Topic Suggestion Description
View Topic Suggestion Disposition
Date submitted: August 13, 2009
- Briefly describe a specific question, or set of related questions, about a health care test or treatment that this program should consider.
- Compare the effectiveness of preventive health clinics vs. usual care in promoting systematic preventive health screening.
- Does your question include a comparison of different health care approaches? (If no, your topic will still be considered.)
- If yes, explain the specific technologies, devices, drugs, or interventions you would like to see compared:
- Usual care:
patients in towns (regions) A, B, C participate in preventive health care screening as usual (perhaps funds available)
Patients in towns D, E, F have preventive health care screening available in a clinic. (plan available but not tonight as on another computer). They can be referred by MD or go on their own.
- What patients or group(s) of patients does your question apply to? (Please include specific details such as age range, gender, coexisting diagnoses, and indications for therapy.)
- All ages but start with adults middle-aged or older
- Are there subgroups of patients that your question might apply to? (For example, an ethnic group, stage or severity of a disease.)
- Describe the health-related benefits you are interested in. (For example, improvements in patient symptoms or problems from treatment or diagnosis.)
- Improving health care screening. Patients will be referred to their primary care physician for care of identified conditions.
- Describe any health-related risks, side effects, or harms that you are concerned about.
Appropriateness for EHC Program
- Does your question include a health care drug, intervention, device, or technology available (or likely to be available) in the U.S.?
- Which priority area(s) and population(s) does this topic apply to? (check all that apply)
- EHC Priority Conditions (updated in 2008)
- Arthritis and nontraumatic joint disorders
- Cardiovascular disease, including stroke and hypertension
- Dementia, including Alzheimer's disease
- Depression and other mental health disorders
- Developmental delays, attention-deficit hyperactivity disorder, and autism
- Diabetes mellitus
- Functional limitations and disability
- Infectious diseases, including HIV/AIDS
- Pulmonary disease/asthma
- Substance abuse
- AHRQ Priority Populations
- Low income groups
- Minority groups
- Federal Health Care Program
- State Children's Health Insurance Program (SCHIP)
- Describe why this topic is important.
- Preventive health care is important but presently provided in an irregular way and generally not systematic. Also, it is not a good use of physician time, not to mention all the time people need to take to get off work for multiple appointments. Better to have a clinic where people can go in and get all their health screening, diet education, smoking and drug intervention, cholesterol, mammography, etc. Then they can get referred back to their doctor/PA for counseling and follow up.
- What specifically motivated you to ask this question? (For example, you are developing a clinical guideline, working with a policy with large uncertainty about the appropriate approach, costly intervention, new research you have read, items in the media you may have seen, a clinical practice dilemma you know of, etc.)
- frustration with present system
- Does your question represent uncertainty for clinicians and/or policy-makers? (For example, variations in clinical care, controversy in what constitutes appropriate clinical care, or a policy decision.)
- If yes, please explain:
- Guidelines are available and this type of clinic could work under established guidelines.
- How will an answer to your research question be used or help inform decisions for you or your group?
- Describe the timeframe in which an answer to your question is needed.
- Depends on how long you want to pay for expensive preventive health that could be better paid for and provided through preventive health screening and education clinics.
- Describe any health disparities, inequities, or impact on vulnerable populations your question applies to.
- Will be good for these populations but also useful for high power executives who don't like to take a lot of time off work. Also good for doctors who never take time themselves.
- Other Information About You: (optional)
- Please choose a description that best describes your role or perspective: (you may select more than one category if appropriate)
- Are you making a suggestion as an individual or on behalf of an organization?