His heartJournal of General Internal Medicine - - 1997
Sharon Malcolm
Physicians’ experiences with patients who transgress boundariesJournal of General Internal Medicine - Tập 15 - Trang 770-775 - 2000
Neil J. Farber, Dennis H. Novack, Julie Silverstein, Elizabeth B. Davis, Joan Weiner, E. Gil Boyer
BACKGROUND: Boundary violations have been discussed in the literature, but most studies report on physician transgressions of boundaries or sexual transgressions by patients. We studied the incidence of all types of boundary transgressions by patients and physicians’ responses to these transgressions.
METHODS: We surveyed 1,000 members of the Society of General In...... hiện toàn bộ
A Matched-Pair Cluster-Randomized Trial of Guided Care for High-Risk Older PatientsJournal of General Internal Medicine - Tập 28 - Trang 612-621 - 2013
Chad Boult, Bruce Leff, Cynthia M. Boyd, Jennifer L. Wolff, Jill A. Marsteller, Kevin D. Frick, Stephen Wegener, Lisa Reider, Katherine Frey, Tracy M. Mroz, Lya Karm, Daniel O. Scharfstein
Patients at risk for generating high health care expenditures often receive fragmented, low-quality, inefficient health care. Guided Care is designed to provide proactive, coordinated, comprehensive care for such patients. We hypothesized that Guided Care, compared to usual care, produces better functional health and quality of care, while reducing the use of expensive health services. 32-month, s...... hiện toàn bộ
Does the mean corpuscular volume help physicians evaluate hospitalized patients with anemia?Journal of General Internal Medicine - Tập 5 - Trang 187-191 - 1990
Susan J. Seward, Charles Safran, Keith I. Marton, Stephen H. Robinson
The authors analyzed the value of using mean corpuscular volume (MCV) as a guide for selecting tests for further evaluation of anemia in hospitalized patients. Of the 2,082 patients with anemia admitted to the medical service of a teaching hospital over one year, 655 (31%) had further diagnostic tests to evaluate the cause of the anemia. Within this group of 655 patients, 399 (61%) had normal MCVs...... hiện toàn bộ
Providing High-Quality Care for Limited English Proficient Patients: The Importance of Language Concordance and Interpreter UseJournal of General Internal Medicine - Tập 22 - Trang 324-330 - 2007
Quyen Ngo-Metzger, Dara H. Sorkin, Russell S. Phillips, Sheldon Greenfield, Michael P. Massagli, Brian Clarridge, Sherrie H. Kaplan
Provider–patient language discordance is related to worse quality care for limited English proficient (LEP) patients who speak Spanish. However, little is known about language barriers among LEP Asian-American patients. We examined the effects of language discordance on the degree of health education and the quality of interpersonal care that patients received, and examined its effect on patient s...... hiện toàn bộ
Predictors of papanicolaou smear use among American Samoan womenJournal of General Internal Medicine - Tập 16 - Trang 320-324 - 2001
Shiraz I. Mishra, Pat H. Luce-Aoelua, F. Allan Hubbell
To explore the rate and predictors of Papanicolaou (Pap) smear use among American Samoans, we conducted a survey of 986 randomly selected adult, self-identified Samoan women in American Samoa (n=323), Hawaii (n=325), and Los Angeles (n=338). Only 46% of the women reported having Pap smears within the past 3 years. These women were more likely than others to reside in Hawaii (odds ratio [OR], 1.7),...... hiện toàn bộ
Brief report: Patient-physician agreement as a predictor of outcomesJournal of General Internal Medicine - Tập 20 - Trang 935-937 - 2005
Thomas O. Staiger, Jeffrey G. Jarvik, Richard A. Deyo, Brook Martin, Clarence H. Braddock
OBJECTIVE: To determine whether a patient-physician agreement instrument predicts important health outcomes.
DESIGN: Three hundred eighty patients with back pain were enrolled in a comparison of rapid magnetic resonance imaging with standard x-rays. One month later, patients rated agreement with their physician in the following areas: diagnosis, di...... hiện toàn bộ