Prevention in Primary Care: Variability in Physician Practice Patterns in New York City

Gemson, Donald H.; Elinson, Jack

doi:10.1016/s0749-3797(18)31333-3

Cited by 97 publications

(37 citation statements)

References 16 publications

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“…However, the physicians cited lack of time, inadequate reimbursement, and unclear recommendations as the main obstacles to preventive care (Gemson & Elinson, 1986). These obstacles represent a second class of factors in¯uencing behavior Ð factors that enable the behavior.…”

Section: Enabling Factorsmentioning

confidence: 99%

What can we generalize from research on patient education and clinical health promotion to physician counseling on diet?

1999

Eur J Clin Nutr

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Section: Enabling Factorsmentioning

confidence: 99%

What can we generalize from research on patient education and clinical health promotion to physician counseling on diet?

1999

Eur J Clin Nutr

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“…Most of these studies relied upon physicians' self-report of whether they agreed with or followed certain screening guidelines, rather than measuring the rates at which they performed the services in actual practice. [1][2][3][4][5][6][7] Only a few studies have measured the rates at which physicians provide cancer screening tests. Four of these studies measured cancer screening rates by physicians in community-based primary care practices.10-3 Three studies used claims data or chart audits rather than physician self-reports to measure physician screening rates.10-2 Only one study used patient surveys and chart audits to measure physician screening rates.…”

Section: Introductionmentioning

confidence: 99%

Cancer screening by primary care physicians: a comparison of rates obtained from physician self-report, patient survey, and chart audit.

Montaño

Phillips²

1995

Am J Public Health

301

167

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OBJECTIVES. This study measured the cancer screening rates of family physicians and compared the measures obtained through physician self-reports, chart audits, and patient surveys. METHODS. A cancer screening survey was sent to 50% of the members of the Washington Academy of Family Physicians, with 326 family physicians (74% response rate) completing the survey. Sixty physicians were recruited for the patient survey and chart audit phase, with a 90% participation rate. Patient surveys were conducted with about 350 patients per physician, and chart audits were conducted on a subset of about 50 patients per physician. Each physician's rate of providing each service was computed from the self-report, the patient survey, and the chart audit. RESULTS. Physicians provided many of these services at rates different from those commonly recommended. Large discrepancies were found between the rates measured by different methods. Correlations between rates derived from chart audits and patient surveys were high; however, correlations between rates from physician self-report and either patient survey or chart audit were much lower for all services. CONCLUSIONS. Studies of physicians' provision of cancer prevention services should not rely on physician self-report, but should obtain the rates through patient surveys or chart audits.

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“…One valuable demographic variable to apply as a predictor variable are primary care provider's level of physical activity. Primary care providers have been found to be more likely to recommend exercise to patients if they themselves are physically active [12]. Researches in this study heard similar statements during the elicitation interviews.…”

Section: Future Recommendationsmentioning

confidence: 64%

“…Widely accepted determinants of physician behavior are the foundation with which interventions are structured [7][8][9][10]. Interestingly, those determinants found in historical literature [12] are those same determinants that are being targeted in today's intervention research. Because so much can change over time (e.g., physician demographic, the structure they practice medicine, and disease prevention recommendations), and the unique needs vary over geographic locations, it would seem efficacious to identify specific determinants of primary care providers counseling behavior.…”

Section: Doi: 107243/2055-7205-1-2mentioning

confidence: 99%

Physician intention to counsel on physical activity: results from a pilot theory of planned behavior questionniare

Behrens¹,

Harbour²

2014

J Public Health Aspects

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Background: Physical activity has been identified as a behavior linked to reducing and preventing chronic disease. Physician counseling may represent an effective way to promote physical activity to a variety of populations. Still, counseling for physical activity is not broadly understood by physicians. Thus, the purpose of this study was to examine primary care provider's intention to counsel patients on engaging in physical activity. Methods: Using the Theory of Planned Behavior as a guide, a questionnaire was developed to investigate behavioral determinants for counseling patients on physical activity. Participants (n=26) were primary care providers in community clinics. To identify theoretical constructs influencing behavioral intention, two regressions were performed: 1) a multiple regression using direct measures of intention (Theory Model), and 2) a forward selection regression (Best Fit Model). Results: Subjective norms and perceived behavioral control accounted for the greatest variance in intention in both the Theory Model and Best Fit Model. Conclusions: Additional investigation can identify specific determinants that impact primary care providers' intention to counsel on PA.

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Prevention in Primary Care: Variability in Physician Practice Patterns in New York City

Cited by 97 publications

References 16 publications

What can we generalize from research on patient education and clinical health promotion to physician counseling on diet?

What can we generalize from research on patient education and clinical health promotion to physician counseling on diet?

Cancer screening by primary care physicians: a comparison of rates obtained from physician self-report, patient survey, and chart audit.

Physician intention to counsel on physical activity: results from a pilot theory of planned behavior questionniare

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