Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Preventive content of adult primary care: do generalists and subspecialists differ?

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
اقرأ أكثر حفظ في قائمتي
  • المؤلفون: Dietrich AJ; Goldberg H
  • المصدر:
    American journal of public health [Am J Public Health] 1984 Mar; Vol. 74 (3), pp. 223-7.
  • نوع النشر :
    Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print Cited Medium: Print ISSN: 0090-0036 (Print) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE
    • بيانات النشر:
      Publication: Washington, DC : American Public Health Association
      Original Publication: New York [etc.]
    • الموضوع:
      Physical Examination* ; Preventive Health Services* ; Primary Health Care*; Adult ; Aged ; California ; Family Practice ; Female ; Humans ; Male ; Medical Records ; Medicine ; Middle Aged ; Retrospective Studies ; Specialization
    • نبذة مختصرة :
      We compared preventive care performed by 20 generalists and 20 subspecialists practicing in Santa Clara and San Mateo Counties, California, by auditing charts of adult primary care patients for compliance with recommendations of the Canadian Task Force on the Periodic Health Examination. Generalists and subspecialists both provided 49 per cent of recommended preventive services. The two groups did not differ significantly in performance of any individual service. Performance varied widely within both groups. Of many factors explored, only two were associated with more preventive services: provision of a complete physical examination to the patient, and a physician's belief in the importance of a given service. The "generalist vs. subspecialist" debate assumes that a physician's specialty classification is an important predictor of behavior. For the performance of preventive care, this was not true in our study. Instead, physicians' beliefs and practice habits may be major determinants of the quality of preventive care provided. These exploratory findings needed confirmation in other settings.
    • References:
      South Med J. 1981 Mar;74(3):265-71. (PMID: 7221623)
      N Engl J Med. 1980 Jun 5;302(23):1280-3. (PMID: 6767987)
      Ann Intern Med. 1979 Aug;91(2):305-6. (PMID: 464472)
      J Fam Pract. 1979 Jul;9(1):57-64. (PMID: 448320)
      N Engl J Med. 1979 Jun 14;300(24):1363-70. (PMID: 440359)
      J Med Educ. 1979 May;54(5):361-9. (PMID: 374735)
      JAMA. 1979 May 18;241(20):2180-5. (PMID: 430819)
      Milbank Mem Fund Q Health Soc. 1978 Spring;56(2):231-52. (PMID: 248637)
      Pediatrics. 1975 Sep;56(3):407-11. (PMID: 1161397)
      Med Care. 1971 Nov-Dec;9(6):509-17. (PMID: 5138986)
      N Engl J Med. 1981 Sep 3;305(10):577-8. (PMID: 7254253)
      J Fam Pract. 1982 May;14(5):901-7. (PMID: 7077250)
      Med Care. 1981 Dec;19(12):1165-93. (PMID: 7339306)
    • الموضوع:
      Date Created: 19840301 Date Completed: 19840321 Latest Revision: 20190514
    • الموضوع:
      20240829
    • الرقم المعرف:
      PMC1651470
    • الرقم المعرف:
      10.2105/ajph.74.3.223
    • الرقم المعرف:
      6696151