Physician preventive care philosophy and the five year durability of a preventive services office system
Bibliographic Data
| ID | 4598259 |
|---|---|
| Authors | Michelle S Rebelsky (Maine-Dartmouth Family Medicine Residency), Carol Hill Sox, C Sox (Dartmouth College), Allen J Dietrich (Dartmouth College), Brenda R Schwab, Brenda Schwab (Dartmouth College), Christine E Labaree (Dartmouth College), Nancy Brown-Mckinney (Dartmouth College) |
| Year | 1996 |
| Volume | 43 |
| Issue | 7 |
| Pages | 1073-1081 |
| Publication date | 1996-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/0277-9536(96)00025-1 |
| PMID | 8890408 |
| OpenAlex | W2090136976 |
| Language | EN |
| Citations received | 3 |
| References cited | 11 |
A group of 30 community physicians who practiced in northeastern United States and who participated in the Cancer Prevention in Community Practice project in 1988 were interviewed five years later. The aim of the interviews was to assess the long-term impact of the preventive services office system which had been introduced by the project. The qualitative analysis of interviews revealed three distinct physician philosophies about the provision of preventive services: a Request Only focus, responding to specific patient inquiries about prevention but taking no initiative to recommend indicated services; a Health Maintenance Visit focus, providing indicated services only during visits specifically scheduled for preventive care; and an Opportunistic Prevention focus, providing indicated preventive services at every chance. Physicians demonstrated these philosophies in their overall view of disease prevention, perceived obstacles to delivery of preventive care, as well as in their continued use of flow sheets and their impression of the value of the Cancer Prevention in Community Practice project. The long-term impact of the office system was the most apparent in the Opportunistic Prevention group. We conclude that the durability of a preventive services office system is influenced by a physician's preventive care philosophy
Family medicine · Health care · Political science · Preventive care · Preventive healthcare · Public health · Health Policy Implementation Science · Health Promotion and Cardiovascular Prevention · Law · Medicine · Nursing · Obesity and Health Practices · Gerontology
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,11 |
| Citation span | 1999 - 2003 (5) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 3 |