Principles of preventive care.

Abstract

Clinicians who wish to ensure that their prevention practices are current and appropriate should follow the following steps: Identify a source of prevention recommendations that is evidence-based and which has a perspective that matches that of your practice. Periodically review current recommendations to keep up with changing science. When a new screening test is introduced, ask whether it has been proven to improve important health outcomes or simply been shown to detect more disease. Consider what potential harms might be associated with screening. Acknowledge the role of the patient in decisions in areas of uncertainty. At the same time, educate patients that additional tests carry risks as well as benefits. Approach prevention as a package of important services. Educate patients of the need to address all important health issues rather than focusing on a single issue. Examine how well you are delivering high priority services.