1995
DOI: 10.1001/archpedi.1995.02170240044007
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The Cost of Comprehensive Preventive Medical Services for Adolescents

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Cited by 34 publications

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“…Because most adolescents (70%) visit a physician at least once per year, 12 physician visits provide an opportunity for these young people to receive preventive services that not only can improve their current state of health but also may provide the opportunity to prevent substantial morbidity and mortality later in life. Most outpatient visits by adolescents are to family physicians.…”
Section: Discussionmentioning
confidence: 99%
“…Many studies have examined various aspects of preventive care delivery to this age group, including the role of community health centers 21 ; the importance of confidentiality 22,23 ; the cost of comprehensive preventive service delivery 12 ; and the delivery of specific preventive services such as counseling on tobacco use, 24,25 cholesterol screening, 26 and injury prevention counseling by nurse practitioners. 27 A paucity of information, however, still exists on many aspects related to preventive service delivery to adolescents.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
“…Because most adolescents (70%) visit a physician at least once per year, 12 physician visits provide an opportunity for these young people to receive preventive services that not only can improve their current state of health but also may provide the opportunity to prevent substantial morbidity and mortality later in life. Most outpatient visits by adolescents are to family physicians.…”
Section: Discussionmentioning
confidence: 99%
“…Many studies have examined various aspects of preventive care delivery to this age group, including the role of community health centers 21 ; the importance of confidentiality 22,23 ; the cost of comprehensive preventive service delivery 12 ; and the delivery of specific preventive services such as counseling on tobacco use, 24,25 cholesterol screening, 26 and injury prevention counseling by nurse practitioners. 27 A paucity of information, however, still exists on many aspects related to preventive service delivery to adolescents.…”
Section: Discussionmentioning
confidence: 99%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
“…[7] A study by Gans JE et al suggests that preventive interventions would have to eliminate 15% of adolescent morbidities overall to break even in economic terms. [8] Studies have also suggested that there is a risk of causing psychological distress by screening healthy adults. [6] A simulation study compared the effectiveness of two approaches to reducing Incidence Rate of CVD in a sample population: a traditional approach, in which high-risk patients are treated with conventional antihypertensive medications, and a population-based approach, in which subjects participate in a health promotion program.…”
Section: Evidence Against Screening Of Healthy Volunteersmentioning
confidence: 99%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
“…9 Healthy People 2010 objective 1-3 is to increase the proportion of individuals appropriately counseled about health behaviors. 4 Most adolescents (70%) visit a physician at least once a year, 10 and for health information, adolescents report relying most on parents and physicians. 11,12 It is estimated that less than one third of patients aged 6 to 17 years receive counseling on physical activity from their primary care providers.…”
mentioning
confidence: 99%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.