Cited by 1,641Health Promotion and Cardiovascular PreventionPrimary Care and Health OutcomesClinical practice guidelines implementation

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Primary Care: Is There Enough Time for Prevention?

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Yarnall, Kimberly S. H., Pollak, Kathryn I., Østbye, Truls, Krause, Katrina M., Michener, J. Lloyd·2003·American Journal of Public Health

DOI 10.2105/ajph.93.4.635PMC PMC1447803

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Abstract

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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Authors: Yarnall, K. S. H., Pollak, K. I., Østbye, T., Krause, K. M., & Michener, J. L.
Affiliations: Duke University (US)
ORCID: Pollak, Kathryn I.
Østbye, Truls
Michener, J. Lloyd
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
DOI: 10.2105/ajph.93.4.635
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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Primary Care: Is There Enough Time for Prevention?

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