OBJECTIVE Despite increased cardiovascular disease (CVD) risk, rheumatoid arthritis (RA) patients often lack CVD preventive care. We examined CVD preventive care processes from RA patient and provider perspectives to develop a process map for identifying targets for future interventions to improve CVD preventive care. METHODS Thirty-one participants (15 patients, 7 rheumatologists, and 9 prim...

BACKGROUND To determine the effectiveness of a single checklist reminder form to improve the delivery of preventive health services at adult health check-ups in a family practice setting. METHODS A prospective cluster randomized controlled trial was conducted at four urban family practice clinics among 38 primary care physicians affiliated with the University of Toronto. Preventive Care Check...

PURPOSE OF THE STUDY We extend research to examine relations between gender, disability, and age in the receipt of preventive services. DESIGN AND METHODS We pool Medical Expenditure Panel Survey data for years 2001-2007. Using logit models, we examine the relations between gender, disability, and age and the receipt of preventive services. RESULTS For most services, both women and men with...

CONTEXT Although there has been enormous interest in continuous quality improvement (CQI) as a measure to improve health care, this enthusiasm is based largely on its apparent success in business rather than formal evaluations in health care. OBJECTIVE To determine whether a managed care organization can increase delivery of eight clinical preventive services by using CQI. DESIGN Primary ca...

INTRODUCTION Diabetes is a chronic disease that requires complex continuing medical care and patient self-management to reduce the risk of long-term complications. Receipt of multiple recommended preventive care services can prevent or delay diabetes-related complications such as blindness and lower-extremity amputations. METHODS We analyzed 1997 and 2007 Behavioral Risk Factor Surveillance S...

The nation’s leading sources of morbidity and health disparities (eg, preterm birth, obesity, chronic lung disease, cardiovascular disease, type 2 diabetes, mental health disorders, and cancer) require an evidence-based approach to the delivery of effective preventive care across the life course (eg, prenatal care, primary preventive care, immunizations, physical activity, nutrition, smoking ce...

BACKGROUND People with a mental illness experience substantial disparities in health, including increased rates of morbidity and mortality caused by potentially preventable chronic diseases. One contributing factor to such disparity is a higher prevalence of modifiable health risk behaviors, such as smoking, inadequate fruit and vegetable intake, harmful alcohol consumption, and inadequate phys...

Preventable chronic illnesses cause 7 of 10 American deaths each year and account for 75% of US healthcare spending (1). Women are disproportionately affected by chronic disease, which negatively impacts their quality of life and their economic status (2). Women’s major chronic illnesses are estimated to cost about $466 billion per year, which does not include lost potential income and addition...

BACKGROUND: Many pediatric oral diseases are preventable if physicians recognize and encourage preventive care and refer patients to dentists whenever necessary. Parents usually visit pediatricians for routine care during the first few years of a child’s life. Therefore, pediatricians have can assist dental professionals by educating parents to maintain their children's oral health. The main ob...

The field of pediatrics in the US began in late-nineteenth century urban slums, where young children were monitored to ensure they received safe milk and mothers were educated about nutrition and hygiene. The subsequent reduction of infectious disease through sanitation and vaccination, and a continuing appreciation of the powerful impact of the social context of children's well being, reinforc...