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

The DOI matches its Crossref record; 59 of the 59 references it cites were found in a registry or an index.

Primary Care: Is There Enough Time for Prevention?

Open access

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

Open this paper in CoChat — free account

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.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.2105/ajph.93.4.635

Cites

59 of 59 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

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
Recommendations for Prevention and Control of Hepatitis C Virus (HCV) Infection and HCV-Related Chronic Disease
(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
Recommendations for Prevention and Control of Hepatitis C Virus (HCV) Infection and HCV-Related Chronic Disease
Shalmani, H. M. (2014) · Journal of Liver · doi:10.4172/2167-0889.1000147 · Cited by 607
Recommendations for prevention and control of hepatitis C virus (HCV) infection and HCV-related chronic disease. Centers for Disease Control and Prevention.
(1998) · PubMed · Cited by 483
Births: final data for 1997.
Ventura, S. J., Martin, J. A., Curtin, S. C., & Mathews, T. J. (1999) · PubMed · Cited by 411
Does This Patient Have Breast Cancer?
Barton, M. B., Harris, R., & Fletcher, S. W. (1999) · JAMA · doi:10.1001/jama.282.13.1270 · Cited by 371
Hazardous and Harmful Alcohol Consumption in Primary Care
Reid, M. C., Fiellin, D. A., & O’Connor, P. G. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.15.1681 · Cited by 368
Are Patients' Office Visits with Physicians Getting Shorter?
Mechanic, D., McAlpine, D. D., & Rosenthal, M. (2001) · New England Journal of Medicine · doi:10.1056/nejm200101183440307 · Cited by 357
Has the use of cervical, breast, and colorectal cancer screening increased in the United States?
Anderson, L. M., & May, D. S. (1995) · American Journal of Public Health · doi:10.2105/ajph.85.6.840 · Cited by 352
Priorities among recommended clinical preventive services11The full text of this article is available via AJPM Online at www.elsevier.com/locate/ajpmonline.
Coffield, A. B., Maciosek, M. V., McGinnis, J. M., Harris, J. R., Caldwell, M. B., Teutsch, S. M., Atkins, D., Richland, J. H., & Haddix, A. C. (2001) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(01)00308-7 · Cited by 351
A cross-national trial of brief interventions with heavy drinkers. WHO Brief Intervention Study Group.
(1996) · American Journal of Public Health · doi:10.2105/ajph.86.7.948 · Cited by 314
Brief physician- and nurse practitioner-delivered counseling for high-risk drinkers: does it work?
Ockene, J., Adams, A., Hurley, T., Wheeler, E. V., & Hébert, J. R. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.18.2198 · Cited by 279
Same-day appointments: exploding the access paradigm.
Murray, M. F., & Tantau, C. (2000) · PubMed · Cited by 270
Births: final data for 1998.
Sj, V., Martin, J. A., Sc, C., Mathews, T. J., & Park, M. M. (2000) · PubMed · Cited by 247
Performance of cancer screening in a university general internal medicine practice
McPhee, S. J., Richard, R. J., & Solkowitz, S. N. (1986) · Journal of General Internal Medicine · doi:10.1007/bf02596202 · Cited by 243
The molecular biology of carcinogenesis
Pitot, H. C. (1993) · Cancer · doi:10.1002/1097-0142(19930801)72:3+ · Cited by 242
Effect of Physician-Delivered Nutrition Counseling Training and an Office-Support Program on Saturated Fat Intake, Weight, and Serum Lipid Measurements in a Hyperlipidemic Population: Worcester Area Trial for Counseling in Hyperlipidemia (WATCH)
Ockene, I. S., Hebert, J. R., Ockene, J. K., Saperia, G. M., Stanek, E., Nicolosi, R., Merriam, P. A., & Hurley, T. G. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.7.725 · Cited by 226
Current and Projected Workforce of Nonphysician Clinicians
Cooper, R. A. (1998) · JAMA · doi:10.1001/jama.280.9.788 · Cited by 219
Evaluation of cervical cytology.
McCrory, D., Matchar, D. B., Bastian, L., Datta, S., Hasselblad, V., Hickey, J., Myers, E. R., & Nanda, K. (1999) · PubMed Central · Cited by 196
A Multisite Field Test of the Acceptability of Physical Activity Counseling in Primary Care: Project PACE
Long, B. J., Calfas, K. J., Wooten, W. J., Sallis, J. F., Patrick, K., Goldstein, M. G., Marcus, B. H., Schwenk, T. L., Chenoweth, J., Carter, R., et al. (1996) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(18)30348-9 · Cited by 184
Making “Time” for Preventive Services
Kottke, T. E., Brekke, M. L., & Solberg, L. I. (1993) · Mayo Clinic Proceedings · doi:10.1016/s0025-6196(12)60638-7 · Cited by 178
Predictors of Screening for Breast, Cervical, Colorectal, and Prostatic Cancer Among Community-Based Primary Care Practices
Ruffin, M. T., Gorenflo, D. W., & Woodman, B. (2000) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.13.1.1 · Cited by 139
Trade-offs in high-volume primary care practice.
Zyzanski, S. J., Stange, K. C., Langa, D. M., & Flocke, S. A. (1998) · PubMed · Cited by 109
Opportunistic preventive services delivery. Are time limitations and patient satisfaction barriers?
Stange, K. C., Flocke, S. A., & Goodwin, M. A. (1998) · PubMed · Cited by 98
Reducing alcohol consumption. Comparing three brief methods in family practice.
McIntosh, M. C., Leigh, G., Baldwin, N. J., & Marmulak, J. (1997) · Europe PMC (PubMed Central) · Cited by 81
Perceived financial incentives, HMO market penetration, and physicians' practice styles and satisfaction.
Hadley, J., Mitchell, J. M., Sulmasy, D. P., & Bloche, M. G. (1999) · PubMed Central · Cited by 79
Alcohol counseling
Adams, A., Ockene, J. K., Wheeler, E. V., & Hurley, T. G. (1998) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.1998.00206.x · Cited by 70
Physicians and Nonphysician Clinicians
Grumbach, K., & Coffman, J. M. (1998) · JAMA · doi:10.1001/jama.280.9.825 · Cited by 65
The Yield of Flexible Sigmoidoscopy and Double-Contrast Barium Enema in the Diagnosis of Neoplasms in the Large Bowel in Patients with a Positive Hemoccult Test
Kewenter, J., Brevinge, H., Engarås, B., & Haglind, E. (1995) · Endoscopy · doi:10.1055/s-2007-1005655 · Cited by 64
Methods for priority setting among clinical preventive services11The full text of this article is available via AJPM Online at www.elsevier.com/locate/ajpmonline.
Maciosek, M. V., Coffield, A. B., McGinnis, J. M., Harris, J. R., Caldwell, M. B., Teutsch, S. M., Atkins, D. C., Richland, J. H., & Haddix, A. C. (2001) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(01)00309-9 · Cited by 63
Health promotion counseling of chronic-disease patients during primary care visits.
Russell, N. K., & ROTER, D. L. (1993) · American Journal of Public Health · doi:10.2105/ajph.83.7.979 · Cited by 60
An ounce of prevention? Evaluation of the 'Put Prevention into Practice' program.
McVea, K. L. S. P., Crabtree, B. F., Medder, J., Susman, J. L., Lukas, L. A., McIlvain, H. E., Davis, C., Gilbert, C. S., & Hawver, M. (1996) · PubMed · Cited by 58
The Periodic Health Examination Provided to Asymptomatic Older Women: An Assessment Using Standardized Patients
Carney, P. A., Dietrich, A. J., Freeman, D. H., & Mott, L. A. (1993) · Annals of Internal Medicine · doi:10.7326/0003-4819-119-2-199307150-00007 · Cited by 51
The Commonwealth Fund Survey of Physician Experiences with Managed Care
Schoen, C. (1997) · Cited by 43
Disposable, sheathed, flexible sigmoidoscopy: A prospective, multicenter, randomized trial
Rothstein, R. I., & Littenberg, B. (1995) · Gastrointestinal Endoscopy · doi:10.1016/s0016-5107(95)70192-3 · Cited by 42
Cancer Prevention in Primary Care: Reducing alcohol intake
Austoker, J. (1994) · BMJ · doi:10.1136/bmj.308.6943.1549 · Cited by 37
A Symptom of Discontent
Campion, E. W. (2001) · New England Journal of Medicine · doi:10.1056/nejm200101183440311 · Cited by 36
Prevention services in primary care: taking time, setting priorities.
Rafferty, M. P. (1998) · PubMed · Cited by 31
Cigarette Smoking Among Adults— United States, 1990
(1992) · JAMA · doi:10.1001/jama.1992.03480230025007 · Cited by 31
Feasibility of high-volume screening sigmoidoscopy using a flexible fiberoptic endoscope and a disposable sheath system.
Schroy, P. C., Wilson, S. E., & Afdhal, N. H. (1996) · PubMed · Cited by 29
Continued assessment of flexible sigmoidoscopy in a family practice residency.
Ra, J., Quan, M. A., & Wm, R. (1984) · PubMed · Cited by 27
Put prevention into practice: a controlled evaluation
Melnikow, J. A., Kohatsu, N. D., & Chan, B. K. S. (2000) · American Journal of Public Health · doi:10.2105/ajph.90.10.1622 · Cited by 26
Flexible sigmoidoscopy: primary care outcomes after two types of continuing medical education.
Wm, R., & Albers, G. (1986) · PubMed · Cited by 26
Cancer prevention practices among Texas primary care physicians
Spitz, M. R., Chamberlain, R. M., Seder, J., & Fueger, J. J. (1992) · Journal of Cancer Education · doi:10.1080/08858199209528142 · Cited by 24
Risk Factors and Recommendations for 230 Adult Primary Care Patients, Based on U.S. Preventive Services Task Force Guidelines
Medder, J., Kahn, N. B., & Susman, J. L. (1992) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(18)30823-7 · Cited by 23
Barriers to Clinical Preventive Medicine
Burack, R. C. (1989) · Primary Care Clinics in Office Practice · doi:10.1016/s0095-4543(21)01319-1 · Cited by 23
Reducing alcohol consumption.
Anderson, P. (1991) · PubMed · Cited by 22
Training primary care physicians in flexible sigmoidoscopy--performance evaluation of 17,167 procedures.
Groveman, H. D., Sanowski, R. A., & Klauber, M. R. (1988) · PubMed · Cited by 21
Physicians and nurses can be effective educators in coronary risk reduction
Peiss, B., Kurleto, B., & Rubenfire, M. (1995) · Journal of General Internal Medicine · doi:10.1007/bf02600231 · Cited by 19
Put prevention into practice (PPIP): evaluating PPIP in two family practice residency sites.
Yeazel, M. W., Bunner, S. H., Kofron, P. M., & Weiss, P. J. (2002) · PubMed · Cited by 7
Evaluation of an intervention to increase seat belt use.
Gordon, P. (1990) · PubMed · Cited by 6
A supervised training program in flexible sigmoidoscopy: evaluating skills from residency training to clinical practice.
Rb, L., Wn, B., Mw, S., Rl, G., Jt, F., & De, V. (1989) · PubMed · Cited by 6
An ounce of prevention is a ton of work.
Susman, J. (2002) · PubMed · Cited by 3

Flagged first, then by citations

Sorted by citations

Clinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid Diseases: Implications for Pay for Performance
Boyd, C. M., Darer, J., Boult, C., Fried, L. P., Boult, L., & Wu, A. W. (2005) · JAMA · doi:10.1001/jama.294.6.716 · Cited by 2,581
“All elements of the treatment plan cannot easily be addressed in a 15-minute office visit.(55,56) Interactions that could result from concurrent adherence to all 5 CPGs (TABLE 4) include between a medica-”
Background
2019 Alzheimer’s disease facts and figures.
Alzheimer's Association (2019) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2019.01.010 · Cited by 2,461
AUDIT‐C as a Brief Screen for Alcohol Misuse in Primary Care
Bradley, K. A., Rubinsky, A. D., Volk, R. J., Williams, E. C., Frank, D., & Kivlahan, D. R. (2007) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2007.00403.x · Cited by 1,634
Riding the Crest of the Teachable Moment: Promoting Long-Term Health After the Diagnosis of Cancer
Demark‐Wahnefried, W., Aziz, N. M., Rowland, J. H., & Pinto, B. M. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.01.230 · Cited by 1,114
Increasing Vaccination: Putting Psychological Science Into Action
Brewer, N. T., Chapman, G. B., Rothman, A. J., Leask, J., & Kempe, A. (2017) · Psychological Science in the Public Interest · doi:10.1177/1529100618760521 · Cited by 1,233

See all 1,641

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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Primary Care: Is There Enough Time for Prevention?

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks