Trends in Receipt of Preventive Healthcare Services from 2020-2024: US Electronic Health Records (EHR) Database Analysis of 118 Million Patients
Author(s)
Alina Bogdanov, MA, Isabelle Winer, MPH, Monica Silver, PhD, MPH, Natalia Coenen, MPH, Maryam Ajose, MPH, Janna Manjelievskaia, PhD, MPH.
Veradigm, Raleigh, NC, USA.
Veradigm, Raleigh, NC, USA.
OBJECTIVES: To describe trends in receipt of preventive healthcare services among US adults between 2020 and 2024 in a US real-world setting.
METHODS: This observational study used the Veradigm Network EHR linked to Komodo Health claims to identify adults (aged ≥18 years in 2020) with evidence of ≥1 face-to-face encounter in their medical record and/or ≥1 preventative healthcare visit in their EHR/claims data between 01/01/2020-12/31/2024. Patient demographics were described at or prior to the earliest visit while preventive screening procedures, laboratory tests, and vaccine administration were evaluated annually between 2020 and 2024.
RESULTS: This study included 118,205,048 patients who met the study criteria. Mean (SD) age was 51(19) years and majority of the study population was female (58%), White (51%), non-Hispanic (54%), and most resided in the Southern region (40%). Among those with available social determinants of health data, 34% had employment insecurity, 18% access to care issues, and 35% issues related to psychosocial functioning. Between 2020 and 2024, more than half of adults had evidence of receipt of a preventive care laboratory test across metabolic panels (65%), complete blood counts (65%), blood pressure (54%), and lipid panels (53%). Lower rates were observed for mammograms (39%), Pap smears (33%), and syphilis (10%). BMI screenings and HbA1c were observed for 59% and 17% of adults, respectively. Receipt of vaccines was highest for COVID-19 (46%), flu (43%), followed by Tdap (18%). By year, trends in preventive care services generally remained stable, with the exception of COVID-19 vaccine which decreased from 36% in 2021 to 9% in 2024 and flu vaccine which saw a decline from 26% in 2020 to 15% in 2024.
CONCLUSIONS: Despite mostly consistent rates observed between 2020-2024 (except COVID-19 and flu vaccines which saw substantial reductions during this timeframe), the proportion of adults receiving recommended preventive healthcare services is substantially below target thresholds.
METHODS: This observational study used the Veradigm Network EHR linked to Komodo Health claims to identify adults (aged ≥18 years in 2020) with evidence of ≥1 face-to-face encounter in their medical record and/or ≥1 preventative healthcare visit in their EHR/claims data between 01/01/2020-12/31/2024. Patient demographics were described at or prior to the earliest visit while preventive screening procedures, laboratory tests, and vaccine administration were evaluated annually between 2020 and 2024.
RESULTS: This study included 118,205,048 patients who met the study criteria. Mean (SD) age was 51(19) years and majority of the study population was female (58%), White (51%), non-Hispanic (54%), and most resided in the Southern region (40%). Among those with available social determinants of health data, 34% had employment insecurity, 18% access to care issues, and 35% issues related to psychosocial functioning. Between 2020 and 2024, more than half of adults had evidence of receipt of a preventive care laboratory test across metabolic panels (65%), complete blood counts (65%), blood pressure (54%), and lipid panels (53%). Lower rates were observed for mammograms (39%), Pap smears (33%), and syphilis (10%). BMI screenings and HbA1c were observed for 59% and 17% of adults, respectively. Receipt of vaccines was highest for COVID-19 (46%), flu (43%), followed by Tdap (18%). By year, trends in preventive care services generally remained stable, with the exception of COVID-19 vaccine which decreased from 36% in 2021 to 9% in 2024 and flu vaccine which saw a decline from 26% in 2020 to 15% in 2024.
CONCLUSIONS: Despite mostly consistent rates observed between 2020-2024 (except COVID-19 and flu vaccines which saw substantial reductions during this timeframe), the proportion of adults receiving recommended preventive healthcare services is substantially below target thresholds.
Conference/Value in Health Info
2025-11, ISPOR Europe 2025, Glasgow, Scotland
Value in Health, Volume 28, Issue S2
Code
HSD118
Topic
Health Service Delivery & Process of Care
Disease
No Additional Disease & Conditions/Specialized Treatment Areas