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But even if you arrive on time...

Establishing a

Health Baseline

Pre-visit questionnaire?

outside records?

Immunizations?

Ed or Specialist visits?

Other Doctors?

family history?

The "who, what, when, where, why and how" of connecting to the medical world.

Mary James, MD

Stanford Senior Care

1. Provider

2. Insurance Coverage?

3. Personal Preference

The First Visit

How to get off to a good start with your new provider as you establish your healthcare baseline.

The Case For

Pen & Paper

list of questions/concerns

Pill Bottles

Calendar

Fasting?

(snack)

Labs?

Studies?

Vaccinations?

Referrals?

A baseline

(from a slightly biased point of view)

Specialty care

is not always the answer...

THE DATA

Limitations of "nay" studies

Survey Says...

66% of Patients

  • Older Trials (1963-1999): do not account for potential benefits of newer treatments
  • Setting of Exams: mostly outside of primary care office
  • The "usual reasons" trials aren't so great...

prefer to have an annual physical exam

Another Systematic Review...

meta-analysis

21 Studies

10 Randomized Controlled Trials

Conclusions:

Multiple positive effects on patients who underwent recommended screenings such as PAP smears, cholesterol measurement, FOB

Found to decrease "patient worry"

14 Randomized Controlled Trials

182,880 Adults

Another study...

(International Journal of Health Services)

more pcps per capita

had

States with

LOWER

Rates of Cardiovascular Disease

Rates of Cerebrovascular Events

Rates of Cancer

General Health Checks

do not:

general health checks

Decrease MORBIDITY or MORTALITY related to:

Cardiovascular Disease

Cancer

(#1 cause of death in the US @ 596,577 deaths/year)

YET ANOTHER STUDY...

(#2 cause of death in the US @ 576,691 deaths/year)

"Having a PCP is associated with a longer lifespan."

General Health Checks

no change

in

Rates of Cardiovascular Disease

Rates of Cerebrovascular Events

Rates of Cancer

From a strictly business standpoint...

no change in:

Hospital Admissions

Referrals to Specialists

Work Absences

one

The thing general health exams do increase is:

OVERALL

# of DIAGNOSES

WHO?

WHAT?

NAY

YAY

WHY?

HOW?

WHEN?

You may still end up waiting...

Don't forget OTC meds (Tylenol, Advil, etc) Vitamins and supplements

What to Expect

The End

Come Prepared

Find the right person

do your homework

arrive early

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