Compliance with five health promotion recommendations in a university-based family practice

J Fam Pract. 1989 Aug;29(2):163-8.


Although numerous recommendations are available to guide the primary care physician's provision of preventive health services, a minority of Americans receive recommended care. This study assessed the extent to which patients in a large, university-based family medicine program were receiving five well-accepted health promotion services. These services included fecal occult blood testing, Papanicolaou smears, mammography, serum cholesterol measurements, and tetanus immunization. Demographic factors associated with receipt of these services were assessed. A minority of active patients received the five health promotion services in the recommended interval: fecal occult blood testing 13%, Papanicolaou smear 41%, mammography 16%, cholesterol measurements 20%, and tetanus immunization 19%. The patient's physician practice group, type of medical insurance, physician visit frequency, and increasing age were associated with compliance with the five studied health promotion services.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Academic Medical Centers
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cholesterol / blood
  • Family Practice*
  • Female
  • Health Promotion*
  • Humans
  • Immunization
  • Insurance, Health
  • Male
  • Mammography
  • Middle Aged
  • Occult Blood
  • Office Visits
  • Papanicolaou Test
  • Patient Compliance*
  • South Carolina
  • Tetanus Toxoid
  • Vaginal Smears


  • Tetanus Toxoid
  • Cholesterol