Physicians' attitudes and preventive care delivery: Insights from the DOPC study

David Litaker, Sue Flocke, Joseph P. Frolkis, Kurt C. Stange

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Background. Interventions that modify physician attitudes to enhance preventive service delivery are common, yet other factors may be relatively more important in determining whether these services are provided. We assessed associations between physicians' attitudes and delivery of preventive care, compared with factors related to the patient, visit, or practice. Methods. One hundred twenty-eight primary care physicians rated the importance of five preventive services and their effectiveness at delivering them. We assessed whether their patients had received cervical smears, prostate-specific antigen (PSA) testing, smoking cessation advice, recommendation to use aspirin to prevent myocardial infarction, or weight-maintenance counseling, when appropriate. Multilevel models assessed associations between physician attitudinal characteristics and a patient's likelihood of being up to date for each service. Results. Importance of PSA screening and tobacco cessation counseling were weakly associated with patients' receipt of preventive care; no association between attitudes and other services was observed. Factors such as having a visit for well care and use of prevention flowcharts were associated with delivery of preventive services to a greater extent. Conclusions. Physicians' attitudes toward prevention are necessary, but not sufficient in ensuring the delivery of preventive services. Future interventions should address visit- and practice-specific factors more closely associated with preventive care.

Original languageEnglish (US)
Pages (from-to)556-563
Number of pages8
JournalPreventive medicine
Volume40
Issue number5
DOIs
StatePublished - Jan 1 2005
Externally publishedYes

Fingerprint

Preventive Medicine
Physicians
Prostate-Specific Antigen
Counseling
Tobacco Use Cessation
Software Design
Vaginal Smears
Primary Care Physicians
Smoking Cessation
Aspirin
Myocardial Infarction
Maintenance
Weights and Measures
1,2-oleoylphosphatidylcholine

Keywords

  • Attitude
  • Prevention flowchart
  • Tobacco

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Physicians' attitudes and preventive care delivery : Insights from the DOPC study. / Litaker, David; Flocke, Sue; Frolkis, Joseph P.; Stange, Kurt C.

In: Preventive medicine, Vol. 40, No. 5, 01.01.2005, p. 556-563.

Research output: Contribution to journalArticle

Litaker, David ; Flocke, Sue ; Frolkis, Joseph P. ; Stange, Kurt C. / Physicians' attitudes and preventive care delivery : Insights from the DOPC study. In: Preventive medicine. 2005 ; Vol. 40, No. 5. pp. 556-563.
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