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J Ambul Care Manage. 2005 Jul-Sep;28(3):241-53.

The impact of primary care resources on prevention practices.

Author information

  • 1VA Health Services Research & Development (HSR&D) Center of Excellence, VA Greater Los Angeles Healthcare System, Sepulveda, California 91343, USA. Lsoban@ucla.edu

Abstract

Organizational factors influence the quality of preventive care. Combining facility-level data from a national organizational survey and centrally available, externally abstracted chart review data on prevention performance, we assessed the relationship between structural features of primary care departments and the quality of preventive care delivered. Primary care practice resources were significantly and positively associated with the delivery of 6 of 9 preventive services. Adjusting for facility size and academic affiliation, these resource arrangements accounted for substantial variation in 8 of 9 services. Assuring high-quality prevention performance requires ongoing investment in primary care-based infrastructure.

PMID:
15968216
[PubMed - indexed for MEDLINE]
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