The National Commission on Prevention Priorities updated its 2006 ranking of clinical preventive services to show the cost-effectiveness and health impact of preventive services for which strong evidence of value exists, according to a report in Annals of Family Medicine.1
Researchers used microsimulation modeling to evaluate the relative health impact and cost-effectiveness of 28 clinical preventive services. All these services have strong evidence of effectiveness from the US Preventive Services Task Force and the Advisory Committee on Immunization Practices. The National Commission on Prevention Priorities worked with HealthPartners Institute on this research.
The 3 highest-ranking services each had a total score of 10, the highest possible score. These were immunizations for children, counseling for the prevention of initiation of tobacco use in youth, and screening of tobacco use with interventions to promote the cessation of tobacco use in adults.
High-ranking services had scores of 6 or higher and included discussion of aspiring use with high-risk adults (8), screening for colorectal cancer (8), screening for cervical cancer (8), screening for alcohol misuse with brief intervention (8), cholesterol screening (7), chlamydia and gonorrhea screening (7), hypertension screening (7), healthy diet counseling for patients at higher risk for cardiovascular disease (6), abdominal aortic aneurysm screening in men at high risk (6), obesity screening (6), human papillomavirus immunization (6), syphilis screening (6), influenza immunization, HIV screening (6), and vision screening in children (6).
Just 6 recommended preventive services changed score by more than 1 point since 2001. The researchers expect this finding should reassure health care providers and health systems that make great efforts to incorporate these results in efforts to improve quality.
Substantial opportunity remains for primary care services to improve population-wide health by increasing execution of these evidence-based services.
1. Maciosek MV, LaFrance AB, Dehmer SP, et al. Updated Priorities Among Effective Clinical Preventive Services. Ann Fam Med. 2017 Jan. doi: 10.1370/afm.2017.