Establishing Priorities Among Effective Clinical Prevention Services in British Columbia: Reference Document and Key Assumptions
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Establishing Priorities among Effective Clinical Prevention Services in British Columbia Reference Document and Key Assumptions October 2019 Update Acknowledgments This project was completed under the guidance of the Lifetime Prevention Schedule Expert Committee. Current committee members are: • Stephen Smith (chair) - Director, Life Course Prevention, Population and Public Health Division, BC Ministry of Health • Ann Wang, Policy Analyst, Lifetime Prevention Schedule, Population and Public Health Division, BC Ministry of Health • Richard Birtwhistle - Director, Centre for Studies in Primary Care, Department of Family Medicine, Queen's University • Bruce Brady - Senior Economist, Health Sector Information, Analysis and Reporting Division, BC Ministry of Health • Jane Buxton - Public Health and Preventive Medicine Specialist, University of British Columbia • Diana Dawes - Clinical Associate Professor, Faculty of Medicine, Department of Physical Therapy, UBC • Martin Dawes - Professor of Family Practice, Department of Family Practice, Faculty of Medicine, UBC • Brian Emerson – A/Deputy Provincial Health Officer, Office of the Provincial Health Officer, BC Ministry of Health • Tijana Fazlagic – A/Executive Director, Pharmacare Benefits, Pharmaceutical Therapies & Pharmacare Division, BC Ministry of Health • Shannon Gibson – Manager, Guidelines and Protocols and Patients as Partners, Primary Care Division, BC Ministry of Health • Bonnie Henry – Provincial Health Officer, BC Ministry of Health • Zahra Hussein – Provincial Lead, Primary Care, Child Health BC • Robyn Mackenzie (secretariat) – Manager, Projects and Strategic Initiatives, Population and Public Health Division, BC Ministry of Health • Megan Oakey – Provincial Manager, Injury Prevention, Population and Public Health, BCCDC • Aciemme (Sam) Ospan -Senior Manager, Lifetime Prevention Schedule, Healthy Living and Health Promotion Branch, BC Ministry of Health • Johnathan Robinson – Executive Director, Healthy Living & Health Promotion, Population and Public Health Division, BC Ministry of Health • Jennifer Scarr - Provincial Director, Primary Care and Preventive Health, Child Health BC • John Spinelli - Vice President, Population Oncology, BC Cancer • George Watson - Family Physician, General Practice Services Committee • Glenys Webster - Director, Women's Maternal and Early Childhood Health, Population and Public Health Division, BC Ministry of Health October 2019 Page 2 We acknowledge the following people who have previously made contributions to the Lifetime Prevention Schedule: Trevor Hancock, Michael Maciosek, Charlyn Black, Nichola Manning, Leigh Ann Seller, Elisabeth Wagner, Kevin Samra, Malcolm Maclure, Lucy Wright, Laurianne Jodoin, Robert Woollard, Tracy Monk, Jim Thorsteinson, Fred Bass, Lloyd Oppel, Shannon Turner, Veronic Oullette, Brian O’Connor, Jan McIntosh, Dan Horvat, John Millar, Sylvie Berube, David Patrick, Andy Coldman, John Feightner, Bill Hogg, Ned Calonge, Vicki Foerster, Eric France, James Murtagh, Leigh-Ann Topfer, Catriona Park, Robert Brunham, John Carsley, Joan Geber, Nicolette McGuire, Warren O’Briain, Janet Walker, James Watson, Teresa Chiesa, Jean Clinton, Mark Gilbert, Mel Krajden, Wendy V. Norman, Ciro Panessa, Carla Springinotic, Lisa Kan, Christina Kay, Donna Bush, Rebecca John, Joanna Richards, Alyse Capron, David Byres, Margaret Case, Matt Herman, Trish Hunt, Adam King, Bryan Melnyk. Tamil Kendall, Victoria Lee, Janice Linton, Darcy Rinta, Zhiying Song, Pam Parkinson, Zachary Young, Keren Massey, York Hsiang, Jana Davidson, Susan Purkiss, Kelly Price, Linda Phillips, Naomi North, Jim Dooner, Danielle Berg October 2019 Page 3 Table of Contents ACKNOWLEDGMENTS ........................................................................................................................................... 2 TABLE OF CONTENTS ............................................................................................................................................ 4 INTRODUCTION ....................................................................................................................................................... 8 AN OVERVIEW OF THE PROCESS .................................................................................................................... 10 KEY ASSUMPTIONS ............................................................................................................................................... 14 DUPLICATION OF EFFORT ......................................................................................................................................... 14 DELIVERY MECHANISM(S) ....................................................................................................................................... 14 PATIENT COSTS ........................................................................................................................................................ 14 SPILLOVER EFFECTS ................................................................................................................................................. 15 BROADER SOCIETAL COSTS ..................................................................................................................................... 16 DISCOUNTING ........................................................................................................................................................... 17 INCORPORATING INFORMATION ON CURRENT COVERAGE ....................................................................................... 17 INCORPORATING KEY RECENT EVIDENCE ................................................................................................................ 17 FOCUS ON THE BEST AVAILABLE EVIDENCE FOR A CONSERVATIVE APPROACH TO IMPLEMENTATION .................... 18 REFERENCE SECTION.......................................................................................................................................... 19 CPS INTERVENTION RATE ........................................................................................................................................ 19 Summary .............................................................................................................................................................. 20 Vision Screening ................................................................................................................................................. 21 Measurement ..................................................................................................................................................................... 21 In British Columbia ........................................................................................................................................................... 21 Best in the World ............................................................................................................................................................... 21 Screening for Major Depressive Disorder – Children/Youth ............................................................................ 21 Measurement ..................................................................................................................................................................... 21 In British Columbia ........................................................................................................................................................... 21 Best in the World ............................................................................................................................................................... 21 Interventions to Support Breastfeeding ............................................................................................................. 22 Measurement ..................................................................................................................................................................... 22 In British Columbia ........................................................................................................................................................... 22 Best in the World ............................................................................................................................................................... 22 Screening For Growth Monitoring and Healthy Weight Management – Children/Youth .............................. 22 Measurement ..................................................................................................................................................................... 23 In British Columbia ........................................................................................................................................................... 23 Best in the World ............................................................................................................................................................... 24 Education or Brief Counseling to Prevent Initiation of Tobacco Use and to Treat Tobacco Smoking – Children / Youth ................................................................................................................................................. 25 Measurement ..................................................................................................................................................................... 25 In British Columbia ..........................................................................................................................................................