Abstract：
:Group Health Cooperative (GHC) of Puget Sound is a prepaid health plan with 285,000 enrollees and 340 physicians. In 1978 a "criterion analysis" approach was instituted to develop medical staff recommendations about preventive care. By 1979, two recommendations evolved discouraging the "routine" use of: (a) chest X rays (CXR) and (b) multichannel blood tests (MCBT) in asymptomatic adults at "routine" physical exams. An extensive educational campaign was conducted to change physician behavior in use of these tests. Usage patterns were measured both before and after the recommendations and educational programs. A fivefold fall in "nonindicated" use of CXR and a 1.5-fold fall in MCBT occurred. A cost savings of $166,582 (annually) resulted from this diminution in "nonindicated" testing. The decision-making process and educational campaign technology hold promise for GHC's preventive medicine program in the future. These results may have applicability to other health care organizations.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Thompson RS,Kirz HL,Gold RAdoi
10.1016/0091-7435(83)90247-5subject
Has Abstractpub_date
1983-05-01 00:00:00pages
385-96issue
3eissn
0091-7435issn
1096-0260pii
0091-7435(83)90247-5journal_volume
12pub_type
杂志文章abstract：BACKGROUND:This paper identifies factors that predict achievement of a low-fat diet among 242 California adults with low literacy skills, following their participation in the Stanford Nutrition Action Program (SNAP), a randomized classroom-based nutrition intervention trial (1993-1994). METHODS:The intervention classe...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1006/pmed.1997.0231
更新日期：1997-11-01 00:00:00
abstract：:This study examined whether availability and use of different types of school-based health services (SBHS) during adolescence were associated with educational attainment in adulthood. Data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) were analyzed in 2018 to assess relationships betw...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.02.019
更新日期：2019-04-01 00:00:00
abstract：PURPOSE:To examine the association between medical marijuana dispensary (MMD) availability and adolescent marijuana use. METHODS:The study sample was comprised of 8th, 10th, and 12th graders (N=14,953) from 141 schools in the 2014 Monitoring the Future study, who resided in the 18 states that had legalized medical mar...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.07.015
更新日期：2016-10-01 00:00:00
abstract：:Only a small fraction of the health-care dollar is directed toward lifestyle changes that would reduce the social burden from cardiovascular diseases (CVD). Here we discuss the challenge, opportunity, methods, and potential for managed care to implement risk reduction strategies and preventive care. A systematic team ...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1006/pmed.1999.0563
更新日期：1999-12-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to assess whether patients at elevated risk of melanoma attended a dermatologist consultation after a General Practitioner referral and to determine individual predictors of non-compliance. METHOD:This survey included 1506 high-risk French patients (selected using the Self-Assessment...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.03.029
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:To describe the prevalence of mammography use, and to estimate its association with sociodemographics. METHODS:A sample of 6207 women aged 60 and older from the first interview of Health, Well-Being and Aging in Latin America and the Caribbean Study (SABE) in seven cities (Buenos Aires, Bridgetown, Havana, ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2006.02.005
更新日期：2006-05-01 00:00:00
abstract：BACKGROUND:Elevated total homocysteine (tHcy) levels (>/= 15 micromol/L), resulting from enzyme or vitamin deficiency, increase risk for cardiac, cerebral, and peripheral vascular disease. This study examines tHcy levels in an Israeli population and the relationship to vitamin status and disease. The need for screening...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2003.09.001
更新日期：2003-12-01 00:00:00
abstract：BACKGROUND:This study examined the potential for tobacco use and other health risk behavior interventions in the context of an urban sexually transmitted diseases (STD) clinic. METHODS:A cross-sectional survey of two populations. Adolescents seen at an STD clinic or at the teen clinic of a community health center comp...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1998.0359
更新日期：1998-11-01 00:00:00
abstract：OBJECTIVE:To identify determinants of use of smoking cessation aids among current and former smokers in the European Union (EU). METHODS:Data from n=9921 current and ex-smokers from 27 European countries (Eurobarometer 77.1, February-March 2012) were analysed. Multivariate binary logistic regression was used to assess...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.05.004
更新日期：2014-08-01 00:00:00
abstract：OBJECTIVE:In Europe, the demand for informal care is high and will increase because of the ageing population. Although caregiving is intended to contribute to the care recipient's health, its effects on the health of older European caregivers are not yet clear. This study explores the association between providing info...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.10.028
更新日期：2015-01-01 00:00:00
abstract：BACKGROUND:Occupational risk factors contribute significantly to the development of lung cancer; however, little is known about the extent to which employees are informed of occupational exposure to carcinogenic substances. METHODS:Through a case-control study, we estimated the level of awareness among Greek employees...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.07.007
更新日期：2004-10-01 00:00:00
abstract：OBJECTIVE:This study aimed to identify cognitive and environmental correlates of daily adolescent breakfast consumption. METHODS:Adolescents (n=1089) aged 12-15 years in schools in Rotterdam, The Netherlands, completed a questionnaire measuring daily breakfast consumption, individual cognitions, and home environmental...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2009.02.009
更新日期：2009-04-01 00:00:00
abstract：BACKGROUND:In a population-based sample of smokers in early motivational stages, we found a high acceptance of smoking cessation groups. METHODS:Inter99 is a randomized population-based intervention study, in Copenhagen, Denmark. Smokers in all motivational stages were included. All participants underwent a lifestyle ...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.ypmed.2004.06.011
更新日期：2005-03-01 00:00:00
abstract：BACKGROUND:Overall incidence of breast cancer is slightly lower, but mortality rates are higher, for Black women compared to White women. Higher body mass index (BMI), sedentary lifestyles, and lower compliance with recommended breast health behaviors may contribute to higher risk and mortality. METHODS:A randomized p...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.ypmed.2004.06.018
更新日期：2005-04-01 00:00:00
abstract：BACKGROUND:Impact of physician diagnosis of overweight on successful weight loss in community-based patients is not known. We analyzed data from NHANES 1999-04 to assess if self-reported physician diagnosis of overweight was associated with attempted and successful weight loss in the preceding year. METHODS:We determi...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2010.04.013
更新日期：2010-07-01 00:00:00
abstract：:In the United States (US), racial/ethnic groups differ in cigarette smoking behaviors. We examined changes in cigarette prevalence and quit ratios over 15 years by racial/ethnic group (Non-Hispanic (NH) White, NH Black, Hispanic, NH Other). Data were drawn from the 2002-2016 National Survey on Drug Use and Health (NSD...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.04.009
更新日期：2019-08-01 00:00:00
abstract：OBJECTIVE:The present study sought to examine the independent associations of parental education and physical activity (PA) with children's PA across Europe. METHODS:A total of 7214 children (10-12 years) were recruited from a school-based cross-sectional survey during 2010 in seven European countries. Weight and heig...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2012.07.011
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:To determine the extent to which older people are willing to engage in different falls prevention activities, and how this may vary in different sectors of the older population. METHODS:A survey sent to patients aged over 54 in ten general practices in the Southampton, Bristol and Manchester areas of the UK ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2008.09.001
更新日期：2008-11-01 00:00:00
abstract：:Physical activity guidelines for cancer survivors issued by the American Cancer Society and the American College of Sports Medicine emphasize the essential role of a health care provider (HCP) in counseling cancer survivors to achieve healthier lifestyles. However, research has not established whether HCP's recommenda...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.01.010
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:The effect of nonsteroidal anti-inflammatory drugs (NSAIDs) on the risk of breast cancer is unclear. We assessed the association in a hospital-based case-control study. METHODS:The cases (n = 6558) were compared with cancer controls (n = 3296) and noncancer controls admitted for trauma or acute infection (n...
journal_title：Preventive medicine
pub_type： 杂志文章,多中心研究
doi：10.1006/pmed.1999.0518
更新日期：1999-08-01 00:00:00
abstract：BACKGROUND:Incidence of anal cancer has increased in the United States during the past 30 years. This report describes the incidence of this rare cancer in the diverse California population. METHODS:Age-adjusted incidence rates (AAIR) were calculated by gender, race/ethnicity, county, and year of diagnosis for over 21...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/s0091-7435(03)00013-6
更新日期：2003-05-01 00:00:00
abstract：:Because of remarkable advances in the treatment of preterm birth, physicians increasingly encounter adult patients who were born preterm. However, research now shows that improved early survival may come at the expense of future health risks, including increased respiratory, cardiovascular, and kidney disease, diabete...
journal_title：Preventive medicine
pub_type： 信件
doi：10.1016/j.ypmed.2016.08.024
更新日期：2016-10-01 00:00:00
abstract：:A meta-analysis on Active Video Games (AVG) as a rehabilitative tool does not appear to be available. This meta-analytic review synthesizes the effectiveness of AVGs on patients' rehabilitative outcomes. Ninety-eight published studies on AVGs and rehabilitation were obtained in late 2015 with 14 meeting the following ...
journal_title：Preventive medicine
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.ypmed.2016.12.003
更新日期：2017-02-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to evaluate the knowledge, attitudes, and behaviors of university students regarding the human papillomavirus (HPV). METHODS:A random sample of 500 university students was mailed a self-administered questionnaire that elicited their knowledge and awareness about HPV and compare...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1999.0486
更新日期：1999-06-01 00:00:00
abstract：OBJECTIVE:The purpose of the study (conducted 2010-2013) was to determine the efficacy of two common types of tobacco quitlines in adult cancer survivors who regularly smoked cigarettes. METHOD:Adult onset cancer survivors in Memphis, Tennessee (n=427, 67% female, 60% Caucasian) were randomized either to a Proactive (...
journal_title：Preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ypmed.2014.12.019
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:Genetic testing for cancer susceptibility is an emerging technology in medicine. This study assessed the knowledge, attitudes and professional behavior of Italian physicians regarding the use of predictive genetic tests for breast and colorectal cancer, including the BRCA1/2 and APC tests. METHODS:A cross-s...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.06.022
更新日期：2013-11-01 00:00:00
abstract：OBJECTIVE:To explore what factors influence Turkish parents' decision whether to have their children immunised or not and compare them with other internationally published studies. METHOD:Data from 300 parents were gathered via a survey completed by the parents during their policlinic visit between January 2009 and Ma...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2011.01.011
更新日期：2011-03-01 00:00:00
abstract：:The effect of dietary fiber on intestinal carcinogenesis in animals is controversial. Some find that the addition of wheat bran or cellulose inhibits intestinal cancer in rats, while others report no effect. Such mixed results often are due to differences in the design of experiments. One important aspect in this rega...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/0091-7435(87)90071-5
更新日期：1987-07-01 00:00:00
abstract：BACKGROUND:Neighborhood safety, green space, walkability, and sociodemographics may influence physical activity and childhood obesity. METHODS:Data on measured height and weight, demographic characteristics, and home ZIP code were collected from year 2004 enrollees in a means-tested preschool program in New York City....
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.05.012
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVES:Population-referenced total activity counts per day (TAC/d) percentiles provide public health practitioners a standardized measure of physical activity (PA) volume obtained from an accelerometer that can be compared across populations. The purpose of this study was to describe the application of TAC/d popula...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.02.019
更新日期：2016-06-01 00:00:00
