{"title":"通过初级保健的就诊前规划加强50岁以上成年人的预防保健。","authors":"Destinee Rice, Dannica Callies","doi":"10.1097/NCQ.0000000000000848","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Preventive care is often overlooked in older adults due to the complexity of care. A pre-visit planning checklist may be effective in enhancing prevention.</p><p><strong>Local problem: </strong>A Midwest internal medicine department identified the need to increase age-appropriate vaccinations and screenings in adults 50 and older.</p><p><strong>Methods: </strong>A pre-visit planning checklist for cancer screenings, bone density scans, and immunizations, guided by the American Medical Association, was implemented. The number of ordered preventive measures was compared 3 months pre and post-implementation.</p><p><strong>Interventions: </strong>Staff members reviewed patient charts prior to appointments using the pre-visit checklist, which guided staff to look at appropriate preventive tasks and notify the provider of needed items.</p><p><strong>Results: </strong>There was a significant increase in the percentage of patients who received orders for colonoscopies (10.6% vs 16.6%) and bone density scans (2.9% vs 5.7%).</p><p><strong>Conclusion: </strong>Pre-visit planning may be an effective way to increase preventive measures in primary care.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"272-278"},"PeriodicalIF":1.2000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Enhancing Preventive Care for Adults 50+ Through Pre-Visit Planning in Primary Care.\",\"authors\":\"Destinee Rice, Dannica Callies\",\"doi\":\"10.1097/NCQ.0000000000000848\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Preventive care is often overlooked in older adults due to the complexity of care. A pre-visit planning checklist may be effective in enhancing prevention.</p><p><strong>Local problem: </strong>A Midwest internal medicine department identified the need to increase age-appropriate vaccinations and screenings in adults 50 and older.</p><p><strong>Methods: </strong>A pre-visit planning checklist for cancer screenings, bone density scans, and immunizations, guided by the American Medical Association, was implemented. The number of ordered preventive measures was compared 3 months pre and post-implementation.</p><p><strong>Interventions: </strong>Staff members reviewed patient charts prior to appointments using the pre-visit checklist, which guided staff to look at appropriate preventive tasks and notify the provider of needed items.</p><p><strong>Results: </strong>There was a significant increase in the percentage of patients who received orders for colonoscopies (10.6% vs 16.6%) and bone density scans (2.9% vs 5.7%).</p><p><strong>Conclusion: </strong>Pre-visit planning may be an effective way to increase preventive measures in primary care.</p>\",\"PeriodicalId\":16931,\"journal\":{\"name\":\"Journal of nursing care quality\",\"volume\":\" \",\"pages\":\"272-278\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of nursing care quality\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NCQ.0000000000000848\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/1 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of nursing care quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCQ.0000000000000848","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/1 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景：由于护理的复杂性，预防保健在老年人中经常被忽视。就诊前计划检查表可有效加强预防。当地问题：中西部的一个内科部门确定需要在50岁及以上的成年人中增加与年龄相适应的疫苗接种和筛查。方法：在美国医学协会的指导下，实施了癌症筛查、骨密度扫描和免疫接种的就诊前计划清单。比较实施前后3个月订购预防措施的数量。干预措施：工作人员在预约前使用预诊清单审查患者图表，该清单指导工作人员查看适当的预防任务并通知提供者所需的物品。结果：接受结肠镜检查（10.6% vs 16.6%）和骨密度扫描（2.9% vs 5.7%）的患者比例显著增加。结论：访前计划是加强初级保健预防措施的有效途径。
Enhancing Preventive Care for Adults 50+ Through Pre-Visit Planning in Primary Care.
Background: Preventive care is often overlooked in older adults due to the complexity of care. A pre-visit planning checklist may be effective in enhancing prevention.
Local problem: A Midwest internal medicine department identified the need to increase age-appropriate vaccinations and screenings in adults 50 and older.
Methods: A pre-visit planning checklist for cancer screenings, bone density scans, and immunizations, guided by the American Medical Association, was implemented. The number of ordered preventive measures was compared 3 months pre and post-implementation.
Interventions: Staff members reviewed patient charts prior to appointments using the pre-visit checklist, which guided staff to look at appropriate preventive tasks and notify the provider of needed items.
Results: There was a significant increase in the percentage of patients who received orders for colonoscopies (10.6% vs 16.6%) and bone density scans (2.9% vs 5.7%).
Conclusion: Pre-visit planning may be an effective way to increase preventive measures in primary care.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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