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Our 3 Step Primary Care Program is apparently successful. The first year program focused on 3 types of intervention: 1. Interventions to influence reinforcing factors (i.e. finding rapport among significant community leaders) 2. Interventions to alter predisposing factors (i.e. presenting informative material in a palatable memorable form) 3. Interventions to enable physicians to make change (through an innovative program of patient instructors and office practice changes). Next year's program will include reinforcing and enabling strategies: a repeat patient instructor encounter in the doctor's office and a more intensive office practice intervention. Final evaluation of the success of our physician intervention awaits completion of the program and evaluation of the change in breast health counselling, in the practice of breast physical exam and in the number of routine screening mammograms performed in this community.
M E Costanza, and
H L Greene, and
J G Zapka, and
R S Barth, and
C J D'Orsi, and
M D Wertheimer
December 1996,
Texas medicine,
M E Costanza, and
H L Greene, and
J G Zapka, and
R S Barth, and
C J D'Orsi, and
M D Wertheimer
January 2002,
Journal of cancer education : the official journal of the American Association for Cancer Education,
M E Costanza, and
H L Greene, and
J G Zapka, and
R S Barth, and
C J D'Orsi, and
M D Wertheimer
March 1988,
Primary care,
M E Costanza, and
H L Greene, and
J G Zapka, and
R S Barth, and
C J D'Orsi, and
M D Wertheimer
December 2012,
American journal of preventive medicine,
M E Costanza, and
H L Greene, and
J G Zapka, and
R S Barth, and
C J D'Orsi, and
M D Wertheimer
August 1996,
Journal of community health,
M E Costanza, and
H L Greene, and
J G Zapka, and
R S Barth, and
C J D'Orsi, and
M D Wertheimer
January 1990,
Progress in clinical and biological research,
M E Costanza, and
H L Greene, and
J G Zapka, and
R S Barth, and
C J D'Orsi, and
M D Wertheimer
February 1998,
Atencion primaria,
M E Costanza, and
H L Greene, and
J G Zapka, and
R S Barth, and
C J D'Orsi, and
M D Wertheimer
August 1993,
Cancer,
M E Costanza, and
H L Greene, and
J G Zapka, and
R S Barth, and
C J D'Orsi, and
M D Wertheimer
November 2001,
Gynecologic oncology,
M E Costanza, and
H L Greene, and
J G Zapka, and
R S Barth, and
C J D'Orsi, and
M D Wertheimer
February 2011,
Medical care,
