The use of appropriateness criteria for the selection of clinical preventive services for a Pacific island health service.

Clinical preventive services are measures performed in the clinic setting for the prevention of disease and the promotion of health. The general practice/public health physician residency class of the Palau Area Health Education Center reviewed existing clinical preventive services protocols for the Ministry of Health of the Republic of Palau and revised them, taking four criteria into consideration for each candidate intervention (local patterns of disease and risk factors, evidence for effectiveness of the intervention, local system capability for delivery of the intervention and its consequences, and competing priorities). The resulting package of interventions is much more focused and appropriate to local conditions than was the one that it replaced.