care doctor. Possibly for this reason, patients at these visits were more likely to have their blood pressure taken, receive diagnostic and screening services, and have prescription drugs prescribed or administered, compared with patients seeing other types of physicians. Only 73.3% of visits to family physicians for work-related disorders were expected to be paid for by workers' compensation insurance.CONCLUSIONS Our fi ndings suggest that the distinctive types of care provided by family physicians to injured workers may be related to their role as the patients' regular physician. This fi nding is relevant to the proposals being considered by many states to expand employers' and insurers' ability to choose the treating physician in workers' compensation cases. Ann Fam Med 2006;4:138-147. DOI: 10.1370/afm.515. INTRODUCTIONM edical care for patients with work-related injuries and illnesses in the United States is generally governed by state workers' compensation laws. In about one half of the states, injured employees are free to choose their initial treating physician.1 Recently, many states have given employers and insurers greater control over the choice of physician, in hopes of improving care and reducing workers' compensation costs. 2,3 Partly as a result, patients receiving primary care for a work-related condition often are not treated by their regular doctor. Only one quarter (25.6%) of visits for care of work-related conditions are provided by the patient' s regular primary care physician, compared with 51.2% among patients being treated for nonoccupational conditions. 4 Family physicians traditionally have played an important role in providing care for patients with occupational disorders, nevertheless. Approximately 22.9% of offi ce visits for care of work-related conditions are provided by family physicians. 139 OCCUPATIONAL INJURIES AND ILLNESSESLittle is known about the specifi c services that family physicians provide to patients wi...

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Explaining the de-prioritization of primary prevention: Physicians' perceptions of their role in the delivery of primary care

Abstract: Background: While physicians are key to primary preventive care, their delivery rate is suboptimal. Assessment of physician beliefs is integral to understanding current behavior and the conceptualization of strategies to increase delivery.

Cited by 33 publications

References 13 publications

Improving HIV Screening and Receipt of Results by Nurse-Initiated Streamlined Counseling and Rapid Testing

Improving HIV Screening and Receipt of Results by Nurse-Initiated Streamlined Counseling and Rapid Testing

Awareness of Cardiovascular Prevention Methods among Residents of Post-Communist Polish Provinces with Highest Mortality Rates

Services Provided by Family Physicians for Patients With Occupational Injuries and Illnesses

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