Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Yoon, Paula W. ; Tong, Xin ; Schmidt, Steven M. ; Matson-Koffman, Dyann
Yoon, Paula W. ; Tong, Xin ; Schmidt, Steven M. ; Matson-Koffman, Dyann Less -
Description:
Introduction

Clinical preventive services can detect diseases early, when they are most treatable, but these services may not be provided as recommended. Assessing the provision of services to patients at risk for cardiovascular disease (CVD) could help identify disparities and areas for improvement.

Methods

We used data on patient visits (n = 21,261) from the National Ambulatory Medical Care Survey, 2005-2006, and classified patients with hypertension, hyperlipidemia, obesity, or diabetes as being at risk for CVD. We assessed differences in the provision of preventive services offered to patients who were and who were not at risk for CVD. Further, for those at risk, we compared the demographic characteristics of those who had and who had not been offered services.

Results

Patients at risk for CVD received significantly more preventive services compared with those not at risk. For patients at risk for CVD, aspirin therapy was more likely to be recommended to those aged 65 years or older than those aged 45 to 64 years and to men than women. Cholesterol screening was more likely for men and was less likely for patients with Medicare/Medicaid or no insurance than for patients who were insured. Rates of counseling for diet and nutrition, weight reduction, and exercise were low overall, but younger patients received these services more than older patients did.

Conclusion

Patients at risk for CVD are not all receiving the same level of preventive care, suggesting the need to clarify clinical practice guidelines and provide clinicians with education and support for more effective lifestyle counseling.


Subjects:
[+]
Adult Aged Cardiovascular Diseases Female Health Care Surveys Humans Male Middle Aged Original Research Risk Factors Time Factors
Source:
Prev Chronic Dis. 8(2).
Document Type:
Journal Article
Place as Subject:
United States
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:19269c00a3bfedf507bc8fe7c7c1f33d8af6aa1f03e950f56834a8e18aa6fe91
Download URL:
https://stacks.cdc.gov/view/cdc/4184/cdc_4184_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD82A43.nxml	txt

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