Public Health Detailing: A Strategy to Improve the Delivery of Clinical Preventive Services in New York City

To promote use of essential clinical preventive services, the New York City Department of Health and Mental Hygiene developed the Public Health Detailing Program, a primary care provider outreach initiative modeled on pharmaceutical detailing. Department representatives conducted topical campaigns,...

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Bibliographic Details
Published in:Public health reports (1974) 2006-05, Vol.121 (3), p.228-234
Main Authors: Larson, Kelly, Levy, Joslyn, Rome, Martha G., Matte, Thomas D., Silver, Lynn D., Frieden, Thomas R.
Format: Article
Language:English
Subjects:
Aged
Anti smoking movements
Biological and medical sciences
Cancer screening
Colonic Neoplasms - diagnosis
Colonoscopy
Colorectal cancer
Community health services
Health policy
Humans
Influenza vaccines
Influenza Vaccines - administration & dosage
Mass Screening - statistics & numerical data
Medical practice
Medical sciences
Medicine, Preventive
Mental health
Middle Aged
Miscellaneous
New York (state)
New York City
New York, New York
Physicians
Practice
Practice Articles
Preventive Health Services - methods
Preventive Health Services - organization & administration
Preventive Health Services - statistics & numerical data
Public health
Public Health - statistics & numerical data
Public Health - trends
Public health. Hygiene
Public health. Hygiene-occupational medicine
Smoking Cessation
United States
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Summary:To promote use of essential clinical preventive services, the New York City Department of Health and Mental Hygiene developed the Public Health Detailing Program, a primary care provider outreach initiative modeled on pharmaceutical detailing. Department representatives conducted topical campaigns, making unscheduled visits to health care practices and meeting with providers and office staff members. Representatives distributed "action kits" containing practice tools, provider information, and patient education materials; nicotine replacement therapy was distributed during the smoking cessation campaign. More than 2,500 interactions with practice staff members were completed by six health department representatives at approximately 200 sites. Physician visits lasted 10 minutes or longer, and by provider self-report, use of office systems for prevention and adherence to recommended practices increased. Public health detailing is an effective method of reaching providers to deliver key prevention messages, feasible for public health agencies and acceptable to practices. The effectiveness of this intervention in improving clinical prevention services requires further evaluation.
ISSN:0033-3549
1468-2877
DOI:10.1177/003335490612100302