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Fig. 2 | BMC Health Services Research

Fig. 2

From: Association between patient-reported HIV status and provider recommendation for screening in an opportunistic cervical Cancer screening setting in Jos, Nigeria

Fig. 2

A Systems Model of Clinical Preventive Care: An Analysis of Factors Influencing Patient and Physician. In: Judith M.E. Walsh, Health Educ Behav, 1992 [26]. (1. Outcomes are defined as decreased disease incidence, decreased morbidity, and decreased mortality. 2. Predisposing factors related to the motivation to perform a particular health behavior. Patient predisposing factors include demographics; beliefs (health beliefs); attitudes; expectations; motivation (internal locus of control); self-efficacy; health value orientation. Physician predisposing factors include demographics; gender; ethnicity; language concordance; beliefs; attitudes; prior clinical experiences; and personal health preferences. 3. Enabling factors include education; health knowledge; skills; income; logistical factors; and physiologic factors. Physician enabling factors include training; technical expertise; knowledge; logistical factors; and availability of materials. 4. Reinforcing factors are those that support or reward the behavior. Patient reinforcing factors include social support/approval and inherent reinforcement value of the preventive activity. Physician reinforcing factors include patient satisfaction; support/approval of peers; and case finding. 5. Health care delivery system/organizational factors include access to care; availability of technology and personnel; organizational priorities; structure of the office practice; reimbursement; and coordination with community resources. 6. Preventive activity factors are features of the preventive activity itself and include costs; risks; efficacy; and effectiveness. 7. Situational factors/cues to action are triggers to health behavior and include internal cues, such as symptoms and external cues such as physician reminders

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