U'S' Preventive Services Task Force

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U.S. Preventive Services Task Force

• http//www.ahrq.gov/clinic/uspstfix.htm

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AHRQ and Prevention

• AHRQ Mission Improve quality, access and costs
  of medical care.
• Emphasis on evidence-based practice
• right treatment for the right patient at the
  right time
• Focus on clinical end of prevention
• delivered by doctors and nurses in health care
  setting

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History of USPSTF

• 1984 - USPSTF established by PHS
• 1989 - Guide to Clinical Preventive Services
• 1996 - 2nd Edition of Guide (over 200
  interventions, 70 conditions)
• 1998 - USPSTF re-convened by AHRQ
• 2001 - 3rd USPSTF begins release of
  recommendations

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USPSTF Composition

• Government support, but independent
• Experts in primary care, prevention, research
• Family medicine, internal medicine, pediatrics,
  obstetrics/gynecology, nursing, preventive
  medicine
• Scientific support from two university centers
• Liaisons from primary care subspecialty
  societies, Federal agencies

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USPSTF Mission

• Evaluate scientific evidence of effectiveness of
  individual clinical preventive services (CPS)
• Age- and risk-factor specific recommendations for
  routine practice
• Build consensus for effective CPS
• Help guide research agenda

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USPSTF Products

• Systematic Evidence Review
• Tables, bibliography
• Summary of Evidence
• Recommendations and Rationale
• Includes clinical considerations

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Put Prevention Into Practice

• Originally launched 1994 by DHHS
• Implementation of USPSTF recommendations
• Step-by-Step Guide to Delivering Clinical
  Preventive Services A Systems Approach
• Clinicians Handbook (2nd ed.), patient guides,
  office materials

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