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KMID : 1039620160060060675
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Korean Journal of Family Practice
2016 Volume.6 No. 6 p.675 ~ p.681
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Contents Analysis of Clinical Preventive Services Delivery in the Out-Patient Clinic of the Department of Family Medicine
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Kim Kyung-Jin
Lim Bo-Ram
Yoo Seung-Hyun
Kim Young-Sik
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Abstract
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Background: Despite importance of preventive services, the actual delivery rate is low and investigation of the factors associated with the delivery of these services has been limited. Thus, we carried out a cross-sectional study to investigate the frequency and type of preventive services and their association with patient characteristics and clinician expertise.
Methods: Data regarding patient characteristics and clinical preventive services provided by clinicians were collected by a review of medical records. 972 patients were included who visited the clinic of Family Medicine at Asan Medical Center in 2013. Correlation analysis was conducted using the chi-square test and logistic regression.
Results: Preventive services were delivered to 73.3% of the 972 patients during their first visit. The services consisted of disease prevention (43.0%), lifestyle modification (27.4%), and immunization (26.7%). The followings were associated with increased delivery of preventive services: male sex; wellness visits (odds ratio [OR], 9.152, 95% confidence interval [CI], 5.860-14.290); patients with chronic diseases such as hypertension, dyslipidemia, or depression; and type of clinician (fellow: OR, 0.066, 95% CI, 0.031-0.139; resident: OR, 0.076, 95% CI, 0.036-0.159).
Conclusion: Even though more patients came in clinics for the purpose of illness visit, proportions of delivered clinical preventive services were higher in professor’s care. Difference in preventive services according to type of clinicians could be explained by lack of educational programs on preventive services. Integrating preventive services with routine illness visit and providing educational programs are effective strategies to increase the delivery of clinical preventive services.
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KEYWORD
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Primary Care, Clinical Preventive Services, Screening
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