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Fewer Than Half of Americans Receive Some Of The Most Valuable Health Care Services: Colorectal Cancer Screening And Tobacco Counseling Top The List
Fewer than half of all Americans receive some of the most valuable preventive health services available, according to a new study released today by the nonprofit group, Partnership for Prevention. Several services ranked high on the list, yet currently reach less than half of Americans: tobacco cessation counseling for adults, screening older adults for undetected vision impairments, screening adults 50+ years for colorectal cancer, screening young women for chlamydia, screening and counseling adults for problem drinking, and vaccinating older adults against pneumococcal disease. more
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Treating Tobacco Use and Dependence—Clinical Practice Guideline
Clinicians ready to help smokers kick the habit can read "Treating Tobacco Use and Dependence A Clinical Practice Guideline" in today's issue. more
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Screening for Colorectal Cancer
Screening for colorectal cancer is recommended for all persons aged 50 and older with annual fecal occult blood testing (FOBT), or sigmoidoscopy (periodicity unspecified), or both. There is insufficient evidence to determine which of these screening methods is preferable or whether the combination of FOBT and sigmoidoscopy produces greater benefits than does either test alone. There is also insufficient evidence to recommend for or against routine screening with digital rectal examination, barium enema, or colonoscopy, although recommendations against such screening in average-risk persons may be made on other grounds. Persons with a family history of hereditary syndromes associated with a high risk of colon cancer should be referred for diagnosis and management. more
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Priorities Among Recommended Clinical Preventive Services
Many recommended clinical preventive services are delivered at low rates. Decision-makers who wish to improve delivery rates, but face competing demands for finite resources, need information on the relative value of these services. This article describes the results of a systematic assessment of the value of clinical preventive services recommended for average-risk patients by the US Preventive Services Task Force. more
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Methods For Priority Setting Among Clinical Preventive Services
The challenge of setting priorities among clinical preventive services lies in deriving consistent estimates of services' value using disparate data. A valid ranking of preventive services requires that each service's underlying data be evaluated on the same basis. This article addresses how data issues were handled, the potential impact on the results, and how various methods affected a priority ranking of clinical preventive services. more
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