Compliance with five health promotion recommendations in a university-based family practice.
Although numerous recommendations are available to guide the primary care physician's provision of preventive health services, a minority of Americans receive recommended care. This study assessed the extent to which patients in a large, university-based family medicine program were receiving five well-accepted health promotion services. These services included fecal occult blood testing, Papanicolaou smears, mammography, serum cholesterol measurements, and tetanus immunization. Demographic factors associated with receipt of these services were assessed. A minority of active patients received the five health promotion services in the recommended interval: fecal occult blood testing 13%, Papanicolaou smear 41%, mammography 16%, cholesterol measurements 20%, and tetanus immunization 19%. The patient's physician practice group, type of medical insurance, physician visit frequency, and increasing age were associated with compliance with the five studied health promotion services.
Ornstein
S M
SM
Department of Family Medicine, College of Medicine, Medical University of South Carolina, Charleston 29425.
Garr
D R
DR
Jenkins
R G
RG
Rust
P F
PF
Zemp
L
L
Arnon
A
A
D000046:Academic Medical Centers; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002784:Cholesterol / Q000097:blood; D005194:Family Practice; D005260:Female; D006293:Health Promotion; D006801:Humans; D007114:Immunization; D007348:Insurance, Health; D008297:Male; D008327:Mammography; D008875:Middle Aged; D009780:Occult Blood; D009819:Office Visits; D065006:Papanicolaou Test; D010349:Patient Compliance; D013022:South Carolina; D013745:Tetanus Toxoid; D014626:Vaginal Smears
D013745:Tetanus Toxoid; D002784:Cholesterol