The impact of Put Prevention into Practice on selected clinical preventive services in five Texas sites.
OBJECTIVE
To determine whether the implementation of the Put Prevention Into Practice (PPIP) office-based system would increase the delivery rates of specific clinical preventive services among demonstration clinics.


METHODS
Chart review was conducted before (n=372) and 33 to 39 months after (n=376) the implementation of the PPIP office-based system in two community health centers and three family practice residency programs in Texas. The population included all adult patients aged > or = 19 years who had presented to the clinic during the study periods.


RESULTS
Documentation of timely cholesterol screening increased from 70% to 84%; smoking assessment, from 56% to 80%; for women, up-to-date Papanicolaou smear, from 70% to 81%; annual mammograms (women aged > or =51), from 30% to 48%; and up-to-date tetanus-diphtheria immunizations, from 19% to 59%. For adults aged > or =66 years, documentation of pneumococcal immunization increased from 22% to 48%, while influenza immunizations improved, although not significantly (45% to 49%). Blood pressure screening was almost universal (99%) at baseline and at 33- to 39-month follow-up.


CONCLUSIONS
PPIP system changes were associated with an observed increase in delivery of selected clinical preventive services.
Gottlieb
N H
NH
Department of Kinesiology and Health Education, University of Texas, Austin, Texas 78712, USA. ngottlieb@mail.utexas.edu
Huang
P P
PP
Blozis
S A
SA
Guo
J L
JL
Murphy Smith
M
M
D000368:Aged; D003151:Community Health Centers / Q000592:standards* / Q000706:statistics & numerical data; D003376:Counseling / Q000706:statistics & numerical data; D005194:Family Practice / Q000592:standards*; D005260:Female; D005500:Follow-Up Studies; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006302:Health Services Research; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data; D008485:Medical Audit; D008875:Middle Aged; D009819:Office Visits; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011314:Preventive Health Services / Q000592:standards / Q000706:statistics & numerical data*; D015397:Program Evaluation; D013781:Texas