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Effects of having usual source of care on preventive services and chronic disease control: a systematic review.

Kim MY, Kim JH, Choi IK, Hwang IH, Kim SY - Korean J Fam Med (2012)

Bottom Line: Most having usual source of care were associated with improved receipt of preventive services (cervical cancer screening, clinical breast exam, mammogram, prostate cancer screening, and flu shot) compared with no usual source of care.However, gastric cancer and colon cancer screening were difficult to conclude and blood pressure checkup showed mixed results.Hereafter, cohort studies are needed to evaluate casual relationships and more studies are needed in various countries and systems.

View Article: PubMed Central - PubMed

Affiliation: Department of Family Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

ABSTRACT

Background: Having usual source of care has been associated with improved receipt of preventive services and control of chronic diseases (such as hypertension, diabetes, and hypercholesterolemia). The objective of this study was to examine whether having usual source of care is associated with improved receipt of preventive services and control of chronic diseases.

Methods: We searched MEDLINE, EMBASE, Cochrane, CINAHL, KMbase, KoreaMed, RiSS4U, National Assembly Library, and KISS for studies released through May 31st 2011. Two authors independently extracted the data. We manually searched the references and twenty recent related articles on PubMed. To assess the risk of bias RoBANS tool was used.

Results: We identified 10 studies. Most having usual source of care were associated with improved receipt of preventive services (cervical cancer screening, clinical breast exam, mammogram, prostate cancer screening, and flu shot) compared with no usual source of care. However, gastric cancer and colon cancer screening were difficult to conclude and blood pressure checkup showed mixed results. Overall there was no association between having usual source of care and smoking behaviors and the effect on chronic disease control was difficult to conclude.

Conclusion: Having usual source of care was associated with improved receipt of preventive services and overall the results were consistent. So, the results suggested that having usual source of care may help to receive preventive services. Hereafter, cohort studies are needed to evaluate casual relationships and more studies are needed in various countries and systems.

No MeSH data available.


Related in: MedlinePlus

Risk of bias. (A) Risk of bias graph. (B) Risk of bias summary.
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Figure 2: Risk of bias. (A) Risk of bias graph. (B) Risk of bias summary.

Mentions: The risk of bias for the included studies was evaluated by using the RoBANS tool11,12) for assessing the risk of bias. Six studies were assessed to be well conducted and four studies were evaluated as unclear. Eight studies were evaluated as appropriate for consideration with respect to confounding variables and two studies were evaluated as unclear. Seven studies were assessed as inadequate with respect to appropriate intervention measures and three studies were evaluated as unclear. Blinding of outcome was adequately described for all studies. Incomplete outcome data and selective results reporting were adequately addressed in five studies and were evaluated as unclear in five studies. The overall research quality was relatively high (Figure 2).


Effects of having usual source of care on preventive services and chronic disease control: a systematic review.

Kim MY, Kim JH, Choi IK, Hwang IH, Kim SY - Korean J Fam Med (2012)

Risk of bias. (A) Risk of bias graph. (B) Risk of bias summary.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3526716&req=5

Figure 2: Risk of bias. (A) Risk of bias graph. (B) Risk of bias summary.
Mentions: The risk of bias for the included studies was evaluated by using the RoBANS tool11,12) for assessing the risk of bias. Six studies were assessed to be well conducted and four studies were evaluated as unclear. Eight studies were evaluated as appropriate for consideration with respect to confounding variables and two studies were evaluated as unclear. Seven studies were assessed as inadequate with respect to appropriate intervention measures and three studies were evaluated as unclear. Blinding of outcome was adequately described for all studies. Incomplete outcome data and selective results reporting were adequately addressed in five studies and were evaluated as unclear in five studies. The overall research quality was relatively high (Figure 2).

Bottom Line: Most having usual source of care were associated with improved receipt of preventive services (cervical cancer screening, clinical breast exam, mammogram, prostate cancer screening, and flu shot) compared with no usual source of care.However, gastric cancer and colon cancer screening were difficult to conclude and blood pressure checkup showed mixed results.Hereafter, cohort studies are needed to evaluate casual relationships and more studies are needed in various countries and systems.

View Article: PubMed Central - PubMed

Affiliation: Department of Family Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

ABSTRACT

Background: Having usual source of care has been associated with improved receipt of preventive services and control of chronic diseases (such as hypertension, diabetes, and hypercholesterolemia). The objective of this study was to examine whether having usual source of care is associated with improved receipt of preventive services and control of chronic diseases.

Methods: We searched MEDLINE, EMBASE, Cochrane, CINAHL, KMbase, KoreaMed, RiSS4U, National Assembly Library, and KISS for studies released through May 31st 2011. Two authors independently extracted the data. We manually searched the references and twenty recent related articles on PubMed. To assess the risk of bias RoBANS tool was used.

Results: We identified 10 studies. Most having usual source of care were associated with improved receipt of preventive services (cervical cancer screening, clinical breast exam, mammogram, prostate cancer screening, and flu shot) compared with no usual source of care. However, gastric cancer and colon cancer screening were difficult to conclude and blood pressure checkup showed mixed results. Overall there was no association between having usual source of care and smoking behaviors and the effect on chronic disease control was difficult to conclude.

Conclusion: Having usual source of care was associated with improved receipt of preventive services and overall the results were consistent. So, the results suggested that having usual source of care may help to receive preventive services. Hereafter, cohort studies are needed to evaluate casual relationships and more studies are needed in various countries and systems.

No MeSH data available.


Related in: MedlinePlus