Abstract:
PURPOSE:The US Preventive Services Task Force (USPSTF) is authorized by the US government to review and disseminate the scientific evidence for clinical preventive services. The purpose of this study was to evaluate the alignment of Medicare preventive services coverage with the recommendations of the USPSTF before implementation of health reform. METHODS:We recorded all Medicare coverage for preventive services as listed in the Medicare preventive services guide of 2007 (including the 2009 update) for all recommended (A-or B-rated) USPSTF and not recommended (D-rated) guidelines for preventive screening and counseling in adults aged 65 years and older. We analyzed 2 components of preventive care: preventive coordination (risk assessment, patient motivation, and arranging of preventive service) and the preventive service itself. The main outcome measure was the percentage of agreement between USPSTF recommendations and Medicare coverage. RESULTS:The USPSTF recommended 15 preventive interventions for adults aged 65 years and older. Although Medicare partially reimbursed 93% of recommended services, full reimbursement for the preventive coordination, as well as the service, was available for only 7% of these services. This partial coverage is available mostly as part of the Welcome to Medicare Visit. Further, the USPSTF recommended against 16 preventive services; Medicare reimbursed clinicians for 44% of these services. CONCLUSIONS:Medicare coverage for preventive services needs to be reassessed, with special focus on preventive coordination. Continuing previous practices will likely promote both inadequate and excessive delivery of preventive services. The new health care reform law has the potential to improve the provision of preventive services to Medicare beneficiaries.
journal_name
Ann Fam Medjournal_title
Annals of family medicineauthors
Lesser LI,Krist AH,Kamerow DB,Bazemore AWdoi
10.1370/afm.1194subject
Has Abstractpub_date
2011-01-01 00:00:00pages
44-9issue
1eissn
1544-1709issn
1544-1717pii
9/1/44journal_volume
9pub_type
杂志文章abstract:PURPOSE:In primary care, the involvement of health care assistants (HCAs) in clinical depression management is an innovative approach. Little is known, however, about how HCAs experience their new tasks. We wanted to describe the perceptions and experiences of HCAs who provided case management to patients with depressi...
journal_title:Annals of family medicine
pub_type: 杂志文章
doi:10.1370/afm.1037
更新日期:2009-11-01 00:00:00
abstract:PURPOSE:Potentially inappropriate prescribing (PIP) is a common yet preventable medical error among older persons in primary care. It is uncertain whether PIP produces adverse outcomes in this population, however. We conducted a systematic review with meta-analysis to pool the adverse outcomes of PIP specific to primar...
journal_title:Annals of family medicine
pub_type: 杂志文章,meta分析
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更新日期:2019-05-01 00:00:00
abstract::Although primary care, including family medicine, recognizes different types of clinician-patient interaction, I argue that only interactions characterized by coprovision define care. By coprovision I mean that clinicians and patients each provide the expertise in health care that they have the capacity to contribute ...
journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2005-11-01 00:00:00
abstract:PURPOSE:At this second anniversary of the Annals of Family Medicine, we sought to characterize primary care research and to identify opportunities for new directions by analyzing the content of the first and second volumes of the Annals. METHODS:Using an a priori classification scheme, 2 editors independently categori...
journal_title:Annals of family medicine
pub_type: 杂志文章
doi:10.1370/afm.330
更新日期:2005-05-01 00:00:00
abstract::Large panel sizes are often held responsible for worse access to appointments in primary care. We evaluated the relationship between appointment backlog, panel size, and primary care clinician time in clinic, using Spearman correlation and multiple regression in a retrospective analysis. We found no independent associ...
journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2018-11-01 00:00:00
abstract::In the United States, stable health insurance coverage is associated with improved health outcomes. A lack of insurance is associated with premature death from preventable causes. Although primary care clinicians are often in a position to see firsthand the impact that being uninsured has on patients, most ambulatory ...
journal_title:Annals of family medicine
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更新日期:2013-09-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2013-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-01-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
doi:10.1370/afm.682
更新日期:2007-07-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2020-05-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
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journal_title:Annals of family medicine
pub_type: 杂志文章,评审
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更新日期:2010-01-01 00:00:00
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更新日期:2013-11-01 00:00:00
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journal_title:Annals of family medicine
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journal_title:Annals of family medicine
pub_type: 杂志文章
doi:10.1370/afm.758
更新日期:2008-01-01 00:00:00
abstract::I had intended to spend our spring break week in Montana with my kids and my dad, going to parks and museums together. Instead, I spent the week in the hospital, helping my dad make end-of-life choices and learning more about the importance of communication in health care settings and the preciousness of close relatio...
journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2016-05-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章,评审
doi:10.1370/afm.1677
更新日期:2014-09-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2020-07-01 00:00:00
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journal_title:Annals of family medicine
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更新日期:2007-01-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2019-09-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
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journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2019-08-12 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章,评审
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更新日期:2004-05-26 00:00:00
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更新日期:2004-03-01 00:00:00