Cited by 195Health Promotion and Cardiovascular PreventionPrimary Care and Health OutcomesGlobal Cancer Incidence and Screening

The DOI matches its Crossref record; 9 of the 11 references it cites were found in a registry or an index.

When a Usual Source of Care and Usual Provider Matter: Adult Prevention and Screening Services

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Blewett, Lynn A., Johnson, Pamela Jo, Lee, Brian, Scal, Peter B.·2008·Journal of General Internal Medicine

Abstract

Objective To examine whether the usual source of preventive care, (having a usual place for care only or the combination of a usual place and provider compared with no usual source of preventive care) is associated with adults receiving recommended screening and prevention services.Design Using cross-sectional survey data for 24,138 adults (ages 18-64) from the 1999 National Health Interview Survey (NHIS), we estimated adjusted odds ratios using separate logistic regression models for receipt of five preventive services: influenza vaccine, Pap smear, mammogram, clinical breast exam, and prostate specific antigen.Results Having both a usual place and a usual provider was consistently associated with increased odds for receiving preventive care/screening services compared to having a place only or neither. Adults ages 50-64 with a usual place/provider had 2.8 times greater odds of receiving a past year flu shot compared with those who had neither. Men ages 50-64 with a usual place/provider had nearly 10 times higher odds of receiving a PSA test compared with men who had neither. Having a usual place/provider compared with having neither was associated with 3.9 times higher odds of clinical breast exam among women ages 20-64, 4.1 times higher odds of Pap testing among women ages 21-64, and 4.8 times higher odds of mammogram among women ages 40-64.Conclusions Having both a usual place and usual provider is a key variable in determining whether adults receive recommended screening and prevention services and should be considered a fundamental component of any medical home model for adults.

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  1. StataCorp. Stata Statistical Software; Release 9.0. College Station, TX: StataCorp LP; 2005.
  2. StataCorp. Survey Data Reference Manual. College Station, TX: Stata Press; 2005.

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Metadata

Authors
Blewett, L. A., Johnson, P. J., Lee, B., & Scal, P. B.
Affiliations
University of Minnesota (US)
Corresponding author
Blewett, Lynn A.
Venue
Journal of General Internal Medicine
Published
2008-05-28
Volume
23
Issue
9
Pages
1354-1360
ISSN
  • 0884-8734 (ISSN-L)
  • 1525-1497
OpenAlex
W2002456609
Cited by
195
References
11
Citations by year
2026: 7 · 2025: 11 · 2024: 14 · 2023: 14 · 2022: 20 · 2021: 15 · 2020: 8 · 2019: 10 · 2018: 13 · 2017: 12 · 2016: 7 · 2015: 6 · 2014: 13 · 2013: 11 · 2012: 15
FWCI
5.96
Type
journal article
Language
en
Open access
Locations
  • Journal of General Internal Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • University of Minnesota
  • National Institutes of Health
  • National Institute of Child Health and Human Development
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (1-R01-HD046697-01, R01HD046697)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
  • Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords
usual source of care, preventive medicine, cancer screening, influenza vaccination, Pap smear, mammography, clinical breast examination, prostate-specific antigen testing, patient-centered medical home, adult primary care, health care access
MeSH terms
Adolescent, Adult, Continuity of Patient Care, Cross-Sectional Studies, Female, Humans, Insurance, Health, Male, Mass Screening, Middle Aged, Preventive Health Services, United States, Odds Ratio, Health Care Surveys

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