 The delivery of preventive services in primary care practices according to chronic disease statusS.A. Fontana, L.C. Baumann, C. Helberg and R.R. Love American Journal of Public Health, 1997, vol. 87, issue 7, 1190-1196 Abstract: Objectives: The current study examined the relationship between chronic disease status and the receipt of cancer preventive services over a 3-year period. Methods: Adults (n = 4320) cared for by 167 nonacademic physicians in 42 primary care group practices were studied. Medical records were audited for each patient, as were patient responses to two questionnaires assessing health and socio-demographic characteristics. Results: While the odds of having received counseling to obtain regular checkups were increased for men (1.56) and women (1.46) with hypertension, the odds were reduced (range = 0.32 to 0.81) for having received a sigmoidoscopy (women with diabetes or hypertension, men with hypertension or heart disease), fecal occult blood test (men with diabetes or heart disease, women with heart disease), mammogram or counseling about smoking (women with diabetes), clinical breast exam (women with heart disease), and Pap test (women with diabetes or heart disease). Conclusions: The presence of common chronic health problems in older adults is associated with lower levels of cancer screening services. Date: 1997 There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it. Related works: Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1997:87:7:1190-1196_6 Access Statistics for this article American Journal of Public Health is currently edited by Alfredo Morabia More articles in American Journal of Public Health from American Public Health Association |
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