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April 2003, Vol 93, No. 4 | American Journal of Public Health 635-641
© 2003 American Public Health Association

RESEARCH AND PRACTICE

Primary Care: Is There Enough Time for Prevention?

Kimberly S. H. Yarnall, MD, Kathryn I. Pollak, PhD, Truls Østbye, MD, PhD, Katrina M. Krause, MA and J. Lloyd Michener, MD

All of the authors are with the Department of Community and Family Medicine, Duke University Medical Center, Durham, NC. Kimberly S. H. Yarnall and Kathryn I. Pollak are also with the Cancer Prevention, Detection, and Control Program, Duke University Medical Center.

Correspondence: Requests for reprints should be sent to Kimberly S. H. Yarnall, MD, Box 3886, Duke University Medical Center, Durham, NC 27710 (e-mail: yarna001{at}mc.duke.edu).

Objectives. We sought to determine the amount of time required for a primary care physician to provide recommended preventive services to an average patient panel.

Methods. We used published and estimated times per service to determine the physician time required to provide all services recommended by the US Preventive Services Task Force (USPSTF), at the recommended frequency, to a patient panel of 2500 with an age and sex distribution similar to that of the US population.

Results. To fully satisfy the USPSTF recommendations, 1773 hours of a physician’s annual time, or 7.4 hours per working day, is needed for the provision of preventive services.

Conclusions. Time constraints limit the ability of physicians to comply with preventive services recommendations.




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