Sustainability of a practice-individualized preventive service delivery intervention.

Abstract:

BACKGROUND:The long-term effect of most interventions has not been studied. Changes due to interventions to improve patient care may revert to baseline after the intervention stimulus ends. This analysis reports the 24-month follow-up of a practice-tailored intervention to increase preventive service delivery rates. DESIGN:Group randomized clinical trial with 24-month follow-up of intervention sites. SETTING/PARTICIPANTS:Seventy-seven community family practices in northeast Ohio. INTERVENTION:Practice-individualized facilitation of implementation of tools and approaches. MAIN OUTCOME MEASURES:Summary scores of health habit counseling, screening, and immunization services recommended by the U.S. Preventive Services Task Force that were up to date for consecutive patients during randomly selected chart review days. RESULTS:Previously reported increases in global preventive service delivery rates, health habit counseling, and screening rates at 12 months were sustained after 24 months. CONCLUSIONS:A practice-individualized approach can result in sustainable increases in rates of preventive service delivery, even 1 year after the outside intervention stimulus ends. Tailoring of approaches to the unique characteristics of each practice may result in institutionalization of changes.

journal_name

Am J Prev Med

authors

Stange KC,Goodwin MA,Zyzanski SJ,Dietrich AJ

doi

10.1016/s0749-3797(03)00219-8

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

296-300

issue

4

eissn

0749-3797

issn

1873-2607

pii

S0749379703002198

journal_volume

25

pub_type

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