Primary care: Is there enough time for prevention?

被引:1196
作者
Yarnall, KSH
Pollak, KI
Ostbye, T
Krause, KM
Michener, JL
机构
[1] Duke Univ, Ctr Med, Dept Family & Community Med, Durham, NC 27710 USA
[2] Duke Univ, Ctr Med, Canc Prevent Detect & Control Program, Durham, NC 27706 USA
关键词
D O I
10.2105/AJPH.93.4.635
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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.
引用
收藏
页码:635 / 641
页数:7
相关论文
共 57 条
[31]  
McIntosh MC, 1997, CAN FAM PHYSICIAN, V43, P1959
[32]   PERFORMANCE OF CANCER SCREENING IN A UNIVERSITY GENERAL INTERNAL-MEDICINE PRACTICE - COMPARISON WITH THE 1980 AMERICAN-CANCER-SOCIETY GUIDELINES [J].
MCPHEE, SJ ;
RICHARD, RJ ;
SOLKOWITZ, SN .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1986, 1 (05) :275-281
[33]  
McVea K, 1996, J FAM PRACTICE, V43, P361
[34]   Are patients' office visits with physicians getting shorter? [J].
Mechanic, D ;
McAlpine, DD ;
Rosenthal, M .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (03) :198-204
[35]   RISK-FACTORS AND RECOMMENDATIONS FOR 230 ADULT PRIMARY CARE PATIENTS, BASED ON UNITED-STATES PREVENTIVE SERVICES TASK-FORCE GUIDELINES [J].
MEDDER, JD ;
KAHN, NB ;
SUSMAN, JL .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 1992, 8 (03) :150-153
[36]   Put prevention into practice: A controlled evaluation [J].
Melnikow, J ;
Kohatsu, ND ;
Chan, BKS .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2000, 90 (10) :1622-1625
[37]  
Murray M, 2000, Fam Pract Manag, V7, P45
[38]   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) [J].
Ockene, IS ;
Hebert, JR ;
Ockene, JK ;
Saperia, GM ;
Stanek, E ;
Nicolosi, R ;
Merriam, PA ;
Hurley, TG .
ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (07) :725-731
[39]   Brief physician- and nurse practitioner-delivered counseling for high-risk drinkers -: Does it work? [J].
Ockene, JK ;
Adams, A ;
Hurley, TG ;
Wheeler, EV ;
Hebert, JR .
ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (18) :2198-2205
[40]   PHYSICIANS AND NURSES CAN BE EFFECTIVE EDUCATORS IN CORONARY RISK REDUCTION [J].
PEISS, B ;
KURLETO, B ;
RUBENFIRE, M .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1995, 10 (02) :77-81