The quality of preventive health care delivered to adults: results from a cross-sectional study in Southern Italy

Manuti, Benedetto; Rizza, Paolo; Bianco, Aida; Nobile, Carmelo G. A.; Pavia, Maria
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p350
Academic Journal
Background: It is assumed that providing clinical preventive services to patients can identify or detect early important causes of adult mortality. The aim of this study was to quantify access to preventive services in Southern Italy and to assess whether and how the provision of preventive care was influenced by any specific characteristics of patients. Methods: In a cross-sectional study adults aged 18 years and over attending primary care physician (PCP) offices located in Southern Italy were interviewed from June through December 2007. Quality indicators of preventive health care developed from RAND's Quality Assessment Tools and Behavioral Risk Factor Surveillance System (BRFSS) were used. Multivariate analysis was performed to identify and to assess the role of patients' characteristics on delivery of clinical preventive services. Results: A total of 1467 subjects participated in the study. Excepting blood pressure preventive check (delivered to 64.4% of eligible subjects) and influenza vaccination (recommended to 90.2% of elderly), the rates of delivery of clinical preventive services were low across all measures, particularly for screening and counseling on health habits. Rates for providing cancer screening tests at recommended times were 21.3% for colonoscopy, 51.5% for mammography and 52.4% for Pap smear. Statistical analysis showed clear disparities in the provision of clinical preventive services associated with age, gender, education level, perceived health status, current health conditions and primary care access measures. Conclusions: There is overwhelming need to develop and implement effective interventions to improve delivery of routine clinical preventive services.


Related Articles

  • The Age Old Excuse campaign.  // Nursing Older People;Oct2012, Vol. 24 Issue 8, p7 

    The article offers information on the age old excuse campaign, aimed at ensuring that old people receive most appropriate cancer treatment suited for them.

  • in brief. Dinsdale, Paul // Nursing Older People;Mar2008, Vol. 20 Issue 2, p4 

    The article offers news briefs related to medical care in Great Britain. A male nurse has been accused of killing four elderly women by giving them huge doses of insulin at two hospitals in Leeds, England. The Scotland government is planning to review the cancer care in the area as part of an...

  • In brief ...  // Gastrointestinal Nursing;May2015, Vol. 13 Issue 4, p7 

    This section offers news briefs. These include the monitoring by health officials over cancer services at the East Lancashire Hospitals National Health Services (NHS) and problems with treatments for gastrointestinal cancer, findings that male registered nurses (RNs) continue to be paid more...

  • Campaign aims to change attitudes to older patients who have cancer. Davis, Carol // Nursing Older People;Apr2012, Vol. 24 Issue 3, p7 

    The article focuses on a campaign called Age Old Excuse, which was launched by Macmillan Cancer Support to address issues associated with the undertreatment and poor outcomes in cancer patients aged over 70 in Great Britain. Statistics are provided on deaths caused by cancer. Concern is...

  • Influenza vaccination coverage of healthcare workers and residents and their determinants in nursing homes for elderly people in France: a cross-sectional survey. Vaux, Sophie; Noël, Delphine; Fonteneau, Laure; Guthmann, Jean-Paul; Lévy-Bruhl, Daniel // BMC Public Health;2010, Vol. 10 Issue 1, p159 

    Background: Nursing home residents bear a substantial burden of influenza morbidity and mortality. Vaccination of residents and healthcare workers (HCWs) is the main strategy for prevention. Despite recommendations, influenza vaccination coverage among HCWs remains generally low. Methods: During...

  • Geriatric Oncology for the 21st Century: A Call for Action. Moy, Beverly; Flaig, Thomas W.; Muss, Hyman B.; Clark, Ben; Tse, William; Windham, T. Christopher // Journal of Oncology Practice;Jul2014, Vol. 10 Issue 4, p241 

    The authors discuss the survey on geriatric oncology which they conducted as part of the American Society of Clinical Oncology (ASCO) leadership development program. They discuss the findings of the survey, which focuses on three areas of geriatric oncology which are education, research, and...

  • Campaign promotes change in attitudes to older patients. Davis, Carol // Cancer Nursing Practice;Mar2012, Vol. 11 Issue 2, p7 

    The article offers information on Age Old Excuse campaign, launched by Macmillan Cancer Support, to highlight under-treatment and poor outcomes faced by cancer patients aged over 70 in Great Britain. As a part of the campaign, Macmillan is running pilot projects to test new models of care for...

  • The challenging 'C' word. Noone, Yasmin // Australian Ageing Agenda;Mar/Apr2011, p27 

    The article explores the unprecedented cancer care challenge faced by the health care sector to which cancer is one of the biggest killers of the older population in Australia. Cancer is one among the three leading causes of death in Australians aged 65 and above wherein the Australian health...

  • Looking beyond the dementia. Fleming, Richard // Australian Ageing Agenda;Mar/Apr2010, p34 

    The article presents stories by Richard Fleming, director of HammondCare's Dementia Services Development Centre, about people with dementia who are living a purposeful life after getting care from Community Aged Care Package (CACP). It informs about Bill, a dementia patient who has been involved...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics