AIM This study examined the relationships between health literacy, self-efficacy and preventive care utilization among older adults in Taiwan. METHODS The data were from a longitudinal survey, "Taiwan Longitudinal Study in Aging" in 2003 and 2007. A total of 3479 participants who completed both two waves were included for analysis. Health literacy first was constructed through education, cogn...

OBJECTIVE To establish how health care service utilization patterns are associated with health-related quality of life (HRQL) perception in older adults. MATERIAL AND METHODS A cross-sectional study in adults aged 60 years or more was conducted in a random sample of 1150 beneficiaries of the Mexican Social Security Institute (IMSS) in Mexico City during 2003. Health care services utilization ...

PURPOSE To describe the work of the U.S. Preventive Services Task Force and to encourage nurse practitioners (NPs) to use its evidence-based recommendations for clinical preventive services. SOURCES Evidence reports, recommendation statements, and journal articles published under the auspices of the U.S. Preventive Services Task Force since its establishment in 1984. CONCLUSIONS A core comp...

Under the Affordable Care Act (ACA), Medicare coverage expanded in 2011 to fully cover annual preventive care visits. We assessed the impact of coverage expansion, using 2007-13 data from primary care patients of Medicare-eligible age at the Palo Alto Medical Foundation (204,388 patient-years), which serves people in four counties near San Francisco, California. We compared trends in preventive...

BACKGROUND Preventive care is an important part of primary care medicine, yet much variation in its practice exists. The aim of this study is to assess physicians' perspectives of practicing preventive medicine and evaluate which topics are deemed most important. METHODS All primary care medicine providers at two separate academic medical centers (Mayo Clinic, MN and Mayo Clinic, FL) were sur...

OBJECTIVE To determine whether clinician prompting regarding a child's symptom severity and guideline recommendations at the time of an office visit improves the delivery of preventive asthma care. DESIGN Randomized controlled trial. SETTING Two inner-city pediatric practices in Rochester, NY. PARTICIPANTS Two hundred twenty-six children with persistent asthma (aged 2-12 years) presenting...

Dr Mavriplis states that it is often difficult to dedicate time for preventive care in a busy family practice. According to McWhinney,1 if every patient in a practice of 2000 had a 20-minute annual health examination, it would occupy the physician full-time for 22 weeks of every year. Another study estimated that more than 40% of all direct patient time for primary care physicians is taken up b...