Prevention

 

One or more preventive services are delivered in about 30% of visits (Cooper GS, Am J Prev Med 2001)

usually done opportunistically; adds 2.1 minutes (Stange KC, J Family Practice, 1998)

• often triggered or cued; cough: smoking; OCP: pap; BP: cholesterol
• cues can also be perceptions of higher risk: weight, nicotine fingers, new or rare patients

must respect schedule; stay on time

 

preventive care visits

 

come up with a cue system; develop a flow sheet

have a teamwork approach: office organization; be tenacious

 

Preventative synergy

DiClemente RJ, Salazar LF, Crosby RA, Rosenthal SL. Prevention and control of sexually transmitted infections among adolescents: the importance of a socio-ecological perspective – a commentary. Pub Health 20005;119:825-836

 

• references

It is difficult to draw the line between health promotion and disease prevention.

 

Many risk reduction (promotion or prevention?) strategies require the support of individuals and communities, often in the form of change.

 

 

References