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CURRENT Practice Guidelines In Primary Care 2008

Current Practice Guidelines in Primary Care, 2008 is intended for primary care clinicians, including not only residents and practicing physicians in the specialties of family medicine, internal medicine, pediatrics, and obstetrics and gynecology, but also medical and nursing students during their ambulatory care rotations, registered nurses, nurse practitioners, and physician assistants. Its purpose is to make screening, prevention, and management recommendations readily accessible and available for clinical decision making. The recommendations included are issued by governmental agencies, expert panels, medical specialty organizations, and other professional and scientific organizations | CURRENT PRACTICE GUIDELINES in PRIMARY CARE 120081 QUICK ACCESS TO Disease Screening Disease Prevention Disease Management Ralph Gonzales 3 Jean Kutner LANGE A Report Card on U.S. Health Care Delivery HEDIS 2005 Effectiveness of Care Measures 2005 National Average Commercial HMO Rates 2005 Medicaid HMO Rates Antibiotic use Appropriate antibiotic use for adults with uncomplicated acute bronchitis lower better 66 69 Appropriate antibiotic use for pediatric URIs 83 83 Antidepressant medication management Acute phase treatment 61 46 Continuation phase treatment 45 30 Asthma medication management All ages 90 86 Beta-blocker treatment after acute myocardial infarction 97 86 Cancer screening Breast cancer mammography 72 54 Cervical cancer Pap smear 82 65 Colorectal cancer 52 Chlamydia screening age 16-20 years 34 49 Comprehensive diabetes care HbA1c testing 88 76 Poor HbA1c control percent 9.5 30 49 Eye exams 55 49 Lipid screening 92 81 Lipid control percent LDL 100 mg dL 44 33 Monitoring nephropathy 55 49 Controlling hypertension percent 140 90 mm Hg 69 61 Influenza vaccination for adults 36 Strep testing in pediatric pharyngitis 70 52 Tobacco advising smokers to quit 71 66 Source http www.ncqa.org Copyright 2008 by The McGraw-Hill Companies Inc. Copyright 2000 through 2007 by The McGraw-Hill Companies Inc. Click here for terms of use. a LANGE medical book CURRENT Practice Guidelines In Primary Care 2008 Ralph Gonzales MD MSPH Professor of Medicine Division of General Internal Medicine University of California San Francisco San Francisco California Jean S. Kutner MD MSPH Associate Professor of Medicine and Division Head Division of General Internal Medicine University of Colorado at Denver and Health Sciences Center Denver Colorado New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney .