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Primary care: Is there enough time for prevention?

Author

Listed:
  • Yarnall, K.S.H.
  • Pollak, K.I.
  • Østbye, T.
  • Krause, K.M.
  • Michener, J.L.

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.

Suggested Citation

  • Yarnall, K.S.H. & Pollak, K.I. & Østbye, T. & Krause, K.M. & Michener, J.L., 2003. "Primary care: Is there enough time for prevention?," American Journal of Public Health, American Public Health Association, vol. 93(4), pages 635-641.
    • Handle: RePEc:aph:ajpbhl:2003:93:4:635-641_2
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    1. Justin Ko & Hector Rodriguez & David Fairchild & Angie Rodday & Dana Safran, 2009. "Paying for Enhanced Service," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 2(2), pages 95-103, June.
    2. Hui Zhang & Christian Wernz & Danny R. Hughes, 2018. "A Stochastic Game Analysis of Incentives and Behavioral Barriers in Chronic Disease Management," Service Science, INFORMS, vol. 10(3), pages 302-319, September.
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    4. Ammar D. Siddiqi & Maggie Britton & Tzuan A. Chen & Brian J. Carter & Carol Wang & Isabel Martinez Leal & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Mayuri Patel & Lorraine R. Reitzel, 2022. "Tobacco Screening Practices and Perceived Barriers to Offering Tobacco Cessation Services among Texas Health Care Centers Providing Behavioral Health Treatment," IJERPH, MDPI, vol. 19(15), pages 1-15, August.
    5. Eugene C. Rich & Tim Lake & Christal Stone Valenzano, "undated". "Paying Wisely: Reforming Incentives to Promote Evidence-Based Decisions at the Point of Care," Mathematica Policy Research Reports 3e316f72b5724ac8b26e045c2, Mathematica Policy Research.
    6. Piette, John D. & Heisler, Michele & Horne, Robert & Caleb Alexander, G., 2006. "A conceptually based approach to understanding chronically ill patients' responses to medication cost pressures," Social Science & Medicine, Elsevier, vol. 62(4), pages 846-857, February.
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    8. Manuela Bombana & Michel Wensing & Lisa Wittenborn & Charlotte Ullrich, 2022. "Health Education about Lifestyle-Related Risk Factors in Gynecological and Obstetric Care: A Qualitative Study of Healthcare Providers’ Views in Germany," IJERPH, MDPI, vol. 19(18), pages 1-18, September.
    9. Evrim Güneş, 2009. "Modeling time allocation for prevention in primary care," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 17(3), pages 359-380, September.
    10. Pelletier-Fleury, Nathalie & Le Vaillant, Marc & Hebbrecht, Gilles & Boisnault, Philippe, 2007. "Determinants of preventive services in general practice: A multilevel approach in cardiovascular domain and vaccination in France," Health Policy, Elsevier, vol. 81(2-3), pages 218-227, May.
    11. Miraldo, Marisa & Propper, Carol & Williams, Rachael I., 2018. "The impact of publicly subsidised health insurance on access, behavioural risk factors and disease management," Social Science & Medicine, Elsevier, vol. 217(C), pages 135-151.
    12. Quan-Hoang Vuong & Quang-Hoi Vu, 2016. "Sociodemographic factors and expenditure issues in Vietnamese consideration of periodic general health examination," Working Papers CEB 16-047, ULB -- Universite Libre de Bruxelles.
    13. Krishnan S. Anand & M. Faz{i}l Paç & Senthil Veeraraghavan, 2011. "Quality-Speed Conundrum: Trade-offs in Customer-Intensive Services," Management Science, INFORMS, vol. 57(1), pages 40-56, January.
    14. Abeer G Alharbi & M Mahmud Khan & Ronnie Horner & Heather Brandt & Cole Chapman, 2019. "Impact of Medicaid coverage expansion under the Affordable Care Act on mammography and pap tests utilization among low-income women," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.
    15. Freedman, Seth & Golberstein, Ezra & Huang, Tsan-Yao & Satin, David J. & Smith, Laura Barrie, 2021. "Docs with their eyes on the clock? The effect of time pressures on primary care productivity," Journal of Health Economics, Elsevier, vol. 77(C).
    16. Jorge César Correia & Alain Golay & Sarah Lachat & Suman Bahadur Singh & Varsha Manandhar & Nilambar Jha & François Chappuis & David Beran & on behalf of the COHESION Project, 2019. "“If you will counsel properly with love, they will listen”: A qualitative analysis of leprosy affected patients’ educational needs and caregiver perceptions in Nepal," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-15, February.
    17. Scott Cantor & Robert Volk & Murray Krahn & Alvah Cass & Jawaria Gilani & Susan Weller & Stephen Spann, 2008. "Concordance of Couples’ Prostate Cancer Screening Recommendations from a Decision Analysis," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 1(1), pages 11-19, January.
    18. Quan-Hoang Vuong & Tung-Manh Ho & Hong-Kong Nguyen & Thu-Trang Vuong, 2018. "Healthcare consumers’ sensitivity to costs: a reflection on behavioural economics from an emerging market," Palgrave Communications, Palgrave Macmillan, vol. 4(1), pages 1-10, December.
    19. Øvretveit, John & Hansson, Johan & Brommels, Mats, 2010. "An integrated health and social care organisation in Sweden: Creation and structure of a unique local public health and social care system," Health Policy, Elsevier, vol. 97(2-3), pages 113-121, October.
    20. Pelletier-Fleury, Nathalie & Le Vaillant, Marc & Szidon, Philippe & Marie, Patrice & Raineri, Francois & Sicotte, Claude, 2007. "Preventive service delivery: A new insight into French general practice," Health Policy, Elsevier, vol. 83(2-3), pages 268-276, October.
    21. Matthew C. Harris & Yinan Liu & Ian McCarthy, 2020. "Capacity constraints and time allocation in public health clinics," Health Economics, John Wiley & Sons, Ltd., vol. 29(3), pages 324-336, March.
    22. Robert J. Niewoehner & Bradley R. Staats, 2022. "Focusing Provider Attention: An Empirical Examination of Incentives and Feedback in Flu Vaccinations," Management Science, INFORMS, vol. 68(5), pages 3680-3702, May.
    23. Matthew C. Harris & Yinan Liu & Ian McCarthy, 2019. "Capacity Constraints and the Provision of Public Services: The Case of Workers in Public Health Clinics," NBER Working Papers 25706, National Bureau of Economic Research, Inc.

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