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American Journal of Public Health, Vol 90, Issue 10 1622-1625, Copyright © 2000 by American Public Health Association

JOURNAL ARTICLE

Put prevention into practice: a controlled evaluation

J Melnikow, ND Kohatsu and BK Chan
Department of Family and Community Medicine, University of California, Davis, USA. jamelnikow@ucdavis.edu

OBJECTIVES: The purpose of this study was to evaluate whether Put Prevention Into Practice (PPIP) materials affected the delivery of 8 clinical preventive services. METHODS: Program materials were provided to a family medicine practice serving a diverse, low-income population. Appropriate use of clinical preventive services was assessed via medical record reviews at baseline, 6 months, 18 months, and 30 months at both intervention and control sites. RESULTS: The delivery rates of 7 clinical preventive services were higher in the intervention site at 6 months. These rates had flattened or decreased by 30 months. CONCLUSIONS: Use of PPIP materials modestly improved delivery of certain clinical preventive services. Sustained improvement will require substantial system changes and ongoing support.


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