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Systems to Improve Clinical Prevention
Joseph C. Konen, MD, MSPH
Arch Fam Med. 1994;3(3):223-224.
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FAMILY Physicians have always been interested in better, more efficient, and cost-effective ways to improve the provision of clinical preventive services. While many physicians have concentrated on improving their provision of screening examinations, especially for a variety of cancers and cardiovascular diseases, many also attempt to better address other preventive issues, such as providing immunizations and counseling their patients toward more healthy lifestyle behaviors. Two articles and a commentary in this issue of the ARCHIVES address these latter two categories of clinical prevention.
Harper and Murray1 describe their results of an organizational strategy to systematically identify and provide measles-mumps-rubella (MMR) vaccinations to adolescents in an urban setting. Since the vaccines were free to this relatively low socioeconomic population, other barriers to immunization must operate to explain the relatively low immunization and "up-to-date" rates among their adolescents. Wishing to "reduce missed opportunities," a somewhat intensive intervention was developed that required office receptionists to identify ageeligible
. . . [Full Text PDF of this Article]
Author Affiliations
Bowman Gray School of Medicine Winston-Salem, NC
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