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.
Department of Family Medicine, College of Medicine, Medical University of South Carolina, Charleston 29425.
S M
SM
Ornstein
D R
DR
Garr
R G
RG
Jenkins
P F
PF
Rust
L
L
Zemp
A
A
Arnon
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