Select Journal or Resource JAMA & Archives Home JAMA Archives of   Dermatology   Facial Plastic Surgery   Family Medicine (1992-2000)   General Psychiatry   Internal Medicine   Neurology   Neurology and Psychiatry (1919-1959)   Ophthalmology   Otolaryngology—Head & Neck Surgery   Pediatrics & Adolescent Medicine   Surgery JAMA-français JAMA & Archives CME Calendar of Events JAMA Career Center For The Media JAMAevidence Peer Review Congress Student JAMA (1998-2004)

	Institution: STANFORD Univ Med Center  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 6 No. 3, May 1997   Archives  •  Online Features ORIGINAL CONTRIBUTIONS  This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal Periodic Health Examinations and the Provision of Cancer Prevention Services Carol Hill Sox, Engr; Allen J. Dietrich, MD; Tor D. Tosteson, ScD; Charlotte Woodruff Winchell; Christine E. Labaree Arch Fam Med. 1997;6(3):223-230. Abstract Objectives To learn about cancer prevention services in primary care practices and to understand physician factors that affect the provision of these services. Design Survey of physicians and their patients in 1992. Setting: Cooperating physicians (n=72) of a random selection of community general internist and family physician practices in New Hampshire and Vermont. Patients Patients (n=2775) of the study physicians for at least 1 year, aged 42 years or older, with no lifethreatening illness, who recently visited the physician. Main Outcome Measures Proportion of sample patients per practice provided age- and sex-appropriate cancer prevention services in the previous year. Results In this primary care population, a high proportion of patients received appropriate services in 1992. A periodic health examination within the past year was an important predictor for the receipt of many cancer prevention services. Female physicians provided more periodic health examinations than male physicians; internists provided more than family physicians. Conclusions The strongest determinant of receiving preventive services is having a periodic health examination. If clinicians and policymakers decrease emphasis on the periodic health examination as a major opportunity to provide indicated preventive services, they should ensure that a satisfactory alternative strategy is in place. Author Affiliations From the Department of Community and Family Medicine, Dartmouth Medical School, Hanover, NH. Ms Labaree is now with the American Cancer Society, New Hampshire Division Inc, Bedford. THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES The Relationship Between Living Arrangement and Preventive Care Use Among Community-Dwelling Elderly Persons Lau and Kirby AJPH 2009;99:1315-1321. ABSTRACT | FULL TEXT   Patient-Physician Connectedness and Quality of Primary Care Atlas et al. ANN INTERN MED 2009;150:325-335. ABSTRACT | FULL TEXT   Preventive Health Examinations and Preventive Gynecological Examinations in the United States Mehrotra et al. Arch Intern Med 2007;167:1876-1883. ABSTRACT | FULL TEXT   Delivery of Cancer Screening: How Important Is the Preventive Health Examination? Fenton et al. Arch Intern Med 2007;167:580-585. ABSTRACT | FULL TEXT   Systematic Review: The Value of the Periodic Health Evaluation Boulware et al. ANN INTERN MED 2007;146:289-300. ABSTRACT | FULL TEXT   Use of Annual Physical Examinations by Aging Chinese Canadians Lai and Kalyniak J Aging Health 2005;17:573-591. ABSTRACT   Office-Based Testing for Fecal Occult Blood: Do Only in Case of Emergency Sox ANN INTERN MED 2005;142:146-148. FULL TEXT   The "Welcome to Medicare" Physical: A Great Opportunity for Our Seniors DeWilde and Russell CA Cancer J Clin 2004;54:292-294. FULL TEXT   The Annual Physical Examination: Needless Ritual or Necessary Routine? Laine ANN INTERN MED 2002;136:701-703. FULL TEXT   Family Breast Cancer History and Mammography: Framingham Offspring Study Murabito et al. Am J Epidemiol 2001;154:916-923. ABSTRACT | FULL TEXT   Correlates of Physicians' Prevention-Related Practices: Findings From the Women Physicians' Health Study Frank et al. Arch Fam Med 2000;9:359-367. ABSTRACT | FULL TEXT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1997 American Medical Association. All Rights Reserved.