Promoting health and preventing disease in health care settings: An analysis of barriers

Orlandi, Mario

doi:10.1016/0091-7435(87)90011-9

Cited by 136 publications

(60 citation statements)

References 15 publications

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“…It rewards behavior and therefore increases the probability that the behavior will recur at the next opportunity. Reinforcing factors also include visible results, support from colleagues, and feedback from patients (Orlandi, 1987;Winickoff et al, 1984). Colleague behavior is both reinforcing and eventually predisposing.…”

Section: Reinforcing 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: Reinforcing 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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“…Medical records from 1993 to 1994 of patients from each practice were abstracted ifthe patient (1) was aged 40 years and older, (2) did not have cancer of any type previously diagnosed, and (3) was active in the practice (defined as having been seen at least twice in the previous 2 years). Approximately 200 eligible charts (100 men and 100 women) were selected randomly from all available records.…”

Section: Data Collectionmentioning

confidence: 99%

Predictors of Screening for Breast, Cervical, Colorectal, and Prostatic Cancer Among Community-Based Primary Care Practices

Ruffin

Gorenflo

Woodman

2000

The Journal of the American Board of Family Medicine

116

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Background: As we enter the year 2000, it is worth looking at whether primary care practices are reaching the goals established In Healthy People 2000 for breast, cervical, colorectal, and prostatic cancer screening. The objectives of this study were (1) to detennine the current rates of cancer screening; and (2) to detennine which factors predict completion of a single screening test, of all tests for each cancer, and of all procedures for age and sex.Methods: Medical records of 200 eligible patients (100 men and 100 women) from each of 24 community-based primary care practices were abstracted for cancer-screening events.Results: We audited 5125 charts. A Papanicolaou smear was documented for 63.8% of women with an intact cervix within 3 years of the audit .. We found that 46.8% of women had documentation of ever having a discussion of breast self-examination. For breast cancer screening, 41.8% of the women had a clinical breast examination within 1 year, 48.2% aged 40 to 49 years had a mammogram within 2 years, and 38.5% aged 50 years and older had a mammogram within 1 year. Only 29% of women aged 40 to 49 years and 17% of women 50 years and older were current for all breast cancer-screening tests. Among patients 50 years and older, 33% of men and 38% of women had a digital rectal examination within 1 year, 26% of men and 28% of women had a fecal occult blood test within 1 year, and 22% of men and 16.8% of women had a Oexible sigmoidoscopy within 5 years. Of all men 28.7% had a prostate-specific antigen test within 1 year. Completion of all tests relevant for age and sex were documented for 8.6% of women aged 40 to 49 years, 3% of women 50 years and older, and 5% of men 50 years and older. The single most Significant predictor of documented cancer screening was a health maintenance visit.Conclusions: This sample of primary care clinicians has not reached the goals set in Healthy People 2000 for cancer screening. Interventions aimed at increasing the percentage of patients who schedule a health maintenance visit could serve to increase cancer screening and help us reach goals set for the year

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“…Physicians must be helped in this task by providing them with adequate programs for training in preventive counseling skills; financial reimbursement for these services; and organizational priorities which provide time and space for prevention. 26 Expansion of the role of the physician and other health care providers is critical if we are to achieve a smoke-free society.…”

mentioning

confidence: 99%

Smoking intervention: the expanding role of the physician.

Ockene¹

1987

Am J Public Health

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Promoting health and preventing disease in health care settings: An analysis of barriers

Cited by 136 publications

References 15 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?

Predictors of Screening for Breast, Cervical, Colorectal, and Prostatic Cancer Among Community-Based Primary Care Practices

Smoking intervention: the expanding role of the physician.

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