Put prevention into practice (PPIP): evaluating PPIP in two family practice residency sites.
OBJECTIVE
The Put Prevention Into Practice (PPIP) office system is a set of office tools designed to address physician, patient, and system barriers to the provision of clinical preventive services. This study evaluated the effect of using PPIP on the delivery of clinical preventive services at two family practice residency sites.


METHODS
After a careful planning process at each clinic, a 1-year trial was conducted with implementation of PPIP at two residency sites compared to two control residency sites. The subjects included adults age 19 and older Data were collected via chart extraction on 300 randomly selected patients per clinic for the following three outcomes: health risk factor assessment (for limited physical activity, poor nutrition habits, and tobacco use), health promotion/counseling (for nutrition, physical activity, and tobacco use), and screening rates (clinical breast exam, cholesterol, fecal occult blood test, mammography, and Pap smear).


RESULTS
Only inconsistent or sporadic differences in risk factor assessment, health promotion counseling, and screening were seen when comparing implementation and control sites.


CONCLUSIONS
PPIP had little effect on the delivery of clinical preventive services. Future research should include a careful analysis of the users of PPIP and the environments in which they practice.
Yeazel
Mark W
MW
Department of Family Practice and Community Health, University of Minnesota, Minneapolis 55455, USA. yeazel@tc.umn.edu
Bunner
Scott H
SH
Kofron
Phillip M
PM
Weiss
Pamela J
PJ
D000328:Adult; D003376:Counseling / Q000706:statistics & numerical data; D005194:Family Practice / Q000193:education / Q000458:organization & administration*; D005260:Female; D005500:Follow-Up Studies; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006293:Health Promotion / Q000458:organization & administration* / Q000706:statistics & numerical data; D006302:Health Services Research; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D008297:Male; D008331:Management Information Systems; D008403:Mass Screening / Q000706:statistics & numerical data; D008875:Middle Aged; D008910:Minnesota; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011314:Preventive Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D015397:Program Evaluation; D014481:United States