An ounce of prevention? Evaluation of the 'Put Prevention into Practice' program

Kristine McVea, Benjamin F. Crabtree, Jim D. Medder, Jeffrey L. Susman, Lou Lukas, Helen E. McIlvain, Carole M. Davis, Carol S. Gilbert, Marlene Hawver

Research output: Contribution to journalArticle

53 Citations (Scopus)

Abstract

BACKGROUND. The 'Put Prevention into Practice' (PPIP) program was designed to enhance the capacity of health care providers to deliver clinical preventive services. This study was designed to evaluate the program's effectiveness when applied to family physicians in private practice settings. METHODS. Eight Midwestern practices that had purchased PPIP kits were identified and agreed to participate in the study. A comparative case study approach encompassing a variety of data collection techniques was used. These techniques included participant observation of clinic operations and patient encounters, semistructured and key informant interviews with physicians and staff members, chart reviews, and structured postpatient encounter and office environment checklists. Content analysis of the qualitative data and construction of the individual cases were done by consensus of the research team. RESULTS. PPIP materials are not being used, even by the clinics that ordered them. Physicians already providing quality preventive services prefer their existing materials to those in the PPIP kit. Sites that are underutilizing preventive services are unable or unwilling to independently implement the PPIP program. CONCLUSIONS. Development of technical support may facilitate implementation of PPIP materials into those practices most deficient in providing preventive services. Given the diversity of practice environments it is unlikely that a 'one size fits all' approach will ever be able to address the needs of all providers.

Original languageEnglish (US)
Pages (from-to)361-369
Number of pages9
JournalJournal of Family Practice
Volume43
Issue number4
StatePublished - Oct 1 1996

Fingerprint

Physicians
Private Practice
Family Physicians
Program Evaluation
Checklist
Health Personnel
Observation
Interviews
Research

Keywords

  • Preventive health services
  • delivery of health care
  • practice management, medical
  • primary health care

ASJC Scopus subject areas

  • Family Practice

Cite this

McVea, K., Crabtree, B. F., Medder, J. D., Susman, J. L., Lukas, L., McIlvain, H. E., ... Hawver, M. (1996). An ounce of prevention? Evaluation of the 'Put Prevention into Practice' program. Journal of Family Practice, 43(4), 361-369.

An ounce of prevention? Evaluation of the 'Put Prevention into Practice' program. / McVea, Kristine; Crabtree, Benjamin F.; Medder, Jim D.; Susman, Jeffrey L.; Lukas, Lou; McIlvain, Helen E.; Davis, Carole M.; Gilbert, Carol S.; Hawver, Marlene.

In: Journal of Family Practice, Vol. 43, No. 4, 01.10.1996, p. 361-369.

Research output: Contribution to journalArticle

McVea, K, Crabtree, BF, Medder, JD, Susman, JL, Lukas, L, McIlvain, HE, Davis, CM, Gilbert, CS & Hawver, M 1996, 'An ounce of prevention? Evaluation of the 'Put Prevention into Practice' program', Journal of Family Practice, vol. 43, no. 4, pp. 361-369.
McVea K, Crabtree BF, Medder JD, Susman JL, Lukas L, McIlvain HE et al. An ounce of prevention? Evaluation of the 'Put Prevention into Practice' program. Journal of Family Practice. 1996 Oct 1;43(4):361-369.
McVea, Kristine ; Crabtree, Benjamin F. ; Medder, Jim D. ; Susman, Jeffrey L. ; Lukas, Lou ; McIlvain, Helen E. ; Davis, Carole M. ; Gilbert, Carol S. ; Hawver, Marlene. / An ounce of prevention? Evaluation of the 'Put Prevention into Practice' program. In: Journal of Family Practice. 1996 ; Vol. 43, No. 4. pp. 361-369.
@article{9a5045a359f649a28ba034cc43a28348,
title = "An ounce of prevention? Evaluation of the 'Put Prevention into Practice' program",
abstract = "BACKGROUND. The 'Put Prevention into Practice' (PPIP) program was designed to enhance the capacity of health care providers to deliver clinical preventive services. This study was designed to evaluate the program's effectiveness when applied to family physicians in private practice settings. METHODS. Eight Midwestern practices that had purchased PPIP kits were identified and agreed to participate in the study. A comparative case study approach encompassing a variety of data collection techniques was used. These techniques included participant observation of clinic operations and patient encounters, semistructured and key informant interviews with physicians and staff members, chart reviews, and structured postpatient encounter and office environment checklists. Content analysis of the qualitative data and construction of the individual cases were done by consensus of the research team. RESULTS. PPIP materials are not being used, even by the clinics that ordered them. Physicians already providing quality preventive services prefer their existing materials to those in the PPIP kit. Sites that are underutilizing preventive services are unable or unwilling to independently implement the PPIP program. CONCLUSIONS. Development of technical support may facilitate implementation of PPIP materials into those practices most deficient in providing preventive services. Given the diversity of practice environments it is unlikely that a 'one size fits all' approach will ever be able to address the needs of all providers.",
keywords = "Preventive health services, delivery of health care, practice management, medical, primary health care",
author = "Kristine McVea and Crabtree, {Benjamin F.} and Medder, {Jim D.} and Susman, {Jeffrey L.} and Lou Lukas and McIlvain, {Helen E.} and Davis, {Carole M.} and Gilbert, {Carol S.} and Marlene Hawver",
year = "1996",
month = "10",
day = "1",
language = "English (US)",
volume = "43",
pages = "361--369",
journal = "Journal of Family Practice",
issn = "0094-3509",
publisher = "Appleton-Century-Crofts",
number = "4",

}

TY - JOUR

T1 - An ounce of prevention? Evaluation of the 'Put Prevention into Practice' program

AU - McVea, Kristine

AU - Crabtree, Benjamin F.

AU - Medder, Jim D.

AU - Susman, Jeffrey L.

AU - Lukas, Lou

AU - McIlvain, Helen E.

AU - Davis, Carole M.

AU - Gilbert, Carol S.

AU - Hawver, Marlene

PY - 1996/10/1

Y1 - 1996/10/1

N2 - BACKGROUND. The 'Put Prevention into Practice' (PPIP) program was designed to enhance the capacity of health care providers to deliver clinical preventive services. This study was designed to evaluate the program's effectiveness when applied to family physicians in private practice settings. METHODS. Eight Midwestern practices that had purchased PPIP kits were identified and agreed to participate in the study. A comparative case study approach encompassing a variety of data collection techniques was used. These techniques included participant observation of clinic operations and patient encounters, semistructured and key informant interviews with physicians and staff members, chart reviews, and structured postpatient encounter and office environment checklists. Content analysis of the qualitative data and construction of the individual cases were done by consensus of the research team. RESULTS. PPIP materials are not being used, even by the clinics that ordered them. Physicians already providing quality preventive services prefer their existing materials to those in the PPIP kit. Sites that are underutilizing preventive services are unable or unwilling to independently implement the PPIP program. CONCLUSIONS. Development of technical support may facilitate implementation of PPIP materials into those practices most deficient in providing preventive services. Given the diversity of practice environments it is unlikely that a 'one size fits all' approach will ever be able to address the needs of all providers.

AB - BACKGROUND. The 'Put Prevention into Practice' (PPIP) program was designed to enhance the capacity of health care providers to deliver clinical preventive services. This study was designed to evaluate the program's effectiveness when applied to family physicians in private practice settings. METHODS. Eight Midwestern practices that had purchased PPIP kits were identified and agreed to participate in the study. A comparative case study approach encompassing a variety of data collection techniques was used. These techniques included participant observation of clinic operations and patient encounters, semistructured and key informant interviews with physicians and staff members, chart reviews, and structured postpatient encounter and office environment checklists. Content analysis of the qualitative data and construction of the individual cases were done by consensus of the research team. RESULTS. PPIP materials are not being used, even by the clinics that ordered them. Physicians already providing quality preventive services prefer their existing materials to those in the PPIP kit. Sites that are underutilizing preventive services are unable or unwilling to independently implement the PPIP program. CONCLUSIONS. Development of technical support may facilitate implementation of PPIP materials into those practices most deficient in providing preventive services. Given the diversity of practice environments it is unlikely that a 'one size fits all' approach will ever be able to address the needs of all providers.

KW - Preventive health services

KW - delivery of health care

KW - practice management, medical

KW - primary health care

UR - http://www.scopus.com/inward/record.url?scp=0029819116&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029819116&partnerID=8YFLogxK

M3 - Article

VL - 43

SP - 361

EP - 369

JO - Journal of Family Practice

JF - Journal of Family Practice

SN - 0094-3509

IS - 4

ER -