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American journal of public health
Apr, 2003;93 (4): 635-41.

Primary care: is there enough time for prevention?

Kimberly S H Yarnall, Kathryn I Pollak, Truls Østbye, Katrina M Krause, J Lloyd Michener
Author Information
  1. Kimberly S H Yarnall: Department of Community and Family Medicine, Duke University Medical Center, Durham, NC 27710, USA. yarna001@mc.duke.edu
PMID: 12660210 DOI: 10.2105/ajph.93.4.635

Abstract

OBJECTIVES: We sought to determine the amount of time required for a primary care physician to provide recommended preventive services to an average patient panel.
METHODS: We used published and estimated times per service to determine the physician time required to provide all services recommended by the US Preventive Services Task Force (USPSTF), at the recommended frequency, to a patient panel of 2500 with an age and sex distribution similar to that of the US population.
RESULTS: To fully satisfy the USPSTF recommendations, 1773 hours of a physician's annual time, or 7.4 hours per working day, is needed for the provision of preventive services.
CONCLUSIONS: Time constraints limit the ability of physicians to comply with preventive services recommendations.

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Grants

  1. R01 GM056846/NIGMS NIH HHS
  2. CA14236/NCI NIH HHS
  3. 5 R01 MH56846-03/NIMH NIH HHS
  4. P01 CA072099/NCI NIH HHS
  5. P30 CA014236/NCI NIH HHS
  6. P01-CA72099/NCI NIH HHS

MeSH Term

Adolescent
Adult
Aged
Appointments and Schedules
Child
Child, Preschool
Counseling
Female
Health Services Research
Humans
Infant
Infant, Newborn
Male
Middle Aged
Models, Statistical
Preventive Health Services
Primary Health Care
Primary Prevention
Time and Motion Studies
United States
Journal Article Research Support, U.S. Gov't, P.H.S.
Article has an altmetric score of 278

Word Cloud

Created with Highcharts 10.0.0timeservicesrecommendedpreventivedeterminerequiredphysicianprovidepatientpanelperUSUSPSTFrecommendationshoursOBJECTIVES:soughtamountprimarycareaverageMETHODS:usedpublishedestimatedtimesservicePreventiveServicesTaskForcefrequency2500agesexdistributionsimilarpopulationRESULTS:fullysatisfy1773physician'sannual74workingdayneededprovisionCONCLUSIONS:TimeconstraintslimitabilityphysicianscomplyPrimarycare:enoughprevention?

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