Table 3. Physician Ratings of Their Likelihood of Discussing Major Preventive Recommendations During the Current Visita.
| Recommendation | Mean score (95% CI)b | Physicians likely to discuss each service (≥4.00 of 5.00 on Likert scale), No. (%)b | ||
|---|---|---|---|---|
| 40 min for new-patient visit | 20 min for a minor, acute illness with 5 min left over | 40 min for new-patient visit | 20 min for a minor, acute illness with 5 min left over | |
| Patient 1 | ||||
| Glycemic control | 4.95 (4.91-4.99) | 4.14 (3.95-4.34) | 136 (99) | 100 (73) |
| Blood pressure control | 4.94 (4.90-4.99) | 4.39 (4.23-4.56) | 136 (99) | 118 (86) |
| Smoking cessation | 4.87 (4.80-4.94) | 4.30 (4.10-4.49) | 134 (98) | 109 (80) |
| Lipid level control | 4.77 (4.67-4.87) | 3.30 (3.07-3.54) | 127 (93) | 68 (50) |
| Weight loss | 4.72 (4.61-4.82) | 3.25 (3.01-3.48) | 129 (94) | 62 (45) |
| Breast cancer screening | 4.67 (4.54-4.80) | 3.31 (3.05-3.57) | 128 (93) | 69 (50) |
| Healthy diet | 4.58 (4.45-4.71) | 3.16 (2.90-3.42) | 119 (87) | 62 (45) |
| Exercise | 4.58 (4.45-4.70) | 3.04 (2.80-3.29) | 120 (88) | 54 (39) |
| Colorectal cancer screening | 4.33 (4.14-4.52) | 2.58 (2.32-2.84) | 109 (80) | 43 (31) |
| Cervical cancer screening | 4.02 (3.80-4.24) | 2.23 (1.99-2.47) | 98 (72) | 28 (20) |
| Aspirin therapy | 3.88 (3.66-4.10) | 2.33 (2.10-2.56) | 92 (67) | 28 (20) |
| Depression screening | 3.77 (3.55-3.98) | 2.33 (2.08-2.57) | 80 (58) | 33 (24) |
| Lung cancer screening | 2.86 (2.60-3.12) | 1.64 (1.46-1.81) | 49 (36) | 11 (8) |
| Patient 2 | ||||
| Blood pressure control | 4.94 (4.89-4.99) | 4.61 (4.47-4.74) | 136 (99) | 127 (93) |
| Smoking cessation | 4.92 (4.87-4.98) | 4.64 (4.50-4.78) | 136 (99) | 125 (91) |
| Lipid level control | 4.76 (4.66-4.86) | 3.54 (3.32-3.76) | 128 (93) | 73 (53) |
| Colorectal cancer screening | 4.73 (4.59-4.87) | 3.68 (3.43-3.93) | 128 (93) | 84 (61) |
| Weight loss | 4.61 (4.49-4.74) | 2.93 (2.69-3.16) | 128 (93) | 48 (35) |
| Diabetes screening | 4.57 (4.43-4.70) | 2.77 (2.52-3.01) | 122 (89) | 46 (34) |
| Exercise | 4.49 (4.34-4.64) | 2.88 (2.63-3.12) | 118 (86) | 46 (34) |
| Healthy diet | 4.45 (4.30-4.61) | 2.93 (2.68-3.18) | 115 (84) | 50 (36) |
| Depression screening | 3.56 (3.33-3.80) | 2.15 (1.93-2.38) | 70 (51) | 24 (18) |
| Prostate cancer screening | 3.51 (3.24-3.78) | 1.99 (1.77-2.22) | 77 (56) | 22 (16) |
| Aspirin therapy | 3.45 (3.18-3.71) | 2.15 (1.92-2.37) | 75 (55) | 29 (21) |
| Lung cancer screening | 2.92 (2.65-3.19) | 1.75 (1.57-1.94) | 58 (42) | 12 (9) |
a
We presented a 2 × 2 factorial of 2 visit lengths and 2 hypothetical patients who were new to the physician and were eligible for at least 11 preventive services. We then asked physicians to report their likelihood of discussing each service during the current encounter.
b
Scored from 1 for definitely not discuss this visit to 5 for definitely discuss this visit.