Internists' Practices in Health Promotion and Disease Prevention
Annals of Internal MedicinePublished 1 January 1991
J. Sanford Schwartz, Charles E. Lewis, Carolyn M. Clancy, Monica S. Kinosian, Margaret Higgins Radany, Jeffrey P. Koplan
Citations206
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TL;DR
Internists' use of disease prevention and health promotion activities falls short of expert recommendations, and programs to improve the delivery of preventive services might be aimed at improving physicians' personal health practices, might be directed toward patients, and might include the development of effective systems to remind physicians.
Abstract
Internists' use of disease prevention and health promotion activities falls short of expert recommendations. Programs to improve the delivery of preventive services might be aimed at improving physicians' personal health practices, might be directed toward patients, and might include the development of effective systems to remind physicians.
Keywords
MedicineHealth Professions
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Preventive MedicineHealth promotion in primary care: A survey of U.S. family practitioners
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Medical CareImproving Physician Compliance With Preventive Medicine Guidelines
268 Citations1982David I. Cohen, Benjamin Littenberg +2 more
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267 Citations1988Richard Hayward
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258 Citations1991Charles E. Lewis, Carolyn M. Clancy +2 more
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125 Citations1981FREDRIC J. ROMM, Durham +2 more
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116 Citations1983Renaldo N. Battista
The unrealized potential for prevention through capitalizing on all encounters with primary care physicians is important, and should stimulate creative efforts to enhance preventive activities in medical practice.
PubMedComputerized reminders to encourage cervical screening in family practice.
115 Citations1989Ian McDowell, Claire Newell +1 more
Three ways of increasing rates of cervical screening were compared for women attending a family medicine center and reminders issued to the physician provide a low-cost, opportunistic approach to reach women who happen to visit the practice, but this approach should be supplemented by telephoning or sending a letter to those women who do not attend.
Journal of Community HealthDifferences in physician prevention practice patterns for white and minority patients
113 Citations1988Donald H. Gemson, Jack Elinson +1 more
Differences in quality of preventive care provided to minority patients may be an additional factor in the disparity between the health status of White and non-White Americans.
American Journal of Public HealthPreventive content of adult primary care: do generalists and subspecialists differ?
110 Citations1984A J Dietrich, Harold I. Goldberg
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American Journal of Preventive MedicinePrevention in Primary Care: Variability in Physician Practice Patterns in New York City
109 Citations1986Donald H. Gemson, Jack Elinson
A need for increased physician training and education in disease prevention and health promotion is suggested and Multivariate analysis revealed that board-certified physicians, U.S. medical graduates, and younger physicians agreed more frequently with the recommendations of national organizations.
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100 Citations1981J C Kleinman, Andrea N. Kopstein
It was found that women at highest risk of cervical cancer are least likely to have had Pap tests, and improvement in Pap test coverage among high risk women could be attained by encouraging the use of the Pap test in regular ambulatory medical care.
Preventive MedicinePrevention and health promotion in primary care: Baseline results on physicians from the INSURE project on lifecycle preventive health services
100 Citations1984Matthew A. Rosen, Donald N. Logsdon +1 more
The INSURE Project on Lifecycle Preventive Health Services is a 3-year feasibility study to develop and test a clinical model of preventive health services, including patient education, in primary medical care as an insurance benefit.
Journal of General Internal MedicineA model for predicting the counseling practices of physicians
92 Citations1986Charles E. Lewis, Kenneth B. Wells +1 more
In general, physicians who had poor health habits did not fully counsel patients about those habits; however, physicians attempting to improve poor habits counseled patients significantly more often than physicians who were not trying to change their own behavior.
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Medical CareDeterminants of Primary Medical Practice in Adult Cancer Prevention
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Preventive MedicineNutrition counseling in private practice: Attitudes and activities of family physicians
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Overall, internists consider counseling about smoking to be at least as worthwhile as many other practices, such as screening for breast cancer, and more worthwhile than periodic physical examinations.
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PubMedScreening guidelines in a family medicine program: a five-year experience.
42 Citations1982I. G. Mandel, Peter Franks +1 more
An audit of charts of 112 adult patients at the University of Rochester Family Medicine Program was conducted to determine the effect of screening guidelines introduced into the practice in 1975, finding awareness of screening recommendations was insufficient to result in provider compliance with them.
Medical CarePhysicians?? Practices in Counseling Patients About Health Habits
40 Citations1984Kenneth B. Wells, John E. Ware +1 more
A model of two dimensions of physicians' behavior in counseling patients about four health habits (smoking, weight control, alcohol consumption, and regular exercise) and the indications for routine counseling and the aggressiveness of counseling style are developed and tested.
PubMedThe impact of a health screening flow sheet on the performance and documentation of health screening procedures.
39 Citations1987Michael D. Prislin, M S Vandenbark +1 more
The results suggest that the screening flow sheet serves primarily as a memory prompting device, and the usefulness of the flow sheet as a patient data storage device appears questionable.
Academic MedicineScreening for cancer by residents in an internal medicine program
38 Citations1986Gerard Lynch, Marianne N. Prout
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PubMedPneumococcal vaccination practices among private physicians.
38 Citations1982Patriarca Pa, Schlech Wf +3 more
Patients with cardiorespiratory diseases were the only ones usually immunized by more than half of the survey respondents, and there was general agreement that the vaccine is indicated for the high-risk groups.
Academic MedicinePreventive health behavior of physicians
37 Citations1982Karen Glanz, S B Fiel +2 more
PubMedPatterns of preventive practice in New Brunswick.
37 Citations1985Renaldo N. Battista, Cynthia S. Palmer +2 more
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Patient Education and CounselingPatient counseling by primary care physicians: Results of a nationwide survey
37 Citations1986Stephen E. Radecki, Robert C. Mendenhall
Examination of the use of counseling by general and family practitioners, pediatricians, internists, and obstetrician/gynecologists shows substantial differences based on physician specialty, with highest rates of counseling for family practitioners and internists and rates of patient education almost three times that for general practitioners.
American Journal of RoentgenologyScreening mammography: referral practices of Los Angeles physicians
36 Citations1986L W Bassett, DH Bunnell +2 more
Annual mammography screening is underused; greater efforts must be directed toward educating physicians and patients regarding its value and toward lowering its cost.
BMJPrevention in practice: what Wessex general practitioners are doing.
33 Citations1984J. C. Catford, Don Nutbeam
PubMedPhysician compliance with colorectal cancer screening (1978-1983): the impact of flexible sigmoidoscopy.
28 Citations1985Rodney Wm, Beaber Rj +2 more
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PubMedHealth habits and coping behaviors among practicing physicians.
22 Citations1986Lawrence S. Linn, Joel Yager +2 more
There were few strong intercorrelations among the variouspositive and negative coping behaviors or health habits; physicians often simultaneously engaged in both positive and negative activities, indicating complex patterns of coping behaviors that were not dramatically associated with life or work satisfaction.
Preventive MedicineA survey of physicians' views and practices on patient education for smoking cessation
21 Citations1986Barbara K. Rimer, Victor J. Strecher +2 more
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American Journal of Public HealthHealth promotion in the United States and Canada: smoking, exercise, and other health-related behaviors.
20 Citations1988Charlotte A. Schoenborn, Torrance Stephens
The Journal of Infectious DiseasesInfluenza and Pneumococcal Immunization in Medical Clinics, 1971-1983
19 Citations1984David S. Fedson
Academic MedicineAttitudes of faculty members, residents, students, and community physicians toward health promotion
16 Citations1987Mary M. Horowitz, James C. Byrd +1 more
Elimination of smoking; decreased consumption of alcohol, excess calories, saturated fat, cholesterol, salt, and sugar; increased exercise; periodic health screening; and regular use of seatbelts are identified as desirable behavioral changes to promote health in the American population.
PEDIATRICSPhysician Knowledge and Clinical Behavior Regarding Automobile Safety for Children
16 Citations1985Marilyn M. Faber, Sue Keir Hoppe +1 more
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American Journal of Preventive MedicinePreventive Health Practices in a Teaching Hospital: House Staff Attitudes and Performance of Gynecological Screening
10 Citations1987Anne Ziffer, Patricia Song +1 more
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PubMedUtilization of pneumococcal vaccine in a family practice residency.
8 Citations1982Brownlee Hj, Brown Dl +1 more
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JAMARoutine Prenatal and Gynecologic Care in Prepaid Group Practice
8 Citations1986Michael John Hughey
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American Journal of Preventive MedicineBreast and Testicular Self-Examination in Primary Care
4 Citations1988Karen S. Ogle, Lynn A. Snellman +1 more
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