Outreach by primary-care physicians.
Outreach can be accomplished by the primary-care physician if he institutes data systems that permit identification of cohorts of his patients by age, sex, diagnoses, and area of residence.  These systems were used by the Rochester Family Medical Program to identify and invite patients at risk to receive prophylactic influenza immunization, participate in an obesity treatment group, and receive screening tests for lead intoxication.
D000367:Age Factors; D000368:Aged; D001291:Attitude of Health Personnel; D002908:Chronic Disease; D003154:Community Medicine; D003695:Delivery of Health Care; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008499:Medical Records; D008722:Methods; D009518:New York; D011315:Preventive Medicine; D011320:Primary Health Care; D012737:Sex Factors; D012959:Socioeconomic Factors