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MANEUVER ELIGIBLE PATIENTS AND RECOMMENDED FREQUENCY General health status • BP measurement recorded Adult patients, at each HC visit • Weight measurement recorded Adult patients, at each HC visit20 • BMI measurement recorded Adult patients, at each HC visit20 Screening tests • Papanicolaou test result (cervical cancer screening) recorded Female patients, aged 21–69 y; every 2–3 y21 • Mammogram test result recorded Female patients, aged 50–74 y; every 2 y21 • FOBT (colorectal cancer screening) result recorded Adult patients, aged 50–74 y; every 2 y22 • FPG or HbA1c result recorded Adult patients, BMI > 29 kg/m2 or aged > 39 y, every 2 y23 Administration of influenza vaccine recorded Adult patients, annually BMI—body mass index, BP—blood pressure, FOBT—fecal occult blood test, FPG—fasting plasma glucose, HbA1c—hemoglobin A1c, HC—Health Check.
- Table 2.
Association between attending Health Checks and preventive health maneuvers completed, adjusted by practice site
PREVENTIVE MANEUVER (NO. ELIGIBLE IN FHT 1, FHT 2) MANEUVER COMPLETED,* % UNADJUSTED MODEL, OR (95% CI), P VALUE ADJUSTED MODEL,†OR (95% CI), P VALUE HEALTH CHECK GROUP (N = 139) NON–HEALTH CHECK GROUP (N = 137) BP recorded (139, 137) 91 64 5.4 (2.7–10.5), P < .001 5.5 (3.1–9.8), P < .001 Weight recorded (139, 137) 89 62 4.7 (2.5–8.8), P < .001 5.5 (2.8–0.5), P < .001 BMI recorded (139, 137) 84 50 5.0 (2.8–8.7), P < .001 5.5 (3.1–9.8), P < .001 Influenza vaccine received (139, 137) 70 47 2.6 (1.6–4.2), P < .001 2.7 (1.7–4.6), P < .001 Papanicolaou test‡ (68, 50) 34 32 1.1 (0.5–2.4), P = .835 1.0 (0.5–2.2), P = .980 Mammogram§ (27, 13) 63 54 1.5 (0.6–1.5), P = .582 1.3 (0.3–5.1), P = .723 FOBTǁ (49, 31) 39 23 2.2 (0.8–6.0), P = .136 2.4 (0.8–7.0), P = .107 HbA1c test¶ (46, 36) 80 61 2.6 (1.0–7.0), P = .057 2.5 (0.9–6.8), P = .070 BMI—body mass index, BP—blood pressure, FHT—family health team, FOBT—fecal occult blood test, HbA1c—hemoglobin A1c, OR—odds ratio.
↵* At least 1 result recorded during past 2 y.
↵† Adjusted for practice site.
↵‡ Eligible population is female patients aged 21–69 y (site 2 excluded those who were not sexually active).
↵§ Eligible population is female patients aged 50–74 y.
↵ǁ Eligible population is patients aged 50–74 y.
↵¶ Eligible population is those with BMI > 29 kg/m2 or age > 39 y.
STAFF RATINGS PERFORMED HEALTH CHECK, %, N = 98 DID NOT PERFORM HEALTH CHECK, %, N = 49 UNADJUSTED MODEL, OR (95% CI), P VALUE ADJUSTED MODEL, OR (95% CI), P VALUE Overall • I feel confident that I can provide high-quality care to the individual* 54 33 2.4 (1.2–4.9), P = .018 2.4 (1.1–5.2), P = .023 Knowledge, skills, and comfort • I am familiar with guidelines on primary care of adults with IDD† 84 42 6.6 (3.0–14.5), P < .001 8.5 (3.5–20.7), P < .001 • I feel skilled in adapting my communication and approach† 64 43 2.4 (1.2–4.8), P = .014 2.2 (1.0–4.5), P = .040 • I feel comfortable caring for patients with IDD† 59 35 2.7 (1.3–5.6), P = .006 3.3 (1.5–7.2), P = .003 • I feel knowledgeable about common comorbidities and care issues† 33 12 3.5 (1.3–9.0), P = .010 4.6 (1.6–12.7), P = .003 • I feel familiar with community resources† 27 10 3.2 (1.1–8.9), P = .027 3.3 (1.1–9.6), P = .031 Preparation and support • I feel I have the necessary skills and training to care for a patient with IDD† 40 22 2.3 (1.0–5.0), P = .039 2.1 (0.9–4.7), P = .086 • I feel equipped with resources for desired accommodations† 30 14 2.5 (1.0–6.2), P = .046 2.1 (0.8–5.5), P = .117
