title: Community health center patients' response to and beliefs about outreach promoting clinical preventive services.
abstract: We sought community health center (CHC) patients' feedback regarding an outreach intervention promoting primary prevention of cardiovascular disease to patients at increased risk. We performed a telephone survey that assessed whether patients recalled receiving the intervention, what actions occurred in response to the intervention, and patient attitudes regarding receipt of preventive service messages from their CHC. Participants (n= 80) were 89% male, and 59% were black. Among the 88% of respondents who reported a healthcare visit, 84% reported a discussion about cholesterol or heart disease risk with their provider, of these 44% reported a statin was recommended and 89% reported currently taking it. Participants reported high acceptability of receiving preventive service messages, but were less likely to agree that they wanted to receive preventive service messages via text or email compared to other modes of contact. Our results show that outreach programs to promote indicated preventive services were viewed positively by this patient group. We also identified areas where the CVD prevention program may have lost effectiveness.
authors.affiliation: Division of General Internal Medicine and Geriatrics, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States.
authors.forename: Tiffany
authors.initials: T
authors.lastname: Brown
authors.affiliation: Division of General Internal Medicine and Geriatrics, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States.
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Lee
authors.affiliation: Near North Health Service Corporation, Chicago, IL, United States; Alliance of Chicago Community Health Services, Chicago, IL, United States.
authors.forename: Timothy
authors.initials: T
authors.lastname: Long
authors.affiliation: Division of General Internal Medicine and Geriatrics, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States.
authors.forename: Shreya
authors.initials: S
authors.lastname: Shah
authors.affiliation: Near North Health Service Corporation, Chicago, IL, United States; Heartland Health Outreach, Chicago, IL, United States.
authors.forename: Thomas
authors.initials: T
authors.lastname: Sanchez
authors.affiliation: Division of General Internal Medicine and Geriatrics, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States; Center for Primary Care Innovation, Institute for Public Health and Medicine, Northwestern University, Chicago, IL, United States.
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Persell
keywords: Cardiovascular disease; Patient outreach; Primary prevention