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A tailored, multifaceted programme in capitation-based family practices improved appropriate use of preventive care manoeuvres

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 QUESTION: Can a multifaceted intervention programme using nurse facilitators improve preventive care (increased rates of recommended preventive care manoeuvres and decreased rates of non-recommended manoeuvres) in capitation-based family medicine practices?


Randomised {allocation concealed*}, unblinded,* controlled trial with 18 months of follow up.


46 capitation-based health services organisations (HSOs) in family practice settings in Ontario, Canada.


46 HSOs were allocated, and 45 were analysed (64% group practices, 53% university affiliated, mean of 3 physicians per practice, and mean age of patients 47 y).


23 HSOs were allocated to each intervention. Intervention HSOs were assigned to 1 of 3 nurse facilitators. The nurse made several visits and worked with the practice physicians and staff as a facilitator to adopt a 7-component programme to each practice's needs and wishes. The intervention strategies were designed …

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  • Source of funding: Ontario Ministry of Health.

  • For correspondence: Dr W Hogg, Department of Family Medicine, University of Ottawa, 210 Melrose Avenue, Ottawa, Ontario K1Y 4K7, Canada. Fax +1 613 724 6432.

  • * See glossary.

  • Information provided by author.