Delivery Rates for Preventive Services in 44 Midwestern Clinics

Kottke, Thomas E.; Solberg, Leif I.; Brekke, Milo L.; Cabrera, Antonio; Marquez, Miriam A.

doi:10.4065/72.6.515

Cited by 85Health Promotion and Cardiovascular PreventionPrimary Care and Health OutcomesGlobal Cancer Incidence and Screening

Delivery Rates for Preventive Services in 44 Midwestern Clinics

Kottke, Thomas E., Solberg, Leif I., Brekke, Milo L., Cabrera, Antonio, Marquez, Miriam A.·1997·Mayo Clinic Proceedings

DOI 10.4065/72.6.515

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Abstract

Objective To determine the rates at which private primary-care clinics are recommending blood pressure and cholesterol measurement, smoking cessation, clinical breast examination, screening mammography, Papanicolaou testing, and influenza and pneumococcus immunizations.Material and methods We conducted a mail survey of 7,997 randomly selected patients from 44 primary-care clinics in and around Minneapolis-St. Paul, Minnesota, of whom 6,830 (85.4%) completed the questionnaire on preventive services delivery rates. The responses were analyzed statistically, including stratification by reason for the clinic visit.Results On the average, about two-thirds of the patients in each clinic reported being up-to-date on preventive services before their clinic visit; an exception was pneumococcus immunization (mean rate, 33%). Except for blood pressure and smoking cessation advice, less than 30% of patients who were not up-to-date on a preventive service were offered it if the clinic visit was for a reason other than a checkup or physical examination. For patients who said that they saw their physician for a checkup or physical examination, the rate was more than 50% only for Papanicolaou smear. In contrast, nearly all responding practitioners agreed that each of the eight preventive services was very important or important.Conclusion Preventive services consensus goals are not being met, even for patients who report that their clinic visit was for a checkup or physical examination. This finding suggests that it may be necessary to develop clinical systems that support and enable the delivery of preventive services.

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Authors: Kottke, T. E., Solberg, L. I., Brekke, M. L., Cabrera, A., & Marquez, M. A.
Affiliations: Mayo Clinic (US)
Corresponding author: Cabrera, Antonio
ORCID: Kottke, Thomas E.
Solberg, Leif I.
Venue: Mayo Clinic Proceedings
Publisher: Elsevier BV
Published: 1997-06
Volume: 72
Issue: 6
Pages: 515-523
ISSN: 0025-6196 (ISSN-L)
DOI: 10.4065/72.6.515
OpenAlex: W2018040695
Cited by: 85
References: 13
Citations by year: 2025: 1 · 2022: 1 · 2020: 1 · 2019: 1 · 2017: 1 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 5
FWCI: 8.75
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Mayo Clinic Proceedings (publishedVersion)
PubMed (publishedVersion)
Funders: Agency for Healthcare Research and Quality (HS 08091)
Office of Disease Prevention
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords: preventive services, primary health centers, blood pressure screening, cholesterol screening, smoking cessation counseling, clinical breast examination, mammography screening, influenza vaccination, pneumococcal vaccination, Minneapolis-St. Paul
MeSH terms: Adult, Aged, Diagnostic Tests, Routine, Female, Humans, Male, Middle Aged, Minnesota, Practice Patterns, Physicians', Preventive Health Services, Primary Health Care, Quality of Health Care

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Delivery Rates for Preventive Services in 44 Midwestern Clinics

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