title: Measuring preventive procedures by French GPs: an observational survey.
abstract: BACKGROUND
  Prevention has become a legal obligation for French GPs, since a law was passed in March 2002.
  
  
  OBJECTIVE
  Measurement and analysis of preventive procedures performed by French GPs.
  
  
  METHODS
  Observational survey. Setting GP surgeries in Puy-de-Dôme, France.
  
  
  METHODS
  Doctors completed a questionnaire about their socioprofessional characteristics, and a researcher completed another questionnaire about preventive procedures performed on the last 15 patients seen by each GP. Twenty preventive services were evaluated and, for each service, medical records, targets, and objectives were defined according to the national preventive care guidelines. The gap between guidelines and practice was explained by doctor characteristics. Statistical analyses were performed using χ² and logistic regression.
  
  
  RESULTS
  Representative samples of 179 doctors and 2453 medical records were randomised. Four preventive services were performed in more than 75% of cases, and the gap was explained by the salaried job the doctors had. Ten preventive services were performed in 25% to 75% of cases and the gap was explained by the medical software used. The six remaining services were performed in less than 25% of cases and no explanatory variable was identified.
  
  
  CONCLUSIONS
  Sixteen preventive procedures were insufficiently performed. The more a preventive service is performed the more the gap will be explained by GPs' socioprofessional characteristics. The gap for a preventive procedure performed in 25% to 75% of cases was mainly explained by management of the medical records. A nationwide policy to improve prevention performance in general practice seems to be essential.
authors.affiliation: Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France. mblanquet@chu-clermontferrand.fr
authors.forename: Marie
authors.initials: M
authors.lastname: Blanquet
authors.forename: Laurent
authors.initials: L
authors.lastname: Gerbaud
authors.forename: Chantal
authors.initials: C
authors.lastname: Noirfalise
authors.forename: Pierre Michel
authors.initials: PM
authors.lastname: Llorca
authors.forename: Claude
authors.initials: C
authors.lastname: Campagne
authors.forename: Jacques
authors.initials: J
authors.lastname: Malaval
mesh_terms: D004812:Epidemiologic Methods; D005260:Female; D005602:France; D058006:General Practice / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D010819:Physician's Role; D011314:Preventive Health Services / Q000592:standards / Q000706:statistics & numerical data*