Preventive Adolescent Health Care in Family Practice: A Program Summary
The AMA Guidelines for Adolescent Preventive Services (GAPS) has been the cornerstone of preventive care for teenagers since its publication in 1994. Despite this, there has been little documentation of their implementation in the family medicine literature. This article gives an overview of a famil...
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| Format: | Article |
| Language: | English |
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Wiley
2006-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/tsw.2006.116 |
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| _version_ | 1832568323339976704 |
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| author | Barry Knishkowy Moshe Schein Alexander Kiderman Aliza Velber Richard Edman John Yaphe |
| author_facet | Barry Knishkowy Moshe Schein Alexander Kiderman Aliza Velber Richard Edman John Yaphe |
| author_sort | Barry Knishkowy |
| collection | DOAJ |
| description | The AMA Guidelines for Adolescent Preventive Services (GAPS) has been the cornerstone of preventive care for teenagers since its publication in 1994. Despite this, there has been little documentation of their implementation in the family medicine literature. This article gives an overview of a family practice–based adolescent preventive health program based on GAPS recommendations, and reports on compliance, feasibility and health issues. A Community-Oriented Primary Care (COPC) program targeted all adolescent patients aged 12—18 years in two Israeli family practices. 321 teenagers were invited to participate. Every 7th and 10th grader was invited for a preventive health visit with the family physician and nurse. The visits included a medical evaluation, screening and counseling regarding health issues recommended by GAPS, and counseling regarding personal health concerns. Parents were also invited to meet with the staff. 184 (57%) of the adolescents invited for health visits attended. The overall visit time was 47 minutes, including 12 minutes for a questionnaire and 35 minutes with providers. Common biomedical problems included overweight, acne and dysmenorrhea. Health risk behaviors and psychosocial problems included cigarette or alcohol use, dieting, infrequent/never seat belt use, and feeling depressed. 78% wanted to discuss at least one personal health issue. 27% were invited for follow-up visits. Only 3% of the parents came for visits. A community-oriented approach facilitates bringing adolescents for preventive health visits. Many previously undetected health issues, particularly psychosocial and behavioral, are revealed during these visits. A concerns checklist aids in addressing personal health concerns. |
| format | Article |
| id | doaj-art-e829b20afffb477694c75038174607ab |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2006-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-e829b20afffb477694c75038174607ab2025-02-03T00:59:25ZengWileyThe Scientific World Journal1537-744X2006-01-01661962710.1100/tsw.2006.116Preventive Adolescent Health Care in Family Practice: A Program SummaryBarry Knishkowy0Moshe Schein1Alexander Kiderman2Aliza Velber3Richard Edman4John Yaphe5Family Practice Unit, The Braun School of Public Health and Community Medicine, Hadassah Medical Organization and The Hebrew University, Clalit Health Services and Department of Mother, Child and Adolescent Health, Ministry of Health, Jerusalem, IsraelFamily Practice Unit, The Braun School of Public Health and Community Medicine, Hadassah Medical Organization and The Hebrew University, Clalit Health Services and Department of Mother, Child and Adolescent Health, Ministry of Health, Jerusalem, IsraelFamily Practice Unit, The Braun School of Public Health and Community Medicine, Hadassah Medical Organization and The Hebrew University, Clalit Health Services and Department of Mother, Child and Adolescent Health, Ministry of Health, Jerusalem, IsraelFamily Practice Unit, The Braun School of Public Health and Community Medicine, Hadassah Medical Organization and The Hebrew University, Clalit Health Services and Department of Mother, Child and Adolescent Health, Ministry of Health, Jerusalem, IsraelFamily Practice Unit, The Braun School of Public Health and Community Medicine, Hadassah Medical Organization and The Hebrew University, Clalit Health Services and Department of Mother, Child and Adolescent Health, Ministry of Health, Jerusalem, IsraelFamily Practice Unit, The Braun School of Public Health and Community Medicine, Hadassah Medical Organization and The Hebrew University, Clalit Health Services and Department of Mother, Child and Adolescent Health, Ministry of Health, Jerusalem, IsraelThe AMA Guidelines for Adolescent Preventive Services (GAPS) has been the cornerstone of preventive care for teenagers since its publication in 1994. Despite this, there has been little documentation of their implementation in the family medicine literature. This article gives an overview of a family practice–based adolescent preventive health program based on GAPS recommendations, and reports on compliance, feasibility and health issues. A Community-Oriented Primary Care (COPC) program targeted all adolescent patients aged 12—18 years in two Israeli family practices. 321 teenagers were invited to participate. Every 7th and 10th grader was invited for a preventive health visit with the family physician and nurse. The visits included a medical evaluation, screening and counseling regarding health issues recommended by GAPS, and counseling regarding personal health concerns. Parents were also invited to meet with the staff. 184 (57%) of the adolescents invited for health visits attended. The overall visit time was 47 minutes, including 12 minutes for a questionnaire and 35 minutes with providers. Common biomedical problems included overweight, acne and dysmenorrhea. Health risk behaviors and psychosocial problems included cigarette or alcohol use, dieting, infrequent/never seat belt use, and feeling depressed. 78% wanted to discuss at least one personal health issue. 27% were invited for follow-up visits. Only 3% of the parents came for visits. A community-oriented approach facilitates bringing adolescents for preventive health visits. Many previously undetected health issues, particularly psychosocial and behavioral, are revealed during these visits. A concerns checklist aids in addressing personal health concerns.http://dx.doi.org/10.1100/tsw.2006.116 |
| spellingShingle | Barry Knishkowy Moshe Schein Alexander Kiderman Aliza Velber Richard Edman John Yaphe Preventive Adolescent Health Care in Family Practice: A Program Summary The Scientific World Journal |
| title | Preventive Adolescent Health Care in Family Practice: A Program Summary |
| title_full | Preventive Adolescent Health Care in Family Practice: A Program Summary |
| title_fullStr | Preventive Adolescent Health Care in Family Practice: A Program Summary |
| title_full_unstemmed | Preventive Adolescent Health Care in Family Practice: A Program Summary |
| title_short | Preventive Adolescent Health Care in Family Practice: A Program Summary |
| title_sort | preventive adolescent health care in family practice a program summary |
| url | http://dx.doi.org/10.1100/tsw.2006.116 |
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