American Journal of Preventive Medicine
Volume 38, Issue 3 , Pages 344-348 , March 2010

Patient Costs As a Barrier to Intensive Health Behavior Counseling

  • Alex H. Krist, MD, MPH

      Affiliations

    • Department of Family Medicine, Virginia Commonwealth University, Richmond, Virginia
    • Corresponding Author InformationAddress correspondence and reprint requests to: Alex H. Krist, MD, MPH, Virginia Commonwealth University, Department of Family Medicine, P.O. Box 980251, Richmond VA 23298-0251
  • ,
  • Steven H. Woolf, MD, MPH

      Affiliations

    • Department of Family Medicine, Virginia Commonwealth University, Richmond, Virginia
    • Department of Epidemiology and Community Health, Virginia Commonwealth University, Richmond, Virginia
  • ,
  • Robert E. Johnson, PhD

      Affiliations

    • Department of Family Medicine, Virginia Commonwealth University, Richmond, Virginia
    • Department of Biostatics, Virginia Commonwealth University, Richmond, Virginia
  • ,
  • Stephen F. Rothemich, MD, MS

      Affiliations

    • Department of Family Medicine, Virginia Commonwealth University, Richmond, Virginia
    • Department of Epidemiology and Community Health, Virginia Commonwealth University, Richmond, Virginia
  • ,
  • Tina D. Cunningham, BS

      Affiliations

    • Department of Biostatics, Virginia Commonwealth University, Richmond, Virginia
  • ,
  • Resa M. Jones, MPH, PhD

      Affiliations

    • Department of Epidemiology and Community Health, Virginia Commonwealth University, Richmond, Virginia
    • Massey Cancer Center, Virginia Commonwealth University, Richmond, Virginia
  • ,
  • Diane B. Wilson, EdD, RD

      Affiliations

    • Massey Cancer Center, Virginia Commonwealth University, Richmond, Virginia
    • Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia
  • ,
  • Kelly J. Devers, PhD

      Affiliations

    • Urban Institute, Washington DC

References 

  1. U.S. Preventive Services Task Force. Counseling to prevent tobacco use. www.ahrq.gov/clinic/uspstf/uspstbac.htm
  2. U.S. Preventive Services Task Force. Counseling for a healthy diet. www.ahrq.gov/clinic/uspstf/uspsdiet.htm
  3. U.S. Preventive Services Task Force. Behavioral counseling to promote physical activity. www.ahrq.gov/clinic/uspstf/uspsphys.htm
  4. U.S. Preventive Services Task Force. Counseling to prevent tobacco use and tobacco-caused disease: recommendation statement. Vol AHRQ Pub. No. 04-0526 Rockville MD: Agency for Healthcare Research and Quality; 2003;
  5. Lancaster T, Stead L. Physician advice for smoking cessation. Cochrane Database Syst Rev. 2004;(4):CD000165
  6. Eden KB, Orleans CT, Mulrow CD, Pender NJ, Teutsch SM. Does counseling by clinicians improve physical activity? (A summary of the evidence for the U.S. Preventive Services Task Force). Ann Intern Med. 2002;137(3):208–215
  7. McTigue KM, Harris R, Hemphill B, et al. Screening and interventions for obesity in adults: summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2003;139(11):933–949
  8. Grumbach K, Mold JW. A health care cooperative extension service: transforming primary care and community health. JAMA. 2009;301(24):2589–2591
  9. Lurie N, Fremont A. Building bridges between medical care and public health. JAMA. 2009;302(1):84–86
  10. Fielding JE, Teutsch SM. Integrating clinical care and community health: delivering health. JAMA. 2009;302(3):317–319
  11. Task Force on Community Preventive Services. Guide to community preventive services. 2004 www.thecommunityguide.org/
  12. USDHHS. Covered medical and other health services. In: Medicare benefits policy manual. USDHHS Centers for Medicare & Medicaid Services www.cms.hhs.gov/manuals/downloads/bp102c15.pdf
  13. Gabel JR, Whitmore H, Pickreign J, et al. Obesity and the workplace: current programs and attitudes among employers and employees. Health Aff (Millwood). 2009;28(1):46–56
  14. Cherkin DC, Grothaus L, Wagner EH. The effect of office visit copayments on preventive care services in an HMO. Inquiry. 1990;27(1):24–38
  15. Lurie N, Manning WG, Peterson C, Goldberg GA, Phelps CA, Lillard L. Preventive care: do we practice what we preach?. Am J Public Health. 1987;77(7):801–804
  16. Lillard L, Manning W, Peterson CE, Lurie N, Goldberg GA, Phelps CE. Preventive medical care: standards, usage, and efficacy. Santa Monica CA: Rand Corporation; 1986;
  17. Kane RL, Johnson PE, Town RJ, Butler M. A structured review of the effect of economic incentives on consumers' preventive behavior. Am J Prev Med. 2004;27(4):327–352
  18. Boyle RG, Solberg LI, Magnan S, Davidson G, Alesci NL. Does insurance coverage for drug therapy affect smoking cessation?. Health Aff (Millwood). 2002;21(6):162–168
  19. Krist AH, Woolf SH, Frazier CO, et al. An electronic linkage system for health behavior counseling effect on delivery of the 5A's. Am J Prev Med. 2008;35(5S):S350–S358
  20. Riverside Wellness and Fitness Centers. Riverside health system. www.riverside-online.com/rwfc/
  21. University of Kentucky Health & Wellness. BeHIP overview. www.uky.edu/HR/wellness/behipoverview.html
  22. Department of Family Medicine, Virginia Commonwealth University. My healthy living. www.myhealthyliving.net
  23. Woolf SH, Krist AH, Johnson RE, et al. A practice-sponsored website to help patients pursue healthy behaviors: an ACORN study. Ann Fam Med. 2006;4(2):148–152
  24. Krist AH, Woolf SH, Rothemich SF, Johnson RE, Wilson DB. It takes a partnership: the value of collaboration in developing and promoting a website for primary care patients. Ann Fam Med. 2005;(3S 2):S47–S49
  25. Kaiser Permanente, Colorado Region—Institute for Health Research. re-aim.org/.
  26. Glasgow RE, Bull SS, Gillette C, Klesges LM, Dzewaltowski DA. Behavior change intervention research in healthcare settings: a review of recent reports with emphasis on external validity. Am J Prev Med. 2002;23(1):62–69
  27. Crabtree BF, Miller WL. Doing qualitative research. 2nd ed.. Thousand Oaks CA: Sage; 1999;
  28. Miles MB, Huberman M. Qualitative data analysis: an expanded sourcebook. 2nd ed.. Newbury Park CA: Sage; 1994;
  29. Cherry DK, Woodwell DA, Rechtsteiner EA. National ambulatory medical care survey: 2005 summary. Adv Data. 2007;(387):1–39
  30. Behavioral Risk Factor Surveillance System. SMART: selected metropolitan/micropolitan area risk trends (2006—Virginia Beach–Norfolk–Newport News, VA–NC metropolitan statistical area. Overweight and obesity (BMI): weight classification by body mass index (BMI)). apps.nccd.cdc.gov/brfss-smart/MMSARiskChart.asp?yr=2006&MMSA=90&cat=OB&qkey=4409&grp=0
  31. Behavioral Risk Factor Surveillance System. SMART: selected metropolitan/micropolitan area risk trends (2006—Virginia Beach–Norfolk–Newport News, VA–NC metropolitan statistical area. Tobacco use: adults who are current smokers). apps.nccd.cdc.gov/brfss-smart/MMSARiskChart.asp?yr=2006&MMSA=90&cat=TU&qkey=4396&grp=0
  32. National Business Group on Health. Exploring employers' understanding and perceptions of the business impact of smoking. www.businessgrouphealth.org/tobacco/surveys/2007_surveys.cfm
  33. Centers for Medicare and Medicaid Services. NCD for medical nutrition therapy. www.cms.hhs.gov/mcd/viewncd.asp?ncd_id=180.1&ncd_version=1&basket=ncd%3A180.1%3A1%3AMedical+Nutrition+Therapy
  34. Health, U.S., 2008. Hyattsville MD: National Center for Health Statistics; 2009;

PII: S0749-3797(09)00850-2

doi: 10.1016/j.amepre.2009.11.010

American Journal of Preventive Medicine
Volume 38, Issue 3 , Pages 344-348 , March 2010