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Towards Achieving Full Potential of Primary Care in Ca Prevention

Allen J. Dietrick, MD (Dartmouth Medical School, Hanover, NH) “Towards achieving the full potential of primary care in cancer prevention”.

Excerpts from the invited abstract:

Most people see their primary care clinician several times a year and many rely on primary care for screening and behavior advice. However when those who are not up-to-date for cancer screening are asked why, the most common reply is “my doctor didn’t recommend it.”

Primary care clinicians face competing demands, conflicting guidelines, and lack of systems that support provisions of preventive services.

Evidence from high quality resources, such as Put Prevention into Practice, Cancer Planet, and recommendations of the US Preventive Services Task Force, are readily available but seldom consulted or applied.

Conclusion: The evidence is emerging that can be used to assure that primary care achieves its potential in cancer prevention. Medical groups, health plans, and policy makers will need to support evidence-based change processes for practices that lead to evidence-based care processes in the examination room and the lives of patients.

Frontiers in Cancer Prevention Research, 2006

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