Abstract:
OBJECTIVES:We evaluated the effectiveness of the Public Health Detailing Program in helping primary care providers and their staff to improve patient care on public health challenges. METHODS:We analyzed reported changes in clinical practice or behavior by examining providers' retention and implementation of recommendations for campaigns. RESULTS:During each campaign, 170 to 443 providers and 136 to 221 sites were reached. Among assessed providers who indicated changes in their practice behavior, the following statistically significant increases occurred from baseline to follow-up. Reported screening for clinical preventive services increased, including routinely screening for intimate partner violence (14%-42%). Clinical management increased, such as prescribing longer-lasting supplies of medicine (29%-42%). Lifestyle modification and behavior change, such as recommending increased physical activity to patients with high cholesterol levels, rose from 52% to 73%. Self-management goal setting with patients increased, such as using a clinical checkbook to track hemoglobin A1c goals (28% to 43%). CONCLUSIONS:Data suggest that public health detailing can be effective for linking public health agencies and their recommendations to providers and influencing reported changes in clinical practice behavior.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Dresser MG,Short L,Wedemeyer L,Bredow VL,Sacks R,Larson K,Levy J,Silver LDdoi
10.2105/AJPH.2011.300622subject
Has Abstractpub_date
2012-06-01 00:00:00pages
S342-52eissn
0090-0036issn
1541-0048journal_volume
102 Suppl 3pub_type
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