{"id":"https://openalex.org/W2201575363","doi":null,"title":"Competing demands of primary care: a model for the delivery of clinical preventive services.","display_name":"Competing demands of primary care: a model for the delivery of clinical preventive services.","publication_year":1994,"publication_date":"1994-02-01","ids":{"openalex":"https://openalex.org/W2201575363","mag":"2201575363","pmid":"https://pubmed.ncbi.nlm.nih.gov/8308509"},"language":"en","primary_location":{"id":"pmid:8308509","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8308509","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of family practice","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5015603786","display_name":"Carlos Roberto Ja\u00e9n","orcid":"https://orcid.org/0000-0001-5904-4719","observed_orcids":["https://orcid.org/0000-0001-5904-4719"]},"institutions":[{"id":"https://openalex.org/I63190737","display_name":"University at Buffalo, State University of New York","ror":"https://ror.org/01y64my43","country_code":"US","type":"education","lineage":["https://openalex.org/I63190737"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"C R Ja\u00e9n","raw_affiliation_strings":["Department of Family Medicine, School of Medicine and Biomedical Sciences, State University of New York at Buffalo 14208","SUNY\u2013Buffalo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, School of Medicine and Biomedical Sciences, State University of New York at Buffalo 14208","institution_ids":["https://openalex.org/I63190737"]},{"raw_affiliation_string":"SUNY\u2013Buffalo","institution_ids":["https://openalex.org/I63190737"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034918030","display_name":"Kurt C. Stange","orcid":"https://orcid.org/0000-0002-2189-0191","observed_orcids":["https://orcid.org/0000-0002-2189-0191"]},"institutions":[{"id":"https://openalex.org/I63190737","display_name":"University at Buffalo, State University of New York","ror":"https://ror.org/01y64my43","country_code":"US","type":"education","lineage":["https://openalex.org/I63190737"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K C Stange","raw_affiliation_strings":["SUNY\u2013Buffalo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"SUNY\u2013Buffalo","institution_ids":["https://openalex.org/I63190737"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110194492","display_name":"Paul Nutting","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I63190737","display_name":"University at Buffalo, State University of New York","ror":"https://ror.org/01y64my43","country_code":"US","type":"education","lineage":["https://openalex.org/I63190737"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"P A Nutting","raw_affiliation_strings":["SUNY\u2013Buffalo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"SUNY\u2013Buffalo","institution_ids":["https://openalex.org/I63190737"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I63190737"],"apc_list":null,"apc_paid":null,"fwci":7.6022,"has_fulltext":false,"cited_by_count":459,"citation_normalized_percentile":{"value":0.97327044,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":91,"max":100},"biblio":{"volume":"38","issue":"2","first_page":"166","last_page":"71"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14212","display_name":"Health Promotion and Cardiovascular Prevention","score":0.9692000150680542,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14212","display_name":"Health Promotion and Cardiovascular Prevention","score":0.9692000150680542,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.02329999953508377,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.004100000020116568,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/clinical-preventive-services","display_name":"clinical preventive services","score":0.9879999756813049},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.9629999995231628},{"id":"https://openalex.org/keywords/physician-workload","display_name":"physician workload","score":0.6169999837875366},{"id":"https://openalex.org/keywords/competing-demands","display_name":"competing demands","score":0.8629999756813049},{"id":"https://openalex.org/keywords/screening","display_name":"screening","score":0.4359999895095825},{"id":"https://openalex.org/keywords/behavior-change-counseling","display_name":"behavior change counseling","score":0.8880000114440918},{"id":"https://openalex.org/keywords/chronic-disease","display_name":"chronic disease","score":0.6100000143051147},{"id":"https://openalex.org/keywords/psychosocial-problems","display_name":"psychosocial problems","score":0.9160000085830688},{"id":"https://openalex.org/keywords/physician-behavior","display_name":"physician behavior","score":0.4909999966621399}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.891994059085846},{"id":"https://openalex.org/C2984730517","wikidata":"https://www.wikidata.org/wiki/Q1773974","display_name":"Preventive care","level":3,"score":0.733440101146698},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.6129555702209473},{"id":"https://openalex.org/C52207206","wikidata":"https://www.wikidata.org/wiki/Q1773974","display_name":"Preventive healthcare","level":3,"score":0.5548904538154602},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.5368248820304871},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5172920227050781},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4147742986679077},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.38410302996635437},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3637007474899292},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3629961311817169},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.27537816762924194},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2467486560344696},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.1063789427280426},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006301","descriptor_name":"Health Services Needs and Demand","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010817","descriptor_name":"Physician-Patient Relations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011314","descriptor_name":"Preventive Health Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D017146","descriptor_name":"Models, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:8308509","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8308509","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of family practice","raw_type":"Journal Article"},{"id":"mag:2201575363","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8308509","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.979200005531311,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1889567604","https://openalex.org/W2416676091","https://openalex.org/W1567997353","https://openalex.org/W96594714","https://openalex.org/W2418995215","https://openalex.org/W1502642703","https://openalex.org/W1504919280","https://openalex.org/W4214746382","https://openalex.org/W2402879508","https://openalex.org/W2108235331"],"abstract_inverted_index":{"Despite":[0],"a":[1,32,87,118],"high":[2],"level":[3],"of":[4,9,14,38,70,81,97,108,121],"support":[5],"for":[6,56,60],"the":[7,28,36,95,106],"importance":[8],"clinical":[10,82],"prevention,":[11],"physician":[12,79,122],"delivery":[13,80,96],"preventive":[15,40,64,83,98,109],"services":[16,41,84],"falls":[17],"well":[18],"below":[19],"recommended":[20],"levels.":[21],"Competing":[22],"demands":[23,45,77],"faced":[24],"by":[25],"physicians":[26,93],"during":[27],"medical":[29],"encounter":[30],"present":[31],"major":[33],"barrier":[34],"to":[35,42,90],"provision":[37],"specific":[39],"patients.":[43],"These":[44],"include":[46],"acute":[47],"care,":[48],"patient":[49],"requests,":[50],"chronic":[51],"illnesses,":[52],"psychosocial":[53],"problems,":[54],"screening":[55],"asymptomatic":[57],"disease,":[58],"counseling":[59],"behavior":[61],"change,":[62],"other":[63],"services,":[65],"and":[66,68,85,115],"administration":[67],"management":[69],"care.":[71],"This":[72,100],"paper":[73],"outlines":[74],"how":[75],"competing":[76],"affect":[78],"provides":[86],"model":[88,101],"designed":[89],"help":[91],"practicing":[92],"improve":[94],"services.":[99],"can":[102,116],"be":[103],"helpful":[104],"in":[105,111],"planning":[107],"interventions":[110],"primary":[112],"care":[113],"settings":[114],"facilitate":[117],"better":[119],"understanding":[120],"behavior.":[123]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":8},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":11},{"year":2019,"cited_by_count":15},{"year":2018,"cited_by_count":15},{"year":2017,"cited_by_count":22},{"year":2016,"cited_by_count":17},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":20},{"year":2013,"cited_by_count":22},{"year":2012,"cited_by_count":18}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
