Improving preventive service delivery at adult complete health check-ups: the Preventive health Evidence-based Recommendation Form (PERFORM) cluster randomized controlled trial

Dubey, Vinita; Mathew, Roy J.; Iglar, Karl; Moineddin, Rahim; Glazier, Richard H.

doi:10.1186/1471-2296-7-44

Cited by 58 publications

(50 citation statements)

References 59 publications

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“…21 Paper or electronic evidencebased checklists have been designed to increase preventive care among adults of average risk. 22,23 Only 1 other clinical decision support system was found that addressed both prevention and therapeutic goals across diagnoses, using structured questions for patients and physicians to elicit more information related to the patient's chief complaint and linking the results to an electronic knowledge base. 24 However, its functionality was limited and it demonstrated no consistent pattern of clinician performance improvement.…”

Section: Discussionmentioning

confidence: 99%

Improving Population Care with an Integrated Electronic Panel Support Tool

Zhou

Unitan²,

Wang³

et al. 2011

Population Health Management

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This study measured the impact of an electronic Panel Support Tool (PST) on primary care teams' performance on preventive, monitoring, and therapeutic evidence-based recommendations. The PST, tightly integrated with a comprehensive electronic health record, is a dynamic report that identifies gaps in 32 evidence-based care recommendations for individual patients, groups of patients selected by a provider, or all patients on a primary care provider's panel. It combines point-of-care recommendations, disease registry capabilities, and continuous performance feedback for providers.A serial cross-sectional study of the PST's impact on care performance was conducted, retrospectively using monthly summary data for 207 teams caring for 263,509 adult members in Kaiser Permanente's Northwest region. Baseline care performance was assessed 3 months before first PST use and at 4-month intervals over 20 months of follow-up. The main outcome measure was a monthly care performance percentage for each provider, calculated as the number of selected care recommendations that were completed for all patients divided by the number of clinical indications for care recommendations among them. Statistical analysis was performed using the t test and multiple regression. Average baseline care performance on the 13 measures was 72.9% (95% confidence interval [CI], 71.8%-74.0%). During the first 12 months of tool use, performance improved to a statistically significant degree every 4 months. After 20 months of follow-up, it increased to an average of 80.0% (95% CI, 79.3%-80.7%).

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Section: Discussionmentioning

confidence: 99%

Improving Population Care with an Integrated Electronic Panel Support Tool

Zhou

Unitan²,

Wang³

et al. 2011

Population Health Management

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“…Provider 5As performance Dubey et al looked at the effect of a one-page checklist reminder which prompted practitioners to provide evidence-based recommendations for preventive interventions. The study found a significant increase in the rate of cessation assistance being documented in patient charts (Dubey et al, 2006).…”

Section: Smoking Abstinencementioning

confidence: 97%

Strategies to increase the delivery of smoking cessation treatments in primary care settings: A systematic review and meta-analysis

Papadakis

McDonald

Mullen

et al. 2010

Preventive Medicine

114

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“…Several studies have examined ways to improve health promotion among adults in primary care (Dubey et al, 2006;Robinson et al, 2001). Recommendations include physician education seminars (Kersey et al, 1999), preventive health check lists (Miller et al, 2000;Moore & Siu, 1996), computer reminders (Dexter et al, 2001), use of non-physician staff to screen for disease (Moore et al, 1997), addressing preventive health topics at multiple visits (Reuben et al, 2003), and maintaining a periodic health examination (Sox et al, 1997).…”

Section: Conclusion and Discussionmentioning

confidence: 99%

Preventive Health Care Among Older Women in an Academic Primary Care Practice

Schonberg

York

Basu

et al. 2008

Women's Health Issues

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PURPOSE:To examine use of preventive health services among older women and to assess how age and illness burden influence care patterns. METHODS:The charts of 299 women aged 80+ and 229 women aged 65-79 who did not have dementia or terminal illness at one academic primary care practice in Boston were reviewed between July and December 2005 to determine receipt of screening tests (e.g., mammography), counseling on healthy lifestyle (e.g., exercise) and/or geriatric health issues (e.g., incontinence), and immunizations. Illness burden was quantified using the Charlson Comorbidity Index (CCI). RESULTS:Women aged 80+ were more likely than women aged 65-79 to have a CCI of 3+ (24.0% vs. 16.7%) and were less likely to receive all screening tests. However, receipt of mammography (47.8%) and colon cancer screening (51.2%) was still common among women aged 80+ and was not targeted to older women in good health. Women aged 80+ were less likely to be screened for depression (aRR 0.6 [0.5-0.8]), osteoporosis (aRR 0.6 [0.5-0.9]) or counseled about exercise (aRR 0.8 [0.6-0.9]) than younger women but were more likely to receive counseling about falls (aRR 1.9 [1.4-2.6]) and/or incontinence (aRR 1.8 (1.2-2.6). However notes documenting discussions about mood (28.6%), exercise (40.0%), falls (28.8%) or incontinence (20.8%) were low among all women. CONCLUSION:In a comprehensive review of preventive health measures for elderly women, many in poor health were screened for cancer. Meanwhile, many older women were not screened for depression or counseled about exercise, falls, or incontinence. There is need to improve delivery of preventive health care to older women.

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Improving preventive service delivery at adult complete health check-ups: the Preventive health Evidence-based Recommendation Form (PERFORM) cluster randomized controlled trial

Abstract: Background: To determine the effectiveness of a single checklist reminder form to improve the delivery of preventive health services at adult health check-ups in a family practice setting.

Cited by 58 publications

References 59 publications

Improving Population Care with an Integrated Electronic Panel Support Tool

Improving Population Care with an Integrated Electronic Panel Support Tool

Strategies to increase the delivery of smoking cessation treatments in primary care settings: A systematic review and meta-analysis

Preventive Health Care Among Older Women in an Academic Primary Care Practice

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