Advertisement

Adoption of Health Promotion Practices in a Cohort of U.S. Physician Organizations

      Background

      Physician organizations such as medical groups and independent practice associations can play a vital role in health promotion through the adoption of effective health promotion practices such as health risk assessments, patient reminder systems, and health promotion education programs.

      Purpose

      To examine organizational changes in a cohort of physician organizations and changing health promotion practices.

      Methods

      Data for a cohort of 369 physician organizations in the U.S. with 20 or more physicians were collected between September 2000 and September 2001 and subsequently from March 2006 to March 2007. Paired-sample t tests were used to identify changes in physician organization characteristics and the use of nine health promotion practices between 2000–2001 and 2006–2007.

      Results

      Compared to 2000–2001, the cohort of physician organizations in 2006–2007 was larger, more likely to be owned by physicians; less likely to be owned by a hospital, health system, or HMO; more profitable; and more likely to use electronic information technology. Between 2000–2001 and 2006–2007, physician organizations increased the use of health risk appraisals to contact high-risk patients and increased the use of reminders for eye exams for diabetic patients. During the same time period, physician organizations decreased the use of nutrition and weight-loss health promotion programs.

      Conclusions

      The adding and dropping of programs among physician organizations is due to many factors, including changing regulatory environments, market conditions, populations, and new health promotion technologies. In the coming years, incentives and regulatory policy should encourage the adoption of effective health promotion practices by physician organizations.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • WHO
        The Bangkok charter for health promotion in a globalized world.
        • Dickey L.L.
        • Gemson D.H.
        • Carney P.
        Office system interventions supporting primary care-based health behavior change counseling.
        Am J Prev Med. 1999; 17: 299-308
        • Gemson D.H.
        • Sloan R.P.
        Efficacy of computerized health risk appraisal as part of a periodic health examination at the worksite.
        Am J Health Promot. 1995; 9: 462-466
        • Maron D.J.
        • Forbes B.L.
        • Groves J.R.
        • Dietrich M.S.
        • Sells P.
        • DiGenio A.G.
        Health-risk appraisal with or without disease management for worksite cardiovascular risk reduction.
        J Cardiovasc Nurs. 2008; 23: 513-518
        • Somkin C.P.
        • Hiatt R.A.
        • Hurley L.B.
        • Gruskin E.
        • Ackerson L.
        • Larson P.
        The effect of patient and provider reminders on mammography and Papanicolaou smear screening in a large health maintenance organization.
        Arch Intern Med. 1997; 157: 1658-1664
        • Quinley J.
        • Mahotiere T.
        • Messina C.R.
        • Lee T.K.
        • Mikail C.
        Mammography-facility–based patient reminders and repeat mammograms for Medicare in New York State.
        Prev Med. 2004; 38: 20-27
        • Jacobson V.J.
        • Szilagyi P.
        Patient reminder and patient recall systems to improve immunization rates.
        Cochrane Database Syst Rev. 2005; 3 (CD003941)
        • Halbert R.J.
        • Nichol J.M.
        • Leung K.M.
        • Legorreta A.P.
        Effect of multiple patient reminders in improving diabetic retinopathy screening.
        Diabetes Care. 1999; 22: 752-755
        • Community Preventive Services Task Force
        Task Force Findings as of May 5, 2010.
        • Serxner S.A.
        • Gold D.B.
        • Grossmeier J.J.
        • Anderson D.R.
        The relationship between health promotion program participation and medical costs: A dose response.
        J Occup Environ Med. 2003; 45: 1196-1200
        • Baker K.M.
        • Goetzel R.Z.
        • Pei X.
        • et al.
        Using a return-on-investment estimation model to evaluate outcomes from an obesity management worksite health promotion program.
        J Occup Environ Med. 2008; 50: 981-990
        • Naydeck B.L.
        • Pearson J.A.
        • Ozminkowski R.J.
        • Day B.T.
        • Goestzel R.Z.
        The impact of the Highmark employee wellness programs on 4-year healthcare costs.
        J Occup Environ Med. 2008; 50: 146-156
        • Page S.
        How physicians' organizations compete: protectionism and efficiency.
        J Health Polit Policy Law. 2004; 29: 75-105
        • Shortell S.M.
        • Gillies R.
        • Siddique J.
        • et al.
        Improving chronic illness care: a longitudinal cohort analysis of large physician organizations.
        Med Care. 2009; 47: 932-939