Person-Centered Preventive Health Care: Gathering Stakeholder Input on Evidence and Implementation
Introduction: Clinical preventive services, such as screening tests, vaccinations, behavioral counseling, or preventive medication, are offered to most people on the basis of age, sex, health behaviors, or clinical risk factors, with goals of detecting early disease, preventing future disease, or mi...
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Elsevier
2025-04-01
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| Series: | AJPM Focus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773065425000070 |
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| author | Leila C. Kahwati, MD, MPH Hanan J. Aboumatar, MD, MPH Alison K. Banger, MPH Sarah I. Bean, MPH Laurie W. Hinnant, PhD Daniel E. Jonas, MD, MPH Julia M. Kim, MD, MPH Jennifer S. Lin, MD, MCR Carrie D. Patnode, PhD Meagan R. Pilar, PhD Samantha I. Pitts, MD, MPH Shivani M. Reddy, MD, MSc Ritu Sharma, BSc Christiane E. Voisin, MSLS Elizabeth M. Webber, MS Jodi Blake, MBA Nora M. Mueller, PhD, MAA |
| author_facet | Leila C. Kahwati, MD, MPH Hanan J. Aboumatar, MD, MPH Alison K. Banger, MPH Sarah I. Bean, MPH Laurie W. Hinnant, PhD Daniel E. Jonas, MD, MPH Julia M. Kim, MD, MPH Jennifer S. Lin, MD, MCR Carrie D. Patnode, PhD Meagan R. Pilar, PhD Samantha I. Pitts, MD, MPH Shivani M. Reddy, MD, MSc Ritu Sharma, BSc Christiane E. Voisin, MSLS Elizabeth M. Webber, MS Jodi Blake, MBA Nora M. Mueller, PhD, MAA |
| author_sort | Leila C. Kahwati, MD, MPH |
| collection | DOAJ |
| description | Introduction: Clinical preventive services, such as screening tests, vaccinations, behavioral counseling, or preventive medication, are offered to most people on the basis of age, sex, health behaviors, or clinical risk factors, with goals of detecting early disease, preventing future disease, or mitigating the impact of unhealthy behaviors on future health. However, many people do not receive all the recommended services for which they are eligible. Methods: The Agency for Healthcare Research and Quality identified 4 topics for gathering stakeholder input on evidence and implementation for the equitable delivery of clinical preventive services. These included technology, innovative delivery models, public health linkages, and disparities. For each topic, the authors conducted an environmental scan to identify existing programs or interventions to promote the delivery of clinical preventive services, a technical expert panel meeting, and key informant interviews. The authors synthesized input from each topic's technical expert panel and key informant interviews and used inductive reasoning to identify themes. Within each overarching theme, the authors identified subthemes supported by specific statements, examples, and illustrative quotes. Results: A total of 90 individuals participated on stakeholder panels, technical expert panels, or key informant interviews; some individuals participated in multiple roles. Across the topics, the authors identified 3 overarching themes from synthesis of the technical expert panel and key informant interview comments across topics: (1) transitioning to holistic healthcare delivery and financing models, (2) including community and patient voice in healthcare system design, and (3) leveraging technology to improve clinical preventive services delivery. Conclusions: Promoting the equitable delivery of clinical preventive services requires improving access to primary care but also expanding efforts beyond clinical settings to encompass public health and community infrastructure and engagement. Experts recommended that person-centered preventive care should empower patients to make informed decisions about clinical preventive services on the basis of their values, risks, and preferences. This more individualized approach tailored to needs and context may reduce barriers to receipt of clinical preventive services. |
| format | Article |
| id | doaj-art-80571baf8d06474b869435f3d70a9bf2 |
| institution | OA Journals |
| issn | 2773-0654 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJPM Focus |
| spelling | doaj-art-80571baf8d06474b869435f3d70a9bf22025-08-20T02:14:30ZengElsevierAJPM Focus2773-06542025-04-014210031910.1016/j.focus.2025.100319Person-Centered Preventive Health Care: Gathering Stakeholder Input on Evidence and ImplementationLeila C. Kahwati, MD, MPH0Hanan J. Aboumatar, MD, MPH1Alison K. Banger, MPH2Sarah I. Bean, MPH3Laurie W. Hinnant, PhD4Daniel E. Jonas, MD, MPH5Julia M. Kim, MD, MPH6Jennifer S. Lin, MD, MCR7Carrie D. Patnode, PhD8Meagan R. Pilar, PhD9Samantha I. Pitts, MD, MPH10Shivani M. Reddy, MD, MSc11Ritu Sharma, BSc12Christiane E. Voisin, MSLS13Elizabeth M. Webber, MS14Jodi Blake, MBA15Nora M. Mueller, PhD, MAA16RTI International, Research Triangle Park, North Carolina; Address correspondence to: Leila C. Kahwati, MD, MPH, RTI International, 3040 East Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC 27709.Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MarylandRTI International, Research Triangle Park, North CarolinaKaiser Permanente Center for Health Research, Portland, OregonRTI International, Research Triangle Park, North CarolinaDivision of General Internal Medicine, The Ohio State University College of Medicine, Columbus, OhioArmstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MarylandKaiser Permanente Center for Health Research, Portland, OregonKaiser Permanente Center for Health Research, Portland, OregonRTI International, Research Triangle Park, North CarolinaArmstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MarylandRTI International, Research Triangle Park, North CarolinaArmstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MarylandDivision of General Internal Medicine, The Ohio State University College of Medicine, Columbus, OhioKaiser Permanente Center for Health Research, Portland, OregonCenter for Evidence and Practice Improvement, Agency for Healthcare Research and Quality, Rockville, MarylandCenter for Evidence and Practice Improvement, Agency for Healthcare Research and Quality, Rockville, MarylandIntroduction: Clinical preventive services, such as screening tests, vaccinations, behavioral counseling, or preventive medication, are offered to most people on the basis of age, sex, health behaviors, or clinical risk factors, with goals of detecting early disease, preventing future disease, or mitigating the impact of unhealthy behaviors on future health. However, many people do not receive all the recommended services for which they are eligible. Methods: The Agency for Healthcare Research and Quality identified 4 topics for gathering stakeholder input on evidence and implementation for the equitable delivery of clinical preventive services. These included technology, innovative delivery models, public health linkages, and disparities. For each topic, the authors conducted an environmental scan to identify existing programs or interventions to promote the delivery of clinical preventive services, a technical expert panel meeting, and key informant interviews. The authors synthesized input from each topic's technical expert panel and key informant interviews and used inductive reasoning to identify themes. Within each overarching theme, the authors identified subthemes supported by specific statements, examples, and illustrative quotes. Results: A total of 90 individuals participated on stakeholder panels, technical expert panels, or key informant interviews; some individuals participated in multiple roles. Across the topics, the authors identified 3 overarching themes from synthesis of the technical expert panel and key informant interview comments across topics: (1) transitioning to holistic healthcare delivery and financing models, (2) including community and patient voice in healthcare system design, and (3) leveraging technology to improve clinical preventive services delivery. Conclusions: Promoting the equitable delivery of clinical preventive services requires improving access to primary care but also expanding efforts beyond clinical settings to encompass public health and community infrastructure and engagement. Experts recommended that person-centered preventive care should empower patients to make informed decisions about clinical preventive services on the basis of their values, risks, and preferences. This more individualized approach tailored to needs and context may reduce barriers to receipt of clinical preventive services.http://www.sciencedirect.com/science/article/pii/S2773065425000070Patient-centered careclinical preventive serviceshealth equitypreventive service implementation |
| spellingShingle | Leila C. Kahwati, MD, MPH Hanan J. Aboumatar, MD, MPH Alison K. Banger, MPH Sarah I. Bean, MPH Laurie W. Hinnant, PhD Daniel E. Jonas, MD, MPH Julia M. Kim, MD, MPH Jennifer S. Lin, MD, MCR Carrie D. Patnode, PhD Meagan R. Pilar, PhD Samantha I. Pitts, MD, MPH Shivani M. Reddy, MD, MSc Ritu Sharma, BSc Christiane E. Voisin, MSLS Elizabeth M. Webber, MS Jodi Blake, MBA Nora M. Mueller, PhD, MAA Person-Centered Preventive Health Care: Gathering Stakeholder Input on Evidence and Implementation AJPM Focus Patient-centered care clinical preventive services health equity preventive service implementation |
| title | Person-Centered Preventive Health Care: Gathering Stakeholder Input on Evidence and Implementation |
| title_full | Person-Centered Preventive Health Care: Gathering Stakeholder Input on Evidence and Implementation |
| title_fullStr | Person-Centered Preventive Health Care: Gathering Stakeholder Input on Evidence and Implementation |
| title_full_unstemmed | Person-Centered Preventive Health Care: Gathering Stakeholder Input on Evidence and Implementation |
| title_short | Person-Centered Preventive Health Care: Gathering Stakeholder Input on Evidence and Implementation |
| title_sort | person centered preventive health care gathering stakeholder input on evidence and implementation |
| topic | Patient-centered care clinical preventive services health equity preventive service implementation |
| url | http://www.sciencedirect.com/science/article/pii/S2773065425000070 |
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