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  Vol. 5 No. 2, February 1996 TABLE OF CONTENTS
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  SERIES ON PREVENTION AND HEALTH PROMOTION
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An Office System for Organizing Preventive Services

A Report by the American Cancer Society Advisory Group on Preventive Health Care Reminder Systems

Linda S. Leininger, MD, MPH; Leonard Finn, MD; Larry Dickey, MD; Allen J. Dietrich, MD; Lewis Foxhall, MD; David Garr, MD; Barbara Stewart, MD; Richard Wender, MD

Arch Fam Med. 1996;5(2):108-115.


Abstract

Despite increasing recognition of the importance of preventive services, such services are not provided in primary care practice as often as recommended. One of the most important reasons is the lack of a systematic, organized approach within practices. The American Cancer Society Ad Hoc Advisory Group on Preventive Health Care Reminder Systems reviewed evidence-based reports and expert opinion to summarize current knowledge about office systems for clinical preventive services. This article describes the process of developing an office system for preventive care, beginning with writing a practice policy, auditing charts for baseline performance, developing and implementing a plan for efficient delivery of preventive care, involving office staff, and monitoring progress. Strategies for dissemination of this approach to a wide range of primary care practices may involve professional medical organizations and managed care companies.



Author Affiliations

From the Department of Medicine, University of North Carolina, Chapel Hill (Dr Leininger); the Department of Family and Community Medicine, University of California, San Francisco (Dr Dickey); the Department of Community and Family Medicine, Dartmouth Medical School, Hanover, NH (Dr Dietrich); the University of Texas M. D. Anderson Cancer Center, Houston (Dr Foxhall); the Department of Family Medicine, Medical University of South Carolina, Charleston (Dr Garr); the Beth Israel Medical Group Foundation Inc, Chestnut Hill, Mass (Dr Stewart); and the Department of Family Medicine, Thomas Jefferson University, Philadelphia, Pa (Dr Wender). Dr Finn is in private practice in Needham, Mass.



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