A closer look at adult female health care maintenance visits.

نویسندگان

  • Elisabeth L Backer
  • Patrice Gregory
  • Carlos Roberto Jaén
  • Benjamin F Crabtree
چکیده

BACKGROUND/OBJECTIVES The health care maintenance (HCM) visit is a primary vehicle for delivering preventive services in primary care, but how these visits are actually utilized is poorly understood. This paper describes the content and process of HCM visits for adult women in family medicine. METHODS Data were collected as part of a multi-method comparative case study of 57 clinicians from 18 purposefully selected Midwestern urban, suburban, and rural practices. Descriptive observational field notes, medical records reviews, and depth interviews were used to identify the overall content,process, and style of these visits and to examine the management of additional concerns. RESULTS The preventive services addressed most frequently included clinical breast exams, pelvic exams,and mammography. Cholesterol screening, flexible sigmoidoscopy, alcohol use, and vaccinations were infrequently addressed. Health habit counseling regarding obesity was inconsistent. While some encounters followed a checklist, the majority of visits were structured but open to patients'questions/concerns. An "open-ended" format was seldom utilized. Additional patient concerns were raised and addressed during the majority of HCM visits. CONCLUSIONS HCM visits provide unique opportunities to deliver preventive care. Physicians may need to expand the range of services offered,involve other members of the primary care team, and address competing demands to ensure more-comprehensive preventive care delivery.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Trends in adult visits to primary care physicians in the United States.

BACKGROUND Although numerous changes are apparent in the US health care system, little is known about how these changes have altered the work of primary care physicians. METHODS We analyzed a nationally representative sample of 136,233 adult office visits to general internists, general practitioners, and family physicians contained in the 1978 through 1981, 1985, and 1989 through 1994 Nationa...

متن کامل

Military health care utilization by teens and young adults.

OBJECTIVES Adolescents and young adults are frequently uninsured (9.0% and 26.4%). Under the Affordable Care Act, the impact of insuring this population on health care utilization is unclear. We examined insurance records from >3.5 million non-pregnancy-related primary care visits in the Military Health System to describe health care utilization patterns among 467,099 non-active duty patients, ...

متن کامل

Costs of health care use by women HMO members with a history of childhood abuse and neglect.

BACKGROUND Early childhood maltreatment has been associated with adverse adult health outcomes, but little is known about the magnitude of adult health care use and costs that accompany maltreatment. We examined differences in annual health care use and costs in women with and without histories of childhood sexual, emotional, or physical abuse or neglect. METHODS A random sample of 1225 women...

متن کامل

A Closer Look to the Most Frequent Travelers’ Disease: A Systematic Update on Travelers’ Diarrhea

The present study, wants to highlight and review the most prevalent disease amongst travelers. In the current review, an updated review regarding epidemiology, involved pathogens, and a brief review of current evidence-based guidelines for prevention and treatment of this disease are provided. A distinguishing feature of the current review is the discussion of the impacts of irritable bowel syn...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Family medicine

دوره 38 5  شماره 

صفحات  -

تاریخ انتشار 2006