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Implementation of preventive services in an HMO practice

Implementation of preventive services in an HMO practice Practice does not conform to guidelines unless the guidelines are specifically implemented and performance is monitored. Several examples of implementation in one health maintenance organization (HMO) are given. These include immunization for influenza and follow up of positive screening tests for colorectal and cervical cancer. Each implementation effort has required the development of systems, which in this HMO are automated. Several issues influencing implementation are discussed, including resource constraints and priorities for the allocation of new resources. Developers cannot expect that their guidelines will be incorporated into clinical practice. They must foster specific implementation plans. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of General Internal Medicine Springer Journals

Implementation of preventive services in an HMO practice

Schoenbaum, Stephen C.
Journal of General Internal Medicine , Volume 5 (Suppl 2) – Sep 1, 1990
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References (9)

Publisher
Springer Journals
Copyright
Copyright © the Society of General Internal Medicine 1990
ISSN
0884-8734
eISSN
1525-1497
DOI
10.1007/bf02600857
Publisher site
See Article on Publisher Site

Abstract

Practice does not conform to guidelines unless the guidelines are specifically implemented and performance is monitored. Several examples of implementation in one health maintenance organization (HMO) are given. These include immunization for influenza and follow up of positive screening tests for colorectal and cervical cancer. Each implementation effort has required the development of systems, which in this HMO are automated. Several issues influencing implementation are discussed, including resource constraints and priorities for the allocation of new resources. Developers cannot expect that their guidelines will be incorporated into clinical practice. They must foster specific implementation plans.

Journal

Journal of General Internal Medicine – Springer Journals

Published: Sep 1, 1990

Keywords: health maintenance organization; implementation; guidelines; reminder systems; immunizations; preventive screening

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