Delivering clinical preventive services: A framework mapping the gaps for future research
As the NPS provides general guidance on the importance of preventive care, but not specific details on how to achieve the goals of successful implementation, the authors developed a diagram of steps necessary to achieve effective delivery of clinical preventive services in a primary care setting. To develop the framework, the authors integrated the expertise of the CfE researchers with AHRQ's vision of clinical preventive services. The framework includes six steps: 1) Patient Access; 2) Identification and Indication; 3) Education and Shared Decision-Making; 4) Delivery of Clinical Preventive Services; 5) Delivery of Results; and 6) Maintenance and/or Follow-up, and underscores the importance of team models of care delivery.
By systematically laying out the steps, the authors have developed a framework for assessing evidence gaps and barriers to effective delivery of preventive care. The utility of the framework was explored by conducting an environmental scan, which included a review of the NPS strategy; reports issued by the Department of Health and Human Services (HHS); and published literature on clinical preventive services. Additionally, the authors mapped HHS programs and initiatives related to clinical preventive services (including the AHRQ CfEs) onto the framework to indicate contribution at each step in the framework. The authors will present the framework, the gaps in evidence, and the HHS programmatic contributions at each step.
Learning Areas:Chronic disease management and prevention
Clinical medicine applied in public health
Describe a framework of steps in the delivery of clinical preventive services that complements and expands upon the National Prevention Strategy. Identify research gaps and barriers at each step in the framework. Analyze how Department of Health and Human Services programs and initiatives, such as the Agency for Healthcare Research and Quality’s Research Centers for Excellence in Clinical Preventive Services program, contribute to each step of the framework.
Keyword(s): Primary Care, Clinical Prevention Services
Qualified on the content I am responsible for because: I co-led the development of the framework of steps in the delivery of clinical preventive services and the environmental scan. I am an experienced researcher with in-depth knowledge of the areas of evaluation and chronic disease prevention.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.