Measuring the process of preventive service delivery in primary care practices for children.

Background: Children may fall behind on preventive services because they do not receive needed services at the time of an office visit (a missed opportunity). However, methods are needed to measure problems in the care delivery process that lead to missed opportunities. We developed a method to examine the key steps in the preventive service delivery process and identify problems; we assessed the feasibility and validity of the method in primary care practices for children.

Do adolescents want to hear preventive counseling messages in outpatient settings?

Background: In response to the high prevalence of health-risk behaviors among adolescents, policy agencies have urged primary care clinicians to discuss these behaviors with all adolescents. Yet such discussions frequently do not take place. A commonly mentioned barrier is the clinician perception that patients are not interested in, or are embarrassed by, such discussions.