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Guide to Clinical Preventive Services
2nd ed, United States Preventive Services Task Force, ISBN 0-683-08508-5, Baltimore, Md, Williams & Wilkins, 1996.
John Spangler, MD, MPH, Reviewer
Bowman Gray School of Medicine Winston-Salem, NC
Arch Fam Med. 1996;5(6):363.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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With the advent of managed care and a national focus on effective, lowcost health services delivery, clinical prevention is gaining prominence in the everyday practice of family medicine. Health plans now compete to provide a variety of preventive benefits and frequently grade physician panels based on the quality of such care. This attention to prevention has fostered the development of numerous practice guidelines for primary care physicians. Unfortunately, however, the advice given by these different guidelines is often contradictory. A vexing example of such differences is the recommendations regarding screening mammography. While the American Cancer Society and the American College of Obstetricians and Gynecologists recommend beginning mammography screening in women at age 40 years, the American Academy of Family Physicians and the American College of Physicians recommend waiting until age 50 years. Similar disagreement exists with breast self-examination and clinical breast examination.
Although not attempting to resolve these conflicts, the
. . . [Full Text PDF of this Article]
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