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SERVICES
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Preventive Medical Services
The California Institutes of Preventive Medicine offers three categories of products and services:
- Health Risk Evaluation - This can be used as a stand-alone product or as a part of the Comprehensive Medical Evaluation as noted below. A comprehensive health risk evaluation termed Personal Health Profile is created for each patient from the data of the world famous Framingham Study. PHP analyzes and quantifies health risks and proposes and analyzes steps that can be taken to reduce those risks.
In an industrial setting, health risk evaluation can be used inexpensively to screen large numbers of persons in order to determine where the at-risk employees are and provide further evaluation in the comprehensive biopsychosocial process.
- Comprehensive Medical Evaluation - a comprehensive Biopsychosocial Evaluation that is rarely found in medical practice today. Because we are organized to serve a high volume of patients, we can provide this evaluation at less than half the cost of an average, much less comprehensive, community medical evaluation. It is carried out in two visits.
Patients complete a comprehensive, 500-item questionnaire prior to Visit One of their medical evaluation. This may be done over the Internet or on a paper copy or on a touchscreen computer in our offices. See the typical medical measurements and responses to a typical Health Evaluation Questionnaire.
Information is also gathered to generate SF-36, a standardized measure of overall functioning that allows us and the individual patient to readily assess how their functioning in different areas of life compares to others.
Between Visits 1 and 2, Personal Health Profile, a multi-page health risk analysis is sent to the patient. This compares this individual to the long-term data of the Framingham Study and starts shaping that individual's thinking about relevant areas of any health risks before his appearance for Visit 2. We have provided an anonymized example.
At Visit 2 the Medical Examiner reviews the digitized patient summary and laboratory results prior to examining the patient. SF-36 is reviewed and banked for comparison in future years. In the broadest sense, each individual ends up defined as being well, at risk, or ill. The most important findings are discussed with the patient during this visit. A small group meeting of several patients is immediately held to stimulate motivation for change. A 'coaching' telephone call is made a few days later, further to stimulate motivation for change.
Several days after the examination, the final step occurs when we send a multi-page Letter of Summary (in this case for a diabetic patient) to the patient. The Letter of Summary specifies all findings and explains their significance and implications in detail.
- Risk Abatement Programs- a wide range of sophisticated programs are available to help individuals with the most common health-risk problems in this country. A psychodynamic approach underlies our approach to most of these problems because it is clear that helping individuals discover why are overeating, using alcohol excessively, smoking heavily, etc. is important in helping them learn to deal differently with the stressors underlying these various coping devices.
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