Priorities among effective clinical preventive services in British Columbia, Canada

Krueger, Hans; Robinson, Sylvia; Hancock, Trevor; Birtwhistle, Richard; Buxton, Jane A.; Henry, Bonnie; Scarr, Jennifer; Spinelli, John J.

doi:10.1186/s12913-022-07871-0

BMC Health Services Research

Table 1 Potential clinical preventive services in BC. Summary of the applicable cohort, service frequency and coverage

From: Priorities among effective clinical preventive services in British Columbia, Canada

*Clinical Preventive Service*	*Cohort / Timing*	*Frequency / Intensity*	*Estimated Coverage*		*Reference* for BiW
*Clinical Preventive Service*	*Cohort / Timing*	*Frequency / Intensity*	BC	BiW	*Reference* for BiW
Screening / treatment for depression	Ages 12-18	Annually	Unknown	7.4%	[16]
Interventions to support breastfeeding	During pregnancy and after birth	Multiple sessions	Unknown	46%	[17]
Screening for obesity and referral to comprehensive, intensive behavioral intervention to promote improvement in weight status	Ages 6-17	Screening – at all appropriate primary care visits	Unknown	13%	[18]
	Ages 6-17	Intervention – attendance at > 70% of 10 2-h sessions	7.2%	7.2%	[19]
Preventing tobacco use	Ages 6-17	Annually	Unknown	53%	[20]
Application of fluoride varnish	On primary tooth at time of eruption (ages 1-5)	Every 6 months	Unknown	62%	[21]
Application of dental sealants	On permanent teeth at time of tooth eruption (ages 6-12)	4 times (on 1st and 2nd bicuspids & molars)	Unknown	59%	[22]
Screening / treatment for breast cancer	Ages 50-74	Every 2-3 years	52%	88%	[23]
Screening / treatment for cervical cancer (cytology-based)	Ages 25-69	Every 3 years	69%	88%	[24]
Addition of HPV-based cervical cancer screening	Ages 30-65	Every 5 years	0%	88%	[24]
Screening / treatment for colorectal cancer	Ages 50-74	FOBT every 2 years or sigmoidoscopy every 10 years	50%	76%	[25]
Screening / treatment for lung cancer	Ages 55 - 74 with a 30 pack-year smoking history	Annually for 3 consecutive years	Unknown	6%/60%	[26]
Screening / treatment for hypertension	Ages 18 and older	At least once every 2 years	Unknown	79%	[27]
Screening / treatment for CVD	Ages 40-74	Screening - once every 5 years	Unknown	48%	[28]
Screening / treatment for CVD	Ages 40-74	Treatment - ongoing	Unknown	30%	[29, 30]
Screening / treatment for type 2 diabetes	Ages 18 and older – risk assessment	Every 3-5 years	Unknown	58%	[31]
	High risk for T2DM – blood glucose	Every 3-5 years	Unknown	80%	[32]
	Very high risk for T2DM – blood glucose	Every year	Unknown	80%	[32]
Screening / treatment for depression	Non-pregnant adults ages 18 and older	At least once	Unknown	12%	[33]
Screening / treatment for depression	Pregnant and postpartum females	At least once per birth by 8 weeks postnatally	Unknown	39%	[34]
Screening / treatment for osteoporosis	Females age 65	One-time	Unknown	58%	[35]
Screening / treatment for abdominal aortic aneurysm	Males age 65 who have ever smoked	One-time	Unknown	86%	[36]
Screening / treatment for HIV	Ages 15 – 65	Low risk – once	20%	45%	[37]
		Increased risk – every 3-5 years	20%	63%	[38]
		Very high risk – every year	20%	83%	[39]
		During all pregnancies	96%	97%	[39]
Screening / treatment for chlamydia and gonorrhea	Sexually active females 24 years of age or younger	When sexual history reveals new or persistent risk factors since the last negative test	Unknown	55%	[40]
Screening / treatment for HCV	Adults born between 1945 & 1965	One-time	33%	48%	[41]
Screening and BCI for the prevention of sexually transmitted infections	All sexually active adolescents and adults who are at increased risk for STIs	30 min to ≥2 h of intensive behavioural counseling	Unknown	29%	[42]
Screening and BCI to prevent tobacco use	Ages 18 and older	Up to 90 min of total contact time, during multiple contacts	19%	51%	[43]
Screening and BCI to prevent alcohol misuse	Ages 18 and older	Screening – annually during primary care visit	Unknown	93%	[44]
		Screening – during pregnancy	Unknown	97%	[45]
		Brief intervention – three 10 min sessions	Unknown	41%	[46]
Screening for and management of obesity	Ages 18 and older	Screening – ongoing	Unknown	73%	[47]
Screening for and management of obesity	Ages 18 and older	Management – at least one-time of 12-26 sessions in a year	Unknown	33%	[48]
Screening / treatment to prevent falls in the elderly	Community-dwelling elderly ages 65+	Screening for risk - every year	Unknown	18%	[49]
		Exercise - at least 150 min of moderate intensity / week	Unknown	Unknown
		Vitamin D suppl. - 800 IU / day for at least 12 months	Unknown	61%	[50]
Routine aspirin use for the prevention of CVD disease and CRC	Age 50-69 with a 10% or greater 10-year CVD risk & at low risk of bleeding	Screening for CVD risk - at age 50-59	Unknown	33%	[51]
		Screening for bleeding risk - at age 50-59	Unknown	33%	[51]
		Management - low-dose daily aspirin use for 10 years	Unknown	24%	[52]
Folic acid supplementation for the prevention of neural tube defects	Reproductive-age females	0.4 to 0.8 mg (400 − 800 μg) of folic acid daily	Unknown	34%	[50]

Abbreviations: BC British Columbia, BiW ‘Best in the World’, BCI Behavioural counselling intervention, CVD Cardiovascular disease, HIV Human immunodeficiency virus, HCV Hepatitis C virus, CRC Colorectal cancer

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ISSN: 1472-6963

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