JABFM
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

The Journal of the American Board of Family Medicine 23 (1): 132-133 (2010)
DOI: 10.3122/jabfm.2010.01.090245
© 2010 American Board of Family Medicine
This Article
Right arrow Full Text (PDF) Freely available
Right arrow Rapid Responses: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Rapid Responses are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Levy, B. T.
Right arrow Articles by Xu, Y.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Levy, B. T.
Right arrow Articles by Xu, Y.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

Correspondence

Response: Re: Interventions to Improving Osteoporosis Screening: an Iowa Research Network (IRENE) Study

Barcey T. Levy, PhD, MD

Department of Family Medicine
University of Iowa
Carver College of Medicine
Iowa City, IA
barcey-levy{at}uiowa.edu

Arthur J. Hartz, MD, PhD

Department of Internal Medicine
University of Utah School of Medicine
Salt Lake City, UT

Yinghui Xu, MS

Department of Family Medicine
University of Iowa
Carver College of Medicine
Iowa City, IA

To the Editor: Dr. Payne1 asked why we did not place reminders on the charts of all women over the age of 65, regardless of the reason for their visit.2 We chose to only recruit women who had an upcoming visit for an annual examination because the annual examination allows extra time to systematically review and address multiple preventive issues.3–5 Providing all preventive services and counseling for all patients would take an average of 7.4 hours per working day,6 and thus would be impractical. Asking physicians to discuss osteoporosis screening and to provide counseling about bone health at times other than a scheduled preventive visit would place an unfair burden on the busy physicians who volunteered for this study. Even if reminders on all charts would increase response rates for osteoporosis testing, they would probably interfere with other care the patients should receive. A key aspect of a medical home is the systematic tracking and registry function that organize clinical information and remind physicians and patients of services needed.7,8 It is clear that the nation needs fundamental payment reforms in primary care to achieve population health.9

References

  1. Payne E. Re: Interventions to improving osteoporosis screening: An Iowa Research Network (IRENE) study. J Am Board Fam Med 2010; 23: 132.[Free Full Text]

  2. Levy BT, Hartz A, Woodworth G, Xu Y, Sinift S. Interventions to improving osteoporosis screening: an Iowa Research Network (IRENE) study. J Am Board Fam Med 2009; 22: 360–7.[Abstract/Free Full Text]

  3. Boulware LE, Barnes GJ, Wilson RF, et al. Value of the periodic health evaluation. Evid Rep Technol Assess (Full Rep) 2006;(136): 1–134.

  4. Boulware LE, Marinopoulos S, Phillips KA, et al. Systematic review: the value of the periodic health evaluation. Ann Intern Med 2007; 146: 289–300.[Abstract/Free Full Text]

  5. Fenton JJ, Cai Y, Weiss NS, et al. Delivery of cancer screening: how important is the preventive health examination? Arch Intern Med 2007; 167: 580–5.[Abstract/Free Full Text]

  6. Yarnall KS, Pollak KI, Ostbye T, Krause KM, Michener JL. Primary care: is there enough time for prevention? Am J Public Health 2003; 93: 635–41.[Abstract/Free Full Text]

  7. Rosenthal TC. The medical home: growing evidence to support a new approach to primary care. J Am Board Fam Med 2008; 21: 427–40.[Abstract/Free Full Text]

  8. National Committee for Quality Assurance. 2008. Standards and guidelines for physician practice connections—Patient-centered medical home (PPC-PCMH). Washington, DC: National Committee for Quality Assurance; 2008: 68. Available at http://www.bethesda.med.navy.mil/Patient/Health_Care/Medical_Services/Internal_Medicine/MeasuresSuccess/Medical%20Home(NCQA%20Stnds%20and%20Guidelines).pdf. Accessed 16 October 2009.

  9. Sandy LG, Bodenheimer T, Pawlson LG, Starfield B. The political economy of US primary care. Health Aff 2009; 28: 1136–45.[Abstract/Free Full Text]


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



This Article
Right arrow Full Text (PDF) Freely available
Right arrow Rapid Responses: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Rapid Responses are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Levy, B. T.
Right arrow Articles by Xu, Y.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Levy, B. T.
Right arrow Articles by Xu, Y.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS