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Primary Care: Is There Enough Time for Prevention?
Open accessAbstract
Objectives. We sought to determine the amount of time required for a primary care physician to provide recommended preventive services to an average patient panel. Methods. We used published and estimated times per service to determine the physician time required to provide all services recommended by the US Preventive Services Task Force (USPSTF), at the recommended frequency, to a patient panel of 2500 with an age and sex distribution similar to that of the US population. Results. To fully satisfy the USPSTF recommendations, 1773 hours of a physician’s annual time, or 7.4 hours per working day, is needed for the provision of preventive services. Conclusions. Time constraints limit the ability of physicians to comply with preventive services recommendations.
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“A 5 A’s approach has been shown to produce significant changes in a variety of health behaviors, including smoking cessation, dietary change, and physical activity.13,26,38–44”
From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [44]
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Statistical Abstract of the U nited S tates
(2005) · Wiley eBooks · doi:10.1002/0471667196.ess2527 · Cited by 8,872
Treating tobacco use and dependence-Clinical practice guideline
Mc, F. (2000) · Medical Entomology and Zoology · Cited by 3,616
Healthy People 2000: National Health Promotion and Disease Prevention Objectives.
Heidel, R. E. (1991) · Population and Development Review · doi:10.2307/1971966 · Cited by 3,162
Detecting Alcoholism: The CAGE Questionnaire
Ewing, J. A. (1984) · JAMA · doi:10.1001/jama.1984.03350140051025 · Cited by 3,005
The CAGE Questionnaire: Validation of a New Alcoholism Screening Instrument
Mayfield, D. G., McLeod, G. A., & Hall, P. B. (1974) · American Journal of Psychiatry · doi:10.1176/ajp.131.10.1121 · Cited by 2,261
Cigarette smoking among adults — United States, 1988
Bachman, J. G., Johnston, L. D., & O’Malley, P. M. (1992) · Patient Education and Counseling · doi:10.1016/0738-3991(92)90149-d · Cited by 1,705
(U.S.), C. F. D. C. A. P. (1998) · PsycEXTRA Dataset · doi:10.1037/e547602006-001 · Cited by 1,217
The rational clinical examination
Devitt, N. F. (1992) · JAMA · doi:10.1001/jama.268.16.2164c · Cited by 616
Shalmani, H. M. (2014) · Journal of Liver · doi:10.4172/2167-0889.1000147 · Cited by 607
Cited by
Sorted by citations
Items 301–400 of 999
Patient-Reported Care Coordination: Associations With Primary Care Continuity and Specialty Care Use
Liss, D. T., Chubak, J., Anderson, M. L., Saunders, K. W., Tuzzio, L., & Reid, R. J. (2011) · The Annals of Family Medicine · doi:10.1370/afm.1278 · Cited by 59
“This study investigated (1) the association between care coordination and continuity of primary care, and (2) differences in this association by level of specialty care use.”
BackgroundEffect of Financial Incentives on Improvement in Medical Quality Indicators for Primary Care
Gavagan, T. F., Du, H., Saver, B. G., Adams, G. J., Graham, D. M., McCray, R., & Goodrick, G. K. (2010) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2010.05.070187 · Cited by 59
“Fifth, it has been estimated that adherence to all preventive guidelines would take an inordinate amount of clinicians’ time.(12) This powerful barrier to performance of”
BackgroundWebb, M. J., Kauer, S. D., Ozer, E. M., Haller, D. M., & Sanci, L. A. (2016) · BMC Family Practice · doi:10.1186/s12875-016-0504-1 · Cited by 59
“Practitioners report barriers to preventive care as including a lack of time to screen multiple health areas [11],”
BackgroundBraithwaite, R. S., Fiellin, D. A., & Justice, A. C. (2009) · Medical Care · doi:10.1097/mlr.0b013e31819748d5 · Cited by 58
“For example, if providers aimed to apply every preventive guideline to a typical patient panel, they would need to devote 7 additional hours each day beyond time already spent managing chronic disease and addressing acute complaints.(29) Clinicians do not have any systematic method to prioritize among preventive guide…”
BackgroundMacDougall, D., Halperin, B. A., Isenor, J. E., MacKinnon‐Cameron, D., Li, L., McNeil, S., Langley, J. M., & Halperin, S. A. (2016) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2015.1093714 · Cited by 59
“One strategy used to improve immunization coverage in adults is the use of nontraditional immunization providers, such as pharmacists, to improve the accessibility and convenience of obtaining immunizations.(7-9) It is estimated that 55% of adults visit a pharmacy in any given week, which provides pharmacists ample op…”
Use of the Gail Model and Breast Cancer Preventive Therapy Among Three Primary Care Specialties
Corbelli, J. A., Borrero, S. B., Bonnema, R. A., McNamara, M., Kraemer, K. L., Rubio, D. M., Karpov, I. O., & McNeil, M. (2014) · Journal of Women s Health · doi:10.1089/jwh.2014.4742 · Cited by 57
“21,22 Given the high prevalence of diabetes, mental health diagnoses, cardiovascular disease, and other comorbidities, even providers who intend to use the Gail score are likely to find time to be a significant barrier.”
Physician Knowledge Levels and Barriers to Coronary Risk Prevention in Women
Barnhart, J., Lewis, V., Houghton, J. L., & Charney, P. (2007) · Women s Health Issues · doi:10.1016/j.whi.2006.11.003 · Cited by 58
Mental health treatment in the primary care setting: Patterns and pathways.
Petterson, S. M., Miller, B. F., Payne-Murphy, J. C., & Phillips, R. L. (2014) · Families Systems & Health · doi:10.1037/fsh0000036 · Cited by 59
Meng, Y., Speier, W. F., Ong, M. K., & Arnold, C. W. (2020) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2020.3004072 · Cited by 61
“Ensuring that screening targets high-risk individuals minimizes the workload for primary care providers, who do not have enough time to do all relevant preventive health care screening [10].”
BackgroundQuestioning the Quantitative Imperative: Decision Aids, Prevention, and the Ethics of Disclosure
Schwartz, P. H. (2011) · The Hastings Center Report · doi:10.1353/hcr.2011.0029 · Cited by 55
“This failure is due to many factors, including a simple lack of time during busy doctor-patient visits.(13) Decision aids aim to counteract this by providing additional information and assistance, usually outside of the visit.”
BackgroundPrevention of injury and violence in the USA
Haegerich, T. M., Dahlberg, L. L., Simon, T. R., Baldwin, G. T., Sleet, D. A., Greenspan, A. I., & Degutis, L. C. (2014) · The Lancet · doi:10.1016/s0140-6736(14)60074-x · Cited by 56
Ross, D. S., Rasmussen, S. A., Cannon, M. J., Anderson, B. L., Kilker, K. P., Tumpey, A. J., Schulkin, J. A., & Jones, J. L. (2009) · Journal of Women s Health · doi:10.1089/jwh.2008.1288 · Cited by 56
“Consistent with several other studies about counseling to prevent adverse health outcomes, 25–28 lack of sufficient time was the most cited barrier to counseling pregnant women about preventing infections.”
Who is Identified by Screening for Intimate Partner Violence?
Wathen, C. N., Jamieson, E., & MacMillan, H. L. (2008) · Women s Health Issues · doi:10.1016/j.whi.2008.08.003 · Cited by 56
Tercyak, K. P., Peshkin, B. N., Abraham, A., Wine, L. A., & Walker, L. R. (2007) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2007.02.017 · Cited by 56
Patient Perceptions About Prediabetes and Preferences for Diabetes Prevention
O’Brien, M. J., Moran, M. R., Tang, J. W., Vargas, M. C., Talen, M. R., Zimmermann, L. J., Ackermann, R. T., & Kandula, N. R. (2016) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721716666678 · Cited by 61
“Providing brief informational interventions about prediabetes is likely feasible and replicable during primary care visits, compared with in-depth lifestyle counseling, which is estimated to take at least 12 minutes in this setting.(52) Even brief information offered during study interviews seemed to motivate particip…”
BackgroundAcheson, L. S., Zyzanski, S. J., Stange, K. C., Deptowicz, A., & Wiesner, G. L. (2006) · Journal of Clinical Oncology · doi:10.1200/jco.2006.07.2462 · Cited by 57
Otsuka, S. H., Tayal, N. H., Porter, K. M., Embí, P. J., & Beatty, S. J. (2013) · The American Journal of Medicine · doi:10.1016/j.amjmed.2013.02.018 · Cited by 55
deGruy, F. V., & Etz, R. (2010) · Families Systems & Health · doi:10.1037/a0022049 · Cited by 55
Counselling overweight and obese patients in primary care: a prospective cohort study
Rodondi, N., Humair, J., Ghali, W. A., Ruffieux, C., Stoianov, R., Seematter‐Bagnoud, L., Stalder, H., Pécoud, A. R., & Cornuz, J. (2006) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/01.hjr.0000209819.13196.a4 · Cited by 55
Preventing Alcohol-exposed Pregnancies
Mengel, M. B., Searight, H. R., & Cook, K. (2006) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.19.5.494 · Cited by 55
Physicians' attitudes and preventive care delivery: insights from the DOPC study
Litaker, D. G., Flocke, S. A., Frolkis, J. P., & Stange, K. C. (2004) · Preventive Medicine · doi:10.1016/j.ypmed.2004.07.015 · Cited by 53
Simplifying Alcohol Assessment: Two Questions to Identify Alcohol Use Disorders
Vinson, D. C., Kruse, R. L., & Seale, J. P. (2007) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2007.00440.x · Cited by 54
Primary Care Physicians' Use of an Informed Decision-Making Process for Prostate Cancer Screening
Volk, R. J., Linder, S. K., Kallen, M. A., Galliher, J. M., Spano, M. S., Mullen, P. D., & Spann, S. J. (2013) · The Annals of Family Medicine · doi:10.1370/afm.1445 · Cited by 54
“The 5 approaches were as follows: (1) order the PSA test without discussing the potential harms and benefi ts (screen without discussion); (2) discuss the harms and benefi ts and then recommend the test (discuss, recommend screening); (3) discuss the harms and benefi ts and then let the patient decide (discuss, let pa…”
MethodHow is Your Sleep: A Neglected Topic for Health Care Screening
Sorscher, A. J. (2008) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2008.02.070167 · Cited by 53
Health promotion activity in primary care: performance of models and associated factors.
Hogg, W. E., Dahrouge, S., Russell, G. M., Tuna, M., Geneau, R., Muldoon, L. K., Kristjansson, E., & Johnston, S. (2009) · PubMed Central · Cited by 53
Potter, M. B., Phengrasamy, L., Hudes, E. S., McPhee, S. J., & Walsh, J. M. E. (2009) · The Annals of Family Medicine · doi:10.1370/afm.934 · Cited by 53
Strategies for distributing cancer screening decision aids in primary care
Brackett, C. D., Kearing, S. A., Cochran, N., Tosteson, A. N. A., & Brooks, W. B. (2009) · Patient Education and Counseling · doi:10.1016/j.pec.2009.06.013 · Cited by 53
“Preventive Services Task Force’s recommendations [10].”
Dharod, A., Bellinger, C., Foley, K. L., Case, L. D., & MILLER, D. P. (2019) · Applied Clinical Informatics · doi:10.1055/s-0038-1676807 · Cited by 52
“14,15 Third, many patients are unaware of LCS or that they qualify.”
BackgroundPatterns of cancer screening in primary care from 2005 to 2010
Martires, K. J., Kurlander, D. E., Minwell, G., Dahms, E. B., & Bordeaux, J. S. (2013) · Cancer · doi:10.1002/cncr.28403 · Cited by 52
Continuing Need for Sexually Transmitted Disease Clinics After the Affordable Care Act
Hoover, K. W., Parsell, B. W., Leichliter, J. S., Habel, M. A., Tao, G., Pearson, W. S., & Gift, T. L. (2015) · American Journal of Public Health · doi:10.2105/ajph.2015.302839 · Cited by 52
Physician Attitudes toward Adult Vaccines and other Preventive Practices, United States, 2012
Hurley, L. P., Bridges, C. B., Harpaz, R., Allison, M. A., Leary, S. T. O., Crane, L. A., Brtnikova, M., Stokley, S. K., Beaty, B. L., Jimenez-Zambrano, A. M., et al. (2016) · Public Health Reports · doi:10.1177/003335491613100216 · Cited by 51
“9) Regiond Midwest 71 20 (16, 25) 66 26 (21, 32) Northeast 91 26 (21, 31) 43 17 (12, 22) South 110 31 (26, 36) 90 35 (29, 42) West 80 23 (18, 27) 56 22 (17, 28) Practice location Urban, inner city 159 45 (40, 51) 66 26 (21, 32) Urban, non-inner city, suburban 147 42 (37, 47) 117 46 (40, 52) Rural 46 13 (10, 17) 72 28…”
Thombs, B. D., Saadat, N., Riehm, K. E., Karter, J. M., Vaswani, A., Andrews, B. K., Simons, P., & Cosgrove, L. (2017) · BMC Medicine · doi:10.1186/s12916-017-0903-8 · Cited by 49
Privett, N., & Guerrier, S. (2020) · American Journal of Public Health · doi:10.2105/ajph.2020.305967 · Cited by 51
Colorectal Cancer Testing Among Patients Cared for by Iowa Family Physicians
Levy, B. T., Dawson, J. D., Hartz, A. J., & James, P. A. (2006) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2006.04.008 · Cited by 51
Why Hasn't This Patient Been Screened for Colon Cancer? An Iowa Research Network Study
Levy, B. T., Nordin, T., Sinift, S., Rosenbaum, M., & James, P. A. (2007) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2007.05.070058 · Cited by 51
Anderson, D., Zlateva, I., Khatri, K., & Ciaburri, N. (2014) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000177 · Cited by 51
“…is challenging for PCPs. 13 Most primary care practices have limited resources to monitor and care for patients with chronic medical conditions such as chronic pain 14 and face time constraints that limit the delivery of comprehensive care for chronic conditions 15 including opioid management.”
BackgroundSussman, A. L. (2006) · The Annals of Family Medicine · doi:10.1370/afm.566 · Cited by 51
Seniors' Self-Administration of the Elder Abuse Suspicion Index (EASI): A Feasibility Study
Yaffe⃰, M. J., Weiss, D., & Lithwick, M. (2012) · Journal of Elder Abuse & Neglect · doi:10.1080/08946566.2011.652930 · Cited by 50
“4 hours per day ( Yarnall, Pollak, Ostbye, Krause, & Michener, 2003 ).”
Minen, M. T., Shome, A., Halpern, A., Tishler, L. W., Brennan, K. C., Loder, E., Lipton, R. B., & Silbersweig, D. (2016) · Headache The Journal of Head and Face Pain · doi:10.1111/head.12803 · Cited by 49
“3 (5-80) 10–20% 18 Which medications contribute to rebound/medication overuse headache? NSAIDs – 85.”
BackgroundMurante, A. M., Seghieri, C., Vainieri, M., & Schäfer, W. L. A. (2017) · Social Science & Medicine · doi:10.1016/j.socscimed.2017.06.005 · Cited by 50
Multiple Behavioral Risk Factors for Colorectal Cancer and Colorectal Cancer Screening Status
Coups, E. J., Manne, S. L., Meropol, N. J., & Weinberg, D. S. (2007) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-06-0143 · Cited by 50
“Incorporating such an integrative approach in primary care and other health care settings where colorectal cancer screening is conducted will require overcoming challenges at multiple levels of the health care system, including time constraints (61), reimbursement for the delivery of behavioral risk factor assessment…”
BackgroundSamal, L., & Linder, J. A. (2012) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.12681211 · Cited by 49
Montaño, D. E., Phillips, W. R., Kasprzyk, D., & Greek, A. A. (2008) · Sexually Transmitted Diseases · doi:10.1097/olq.0b013e3181574d97 · Cited by 49
Recommendation for and Receipt of Cancer Screenings Among Medicaid Recipients 50 Years and Older
DuBard, C. A., Schmid, D., Yow, A., Rogers, A. B., & Lawrence, W. W. (2008) · Archives of Internal Medicine · doi:10.1001/archinte.168.18.2014 · Cited by 49
“45 For older Medicaid recipients with complex physical and mental health needs, preventive services may easily fall by the wayside.”
BackgroundFiol, G. D., Kohlmann, W. K., Bradshaw, R. L., Weir, C. R., Flynn, M. C., Hess, R., Schiffman, J. D., Nanjo, C. J., & Kawamoto, K. (2020) · JCO Clinical Cancer Informatics · doi:10.1200/cci.19.00120 · Cited by 49
“4%) met criteria for genetic evaluation of breast (15,701) and/or colorectal (1,640) cancer.”
BackgroundThe Role of eHealth in Optimizing Preventive Care in the Primary Care Setting
Carey, M. L., Noble, N., Mansfield, E. L., Waller, A. E., Henskens, F. A., & Sanson‐Fisher, R. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3817 · Cited by 48
“…study estimated that in order to provide all the preventive services recommended by the US Preventive Services Task Force, each physician would be required to spend 7.4 hours per working day on prevention alone, highlighting the difficulties in meeting current preventive care recommendations [23].”
InfluentialCoordination of Health Behavior Counseling in Primary Care
Cohen, D. J., Balasubramanian, B. A., Isaacson, N. F., Clark, E. C., Etz, R., & Crabtree, B. F. (2011) · The Annals of Family Medicine · doi:10.1370/afm.1245 · Cited by 51
Demonstration of an E-mailed worksite nutrition intervention program.
Block, G., Block, T. J., Wakimoto, P., & Block, C. (2004) · Europe PMC (PubMed Central) · Cited by 48
Yalçin, B., Ünal, M., Pirdal, H., & Karahan, T. F. (2014) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2014.05.140083 · Cited by 51
Web-Based Proactive System to Improve Breast Cancer Screening
Chaudhry, R., Scheitel, S. M., McMurtry, E. K., Leutink, D. J., Cabanela, R. L., Naessens, J. M., Rahman, A. S., Davis, L. A., & Stroebel, R. J. (2007) · Archives of Internal Medicine · doi:10.1001/archinte.167.6.606 · Cited by 48
“US Preventive Services Task Force.”
BackgroundInfluentialHelping Patients Adopt Healthier Behaviors
Bodenheimer, T. S., Davis, C., & Holman, H. R. (2007) · Clinical Diabetes · doi:10.2337/diaclin.25.2.66 · Cited by 47
Kemper, A. R., Trotter, T. L., Lloyd-Puryear, M. A., Kyler, P. L., Feero, W. G., & Howell, R. R. (2010) · Genetics in Medicine · doi:10.1097/gim.0b013e3181cb78fa · Cited by 43
Health promotion for patients with diabetes: health coaching or formal health education?
Cinar, A. B., & Schou, L. (2013) · International Dental Journal · doi:10.1111/idj.12058 · Cited by 46
The Effectiveness of the FLU–FOBT Program in Primary Care
Potter, M. B., Walsh, J. M. E., Yu, T. M., Gildengorin, G. L., Green, L. W., & McPhee, S. J. (2011) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2011.03.011 · Cited by 46
Immunizing Parents and Other Close Family Contacts in the Pediatric Office Setting
Lessin, H. R., & Edwards, K. M. (2011) · PEDIATRICS · doi:10.1542/peds.2011-2937 · Cited by 46
Share the Care : Building Teams in Primary Care Practices
Ghorob, A., & Bodenheimer, T. (2012) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2012.02.120007 · Cited by 45
“It would consume 18 hours per day for a primary care physician without a team to provide high-quality chronic and preventive care to a panel of 2500 patients, which is close to the average panel size for US primary care.(7,8) A team is needed to share chronic and preventive care because the physician cannot do it alon…”
BackgroundBaker, A. N., Parsons, M. W., Donnelly, S.-M., Johnson, L., Day, J., Mervis, A., James, B. C., Burt, R. W., & Magill, M. K. (2009) · BMJ Quality & Safety · doi:10.1136/qshc.2008.027649 · Cited by 45
“Primary care is complex. Full implementation of all recommended evidence-based preventive care, acute care and chronic disease management to an average panel of primary care patients would require in excess of 18 h per day for a physician working in a traditional physician-centred practice model.”
BackgroundPediatric decision support using adapted Arden Syntax
Anand, V., Carroll, A. E., Biondich, P., Dugan, T. M., & Downs, S. M. (2015) · Artificial Intelligence in Medicine · doi:10.1016/j.artmed.2015.09.006 · Cited by 45
“First, guideline based care may often be overlooked because of less important, but more immediate problems, and second, the sheer number of primary care guidelines exceeds what can be done in the typical 18 minute well child visit.[6]”
BackgroundPetersen, L. A., Woodard, L., Henderson, L. M., Urech, T. H., & Pietz, K. (2009) · Circulation · doi:10.1161/circulationaha.108.836544 · Cited by 45
Health Benefits and Cost-Effectiveness of Brief Clinician Tobacco Counseling for Youth and Adults
Maciosek, M. V., LaFrance, A. B., Dehmer, S. P., McGree, D. A., Xu, Z., Flottemesch, T. J., & Solberg, L. I. (2017) · The Annals of Family Medicine · doi:10.1370/afm.2022 · Cited by 45
Krakower, D., Ware, N. C., Maloney, K. M., Wilson, I. B., Wong, J. B., & Mayer, K. H. (2017) · AIDS Patient Care and STDs · doi:10.1089/apc.2017.0031 · Cited by 49
Bauer, C., Gräf, C., Platschek, A.-M., Strüder, H. K., & Ferrari, N. (2017) · Journal of Physical Activity and Health · doi:10.1123/jpah.2016-0563 · Cited by 47
Wolk, C. B., Pelt, A. E. V., Jager‐Hyman, S., Ahmedani, B. K., Zeber, J. E., Fein, J. A., Brown, G. K., Gregor, C. A., Lieberman, A., & Beidas, R. S. (2018) · JAMA Network Open · doi:10.1001/jamanetworkopen.2018.5309 · Cited by 48
How Health-Care Organizations Implement Shared Decision-making When It Is Required for Reimbursement
Tabriz, A. A., Neslund-Dudas, C. M., Turner, K. L., Rivera, M. P., Reuland, D. S., & Lafata, J. E. (2020) · CHEST Journal · doi:10.1016/j.chest.2020.07.078 · Cited by 46
A 63-Year-Old Man With Multiple Cardiovascular Risk Factors and Poor Adherence to Treatment Plans
Bodenheimer, T. S. (2007) · JAMA · doi:10.1001/jama.298.16.jrr70000 · Cited by 45
The Impact of Primary Care Resident Physician Training on Patient Weight Loss at 12 Months
Jay, M. R., Gillespie, C. C., Schlair, S., Savarimuthu, S. M., Sherman, S. E., Zabar, S. R., & Kalet, A. L. (2012) · Obesity · doi:10.1002/oby.20237 · Cited by 46
“However, the CMS decision will not overcome other barriers to promoting high-quality physician counseling including perceived lack of effectiveness (26), competing demands on time during the medical visit (27), lack of training (15,24,28), and lack of skills (29).”
BackgroundThe development of a web- and a print-based decision aid for prostate cancer screening
Dorfman, C. S., Williams, R. M., Kassan, E. C., Red, S. N., Dawson, D. L., Tuong, W., Parker, E. R., Ohene-Frempong, J., Davis, K. M., Krist, A. H., et al. (2010) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-10-12 · Cited by 44
“Due to the logistic constraints they face [76], many physicians administer PCa screening with little opportunity to discuss the test beforehand [77].”
Rief, J., Hamm, M., Zickmund, S. L., Nikolajski, C., Lesky, D., Hess, R., Fischer, G. S., Weimer, M. B., Clark, S., Zieth, C. R., et al. (2016) · Health Communication · doi:10.1080/10410236.2016.1138378 · Cited by 46
“Health information technology (HIT) is viewed as one potential remedy for time constraints and other barriers to the provision of care (Glasgow, Bull, Piette, & Steiner, 2004; Yarnall et al., 2003).”
BackgroundCompeting demands and opportunities in primary care.
Korownyk, C. S., McCormack, J. P., Kolber, M. R., Garrison, S., & Allan, G. M. (2017) · PubMed Central · Cited by 43
Treating Acute Hypertension in the Hospital
Weder, A. B. (2010) · Hypertension · doi:10.1161/hypertensionaha.110.164194 · Cited by 44
Survey data on Vietnamese propensity to attend periodic general health examinations
Vuong, Q. (2017) · Scientific Data · doi:10.1038/sdata.2017.142 · Cited by 44
Estabrooks, P. A., Smith-Ray, R. L., Almeida, F. A., Hill, J. L., Gonzales, M., Schreiner, P., & Berg, R. V. D. (2011) · International Journal of Sport and Exercise Psychology · doi:10.1080/1612197x.2011.563123 · Cited by 43
“First, the delivery of these interventions may require resources that are not available or practical in typical clinical setting (Yarnell, Pollak, Ostbye, Krause, & Michener, 2003 ).”
BackgroundStrobbe, S. (2014) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2014.02.002 · Cited by 44
“take too much time, they are not tailored to the setting’s demographics); (2) worry that screening will identify patients whose needs exceed available resources; (3) the clinician lacks the requisite expertise to successfully carry out the screening (or subsequent intervention); (4) a general lack of comfort in asking…”
BackgroundOgden, L. L., Richards, C. L., & Shenson, D. (2012) · American Journal of Public Health · doi:10.2105/ajph.2011.300353 · Cited by 43
All-Cause Mortality Risk Among a National Sample of Individuals With Diabetes
Nelson, K. M., Boyko, E. J., & Koepsell, T. D. (2010) · Diabetes Care · doi:10.2337/dc10-0846 · Cited by 43
“Given the complexity of care for individuals with diabetes and the time limitations of health care providers (2), the relative association of each of these factors will be useful to inform policy and planning for appropriate diabetes care.”
BackgroundAlcohol Screening During US Primary Care Visits, 2014–2016
Chatterton, B., Agnoli, A. L., Schwarz, E. B., & Fenton, J. J. (2022) · Journal of General Internal Medicine · doi:10.1007/s11606-021-07369-1 · Cited by 43
Telemedicine's Potential Ethical Pitfalls
Mehta, S. J. (2014) · The AMA Journal of Ethic · doi:10.1001/virtualmentor.2014.16.12.msoc1-1412 · Cited by 43
A patient centered care plan in the EHR: Improving collaboration and engagement.
Chunchu, K., Mauksch, L. B., Charles, C., Ross, V., & Pauwels, J. (2012) · Families Systems & Health · doi:10.1037/a0029100 · Cited by 46
Physician Adherence to U.S. Preventive Services Task Force Mammography Guidelines
Corbelli, J. A., Borrero, S. B., Bonnema, R. A., McNamara, M., Kraemer, K. L., Rubio, D. M., Karpov, I. O., & McNeil, M. (2014) · Women s Health Issues · doi:10.1016/j.whi.2014.03.003 · Cited by 42
Racial and Ethnic Disparities in Dietary Intake among California Children
Guerrero, A. D., & Chung, P. J. (2015) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2015.08.019 · Cited by 42
Occupational Therapy and Primary Care: Updates and Trends
Halle, A. D., Mroz, T. M., Fogelberg, D. J., & Leland, N. E. (2018) · American Journal of Occupational Therapy · doi:10.5014/ajot.2018.723001 · Cited by 48
Garg, P., Ha, M. T., Eastwood, J. G., Harvey, S., Woolfenden, S. R., Murphy, E., Dissanayake, C., Williams, K. J., Jalaludin, B. B., McKenzie, A., et al. (2018) · BMC Family Practice · doi:10.1186/s12875-018-0728-3 · Cited by 42
“This means that early detection has to include a comprehensive collaborative and integrated process of development promotion, early detection, referral and linkage [64, 65].”
BackgroundMeeting the Challenges of Immunizing Adults
Bridges, C. B., Hurley, L. P., Williams, W. W., Ramakrishnan, A., Dean, A. K., & Groom, A. V. (2015) · Vaccine · doi:10.1016/j.vaccine.2015.09.054 · Cited by 44
Beich, A., Gannik, D., Saelan, H., & Thorsen, T. (2007) · Alcohol and Alcoholism · doi:10.1093/alcalc/agm063 · Cited by 41
“Family doctors would have to sacrifice other activities (Yarnall et al ., 2003) and to spend resources on screening activities of unknown effectiveness (Whitlock, 2003; Beich et al ., 2003).”
BackgroundGreen, B. L., Davis, J. L., Rivers, D. A., Buchanan, K. L., & Rivers, B. M. (2013) · Springer eBooks · doi:10.1007/978-3-642-38983-2_6 · Cited by 41
Kim, M. M., Metlay, J. P., Cohen, A. L., Feldman, H. I., Hennessy, S., Kimmel, S., Strom, B. L., & Doshi, J. A. (2010) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.1953 · Cited by 41
“However, health professionals face time constraints and are often uncompensated for providing preventive services, which results in failure to adequately provide these services.(12) The Centers for Medicare and Medicaid Services are currently trying to address this problem through Medication Therapy Management Program…”
BackgroundPrimary Care Monitoring of Long-Term Opioid Therapy among Veterans with Chronic Pain
Krebs, E. E., Ramsey, D. C., Miloshoff, J. M., & Bair, M. J. (2011) · Pain Medicine · doi:10.1111/j.1526-4637.2011.01099.x · Cited by 41
Diabetic Eye Screening: Knowledge and Perspectives from Providers and Patients
Liu, Y., & Swearingen, R. (2017) · Current Diabetes Reports · doi:10.1007/s11892-017-0911-2 · Cited by 42
(2012) · Public Health Reports · doi:10.1177/00333549121270s101 · Cited by 41
Curran, R. L., Kukhareva, P., Taft, T., Weir, C. R., Reese, T. J., Nanjo, C. J., Rodriguez-Loya, S., Martin, D., Warner, P. B., Shields, D. E., et al. (2020) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocaa099 · Cited by 40
“12, The decrease in keystrokes per task (6 keystrokes per task vs 18 keystrokes per task) by first-time users of Disease Manager suggests that dramatic improvements in efficiency over the present system are possible.”
BackgroundBiondich, P., Downs, S. M., Anand, V., & Carroll, A. E. (2005) · PubMed Central · Cited by 40
Thiboutot, J. P., Sciamanna, C., Falkner, B. E., Kephart, D. K., Stuckey, H. L., Adelman, A., Curry, W. J., & Lehman, E. B. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2298 · Cited by 40
“Given the time constraints of PCP visits [24], it was assumed that patients would be able to ask no more than 1 to 2 questions during physician visits and expect that these questions would be appropriately addressed.”
BackgroundKawamoto, K., Kukhareva, P., Shakib, J. H., Kramer, H., Rodriguez-Loya, S., Warner, P. B., Shields, D. E., Weir, C. R., Fiol, G. D., Taft, T., et al. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.15343 · Cited by 41
“001 Interns 21 7 117 (99-134) 35 (24-47) 81 (64-98) <.”
Integrating Care for Older Adults with Cognitive Impairment
Callahan, C. M., Boustani, M. A., Sachs, G. A., & Hendrie, H. C. (2009) · Current Alzheimer Research · doi:10.2174/156720509788929228 · Cited by 42
“With the increasing emphasis on chronic care and prevention, it is now clear that there is not enough time in the day for primary care providers to deliver guideline-level care [27, 28].”
BackgroundMedical assistants: the invisible “glue” of primary health care practices in the United States?
Taché, S., & Hill‐Sakurai, L. E. (2010) · Journal of Health Organization and Management · doi:10.1108/14777261011054626 · Cited by 46
The Use of Internet-Based Technology to Tailor Well-Child Care Encounters
Bergman, D. A., Beck, A. L., & Rahm, A. K. (2009) · PEDIATRICS · doi:10.1542/peds.2008-3385 · Cited by 40
Früherkennungsuntersuchungen als Instrument im Kinderschutz
Thaiss, H. M., Klein, R., Schumann, E., Ellsäßer, G., Breitkopf, H., Reinecke, H., & Zimmermann, E. (2010) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-010-1134-8 · Cited by 40
Desarrollo de competencias en atención primaria de salud
Adell, C. N., Echevarria, C. R., & Bentz, R. M. B. (2009) · Revista Panamericana de Salud Pública · doi:10.1590/s1020-49892009000800011 · Cited by 39
ReadyVax: A new mobile vaccine information app
Bednarczyk, R. A., Frew, P. M., Salmon, D. A., Whitney, E. A. S., & Omer, S. B. (2017) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2016.1263779 · Cited by 39
“With an ever-increasing number of preventive services recommended and less time available to spend on patient-level counseling, 14 methods such as mobile app usage for checking key references may offer advantages to providing timely and appropriate preventive care.”
BackgroundKanter, M. H. (2010) · The Permanente Journal · doi:10.7812/tpp/10-036 · Cited by 39
“The medical literature reports that for a primary care physician to ensure that all patients on a hypothetical panel of 2000 receive the preventive screenings and treatment of chronic diseases that they need, the primary care physician would need to devote an estimated 18 hours per day.(2,3) That being the case, it is…”
Background
Metadata
- Authors
- Yarnall, K. S. H., Pollak, K. I., Østbye, T., Krause, K. M., & Michener, J. L.
- Affiliations
- Duke University (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2003-04
- Volume
- 93
- Issue
- 4
- Pages
- 635-641
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC1447803
- OpenAlex
- W2166751697
- Cited by
- 1,641
- References
- 59
- Citations by year
- 2026: 22 · 2025: 23 · 2024: 40 · 2023: 50 · 2022: 77 · 2021: 66 · 2020: 71 · 2019: 67 · 2018: 74 · 2017: 87 · 2016: 79 · 2015: 105 · 2014: 84 · 2013: 95 · 2012: 98
- FWCI
- 57.56
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh056846-03)
- National Institute of Mental Health (5 R01 MH56846-03)
- National Cancer Institute (CA 14236, P01 CA 72099, P01CA072099, P30CA014236)
- National Institute of General Medical Sciences (R01GM056846)
- 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 › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- preventive services, primary care, physician time constraints, USPSTF recommendations, time allocation, patient panel
- MeSH terms
- Adolescent, Adult, Aged, Appointments and Schedules, Child, Child, Preschool, Counseling, Female, Health Services Research, Humans, Infant, Infant, Newborn, Male, Middle Aged, Preventive Health Services, Primary Health Care, Primary Prevention, Time and Motion Studies, United States, Models, Statistical
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