scholarly journals Primary Care Providers' Response to the US Preventive Services Task Force Draft Recommendations on Screening for Prostate Cancer

2012 ◽  
Vol 172 (8) ◽  
pp. 668 ◽  
Author(s):  
Gary Noronha
2017 ◽  
Vol 10 (1) ◽  
pp. 38-44
Author(s):  
Marie Lavon Graham-Campbell

Earlier detection through mammography screening, increased awareness, and improved treatment modalities has resulted in a decline in breast cancer incidence. Despite the availability of the clinical guidelines by the U.S. Preventive Services Task Force (USPSTF), adherence to these methods is only 42% (Meissener, Klabunde, Breen, & Zapka, 2011). The purpose of this scholarly project was to identify and improve provider’s adherence to the USPSTF mammography screening clinical guidelines in three primary care clinics located in Southeastern North Carolina. The project included development of an educational program to increase awareness of the guidelines followed by measures to increase screening. A posteducation intervention chart review was completed to determine if there was an increase in adherence and use to the guidelines. Sample size included 90 retrospective chart reviews of the patients meeting the criteria for mammography screening. Based on the results, further recommendations were provided to the providers to improve adherence. Data analysis was conducted using descriptive statistics. The findings of this project identified barriers to the adherence to the USPSTF mammography screening guidelines among primary care providers in the three clinics selected. The educational intervention increased the adherence to the USPSTF mammography screening guideline from 15% to 16%.


PEDIATRICS ◽  
1996 ◽  
Vol 97 (5) ◽  
pp. 733-735
Author(s):  
Modena Wilson ◽  
Donald M. Berwick ◽  
Carolyn DiGuiseppi

Preventive services compose a large portion of primary care pediatrics, and pediatricians by their nature and training seem extraordinarily disposed toward clinical prevention. Therefore, when the first edition of the Guide to Clinical Preventive Services appeared in 1989 from the US Preventive Services Task Force (USPSTF), the negative reaction of the organized pediatric community was disappointing. The second edition of that guide has just been released, and we three pediatricians, who have worked hard during the past 5 years as members and staff of the second task force, hope for a far more positive reaction from our colleagues this time around.


2020 ◽  
Vol 104 (9-10) ◽  
pp. 692-698
Author(s):  
Matthew B. Clements ◽  
Basil Abdalla ◽  
Stephen H. Culp ◽  
Raymond A. Costabile ◽  
Tracey L. Krupski

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
John D Omura ◽  
Kathleen B Watson ◽  
Fleetwood V Loustalot ◽  
Janet E Fulton ◽  
Susan A Carlson

Background: The US Preventive Services Task Force recommends adults with certain cardiovascular disease (CVD) risk factors be offered or referred to intensive behavioral counseling to promote a healthful diet and physical activity for CVD prevention. However, only 1 in 12 primary care providers (PCPs) currently follow this recommendation. This study assessed system and programmatic features PCPs reported would increase their likelihood of referring patients at risk for CVD to intensive behavioral counseling and whether this varied by the percentage of at-risk patients with whom they discuss physical activity. Methods: DocStyles 2018, a web-based panel survey of PCPs, assessed the percentage of at-risk patients with whom PCPs discuss physical activity and the degree to which select features would increase their likelihood of referring to intensive behavioral counseling. Results: Overall, 60.8% of PCPs discussed physical activity with most of their at-risk patients; 21.8% did so with many and 17.4% with few or some. The proportion of PCPs identifying features as increasing their likelihood of referring to intensive behavioral counseling by a great extent ranged from 24.1% for an automated referral in electronic health records, 35.3% for patient progress reports, 41.5% for the program being accredited or evidence-based, to 67.2% for the program having no cost to the patient (Table). These proportions increased for each feature as the percentage of at-risk patients with whom they discuss physical activity increased. Conclusion: PCPs identified programmatic features (i.e. being accredited and of no cost) as having the greatest influence on their likelihood of referring patients at risk for CVD to intensive behavioral counseling, although this varied by the percentage of at-risk patients with whom they discuss physical activity. Findings suggest that the effectiveness of strategies to improve behavioral counseling referrals by PCPs may depend on their current physical activity counseling practices.


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