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Results 451 - 500 of 905
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Cranor Carole W - - 2003
To assess short-term clinical, economic, and humanistic outcomes of pharmaceutical care services (PCS) for patients with diabetes in community pharmacies. Intention-to-treat, pre-post cohort-with-comparison group study. Twelve community pharmacies in Asheville, N.C. Eighty-five patients with diabetes who were employees, dependents, or retirees from two self-insured employers; community pharmacists who completed a ...
Steinke Elaine E - - 2003
Sexual concerns of patients after an implantable cardioverter defibrillator (ICD) exist, but are not well understood. This study explored sexual concerns and educational needs of those living with an ICD and their partners. Study results suggest a need for written patient education tools specific to sexual issues for patients and ...
Helft Paul R - - 2003
PURPOSE: Americans are turning more and more frequently to the Internet to obtain health information. The specific effects on patients, doctors, and the clinical encounter are not well known. METHODS: A brief mail survey was sent to a systematic sample of 5% of medical oncologists and hematologist/oncologists listed in the ...
Malone Chris - - 2003
There is strong emphasis in the literature on the importance of the provision of high quality information to patients before invasive fertility treatments such as in vitro fertilization and intracytoplasmic sperm injection. The introduction and development of a structured information evening for patients has facilitated the provision of such information, ...
Kumar Satinder - - 2003
To understand why general practitioners prescribe antibiotics for some cases of sore throat and to explore the factors that influence their prescribing. Grounded theory interview study. General practice. 40 general practitioners: 25 in the maximum variety sample and 15 in the theoretical sample. General practitioners are uncertain which patients will ...
De Las Cuevas Carlos - - 2003
A telepsychiatry service, using ISDN videoconferencing, was established to provide psychiatric consultations for the population of El Hierro, the most westerly of the Canary Islands. During the first year of routine operation, a total of 40 patients had 40 initial and 126 follow-up teleconsultations. The main reason for the consultation ...
Scholl Juliann C - - 2003
Humor within the health care setting apparently can serve to facilitate positive patient-provider interactions and to create a patient-centered environment. This article provides an ethnographic account of patient-provider interactions held during therapeutic activity sessions within a hospital unit (MIRTH) designed to promote therapeutic humor. This study's findings suggest that humor ...
Hicks Lanis L - - 2003
We collected data on patient satisfaction with the use of teledermatology services. During a 27-month study, a single dermatologist saw a total of 321 patients via telemedicine. The patients completed 483 surveys, although not all questions were answered on all surveys. There was a high level of satisfaction among patients ...
Benson Keith J - - 2003
Value is becoming a topic of interest to 3 key players in the healthcare field-patients, payers, and providers. This article examines various value definitions and puts forth a composite value definition incorporating cost, quality, and worth elements. A value triad is created to demonstrate how value can be a linking ...
Spalding Nichola Jane - - 2003
Pre-operative education is widely used by occupational therapists all over the world to help patients prepare for their impending surgery and post-operative needs. The purpose of this research was to gain understanding of how the pre-operative education process is beneficial in reducing anxiety for patients awaiting a total hip replacement ...
Keshavjee K - - 2003
Managing Type 1 Diabetes Mellitus is a challenging feat especially for young patients. It is a tedious and demanding disease which requires painful self-monitoring and injections multiple times per day. Many patients are unable to achieve good blood sugar control, in spite of strong evidence that good control leads to ...
Walters Barbara A - - 2003
This poster presentation will demonstrate the value to practices of providing online interactive communication tools to their patients by presenting Dartmouth-Hitchcock's successful implementation of "Patient Online". This tool extends our clinical and administrative functions directly to patients using a personal web site product that supports HIPAA compliant clinical communication, patient ...
Landi William - - 2003
Today's healthcare organizations have both an ethical and legal responsibility for protecting patient privacy. However, the HIPAA privacy rule allows for the release of de-identified patient data for certain purposes. Secure encryption technology can be used to encrypt patient identified data so only the owners of the original data can ...
Finkelstein J - - 2003
We developed the Home Automated Telemanagement (HAT) system for patients on oral anticoagulation therapy. It consists of a home unit, HAT server, and clinician unit. Patients at home use a palmtop or a laptop connected with a prothrombin time (PT) monitor. Each HAT session consists of self-testing, feedback, and educational ...
Cimino James J - - 2002
As health records evolve into electronic form, increasing demand is being made to provide patients with access to them. We sought to study the character and impact of such access to determine how patients use such records, what cognitive effects it has on them, and how it affects their relationship ...
Morgan Julie D - - 2002
OBJECTIVE: To determine the economic implications of sending an educational letter to patients, aimed at reducing long-term BDZ prescribing. METHOD: Letters were sent to 242 patients from 2 general medical practices. BDZ usage and costs were compared in the years before and after intervention using numbers of defined daily dosages ...
Fernandes Dellano D - - 2002
BACKGROUND: Little is known about the characteristics of patients attending diabetes education centres (DECs). To address this knowledge gap, we examined the clinical characteristics of patients referred to a centralized urban DEC. METHODS: Using a clinically detailed patient registry, we studied the profiles of 1459 patients seen in an urban ...
Demling J H - - 2002
OBJECTIVES: We investigated to what extent psychiatric inpatients consult Heilpraktiker, i.e. non-academically trained providers of complementary and alternative medicine (CAM), which diagnostic and therapeutic methods Heilpraktiker employ, how patients assess Heilpraictikers' professional competence, CAM in general and issues of satisfaction for those who have had experience with Heilpraktiker. DESIGN: Four ...
Guruge Sepali - - 2002
Patient education is an integral part of nursing practice. Since the 1960s many primary studies and several meta-analyses have been conducted to assess the effectiveness of education for patients undergoing surgery. Although these studies demonstrate that preoperative teaching is beneficial to the "average" patient, they have paid little attention to ...
Donker G A - - 2002
BACKGROUND: On 4 October 1992, an El Al Boeing 747-F cargo aeroplane crashed on two apartment buildings in Amsterdam. Thirty-nine residents on the ground and the four crew members of the plane died. In the years after, a gradually increasing number of people attributed physical signs and symptoms to their ...
de Roos Kees-Peter - - 2002
BACKGROUND: Ambulatory phlebectomy is an accepted therapy for varicose veins of the ankle and foot region. Although most phlebologists regard this therapy highly, little is known about patient satisfaction. OBJECTIVE: To investigate patient satisfaction and complaints as reported by the patient after ambulatory phlebectomy for varicose veins in the ankle ...
Alexander Linda - - 2002
Genital herpes simplex virus infections are widespread throughout the world and are characterized by stigma, myth, and anxiety by patients and the public but are perceived as trivial by most physicians. Surveys in the United States, Europe, Australia, and South Africa have measured the unfavorable effect of genital herpes on ...
Bray J K - - 2002
We investigated the attitudes of 96 patients and 163 anaesthetists to the need for obtaining informed consent before specialist airway techniques. Participants were asked to score six questions using a numerical scale, as to whether they thought consent was necessary before specific procedures, particularly in relation to fibreoptic intubation used ...
Bass Pat F PF - - 2002
PURPOSE: To determine whether residents could identify patients with poor literacy skills based on clinical interactions during a continuity clinic visit. The authors hypothesized residents would overestimate patients' literacy abilities and fail to recognize many patients at risk for poor literacy. METHOD: The Rapid Estimate of Adult Literacy in Medicine-Revised ...
Ayoub A F - - 2002
Fourteen patients or their immediate family were interviewed about their experiences of having either unilateral or bilateral external distraction osteogenesis of the mandible. The patients showed a high level of co-operation with treatment. Six of the 14 patients required repeat distractions, and had been informed and accepted that this was ...
Benhamou Dan - - 2002
PURPOSE: Early feeding is well tolerated after Cesarean delivery. However, patient wellbeing and nurses' attitudes toward implementation of early feeding have rarely been investigated. METHODS: A quality-assurance program of 18 months duration was implemented because evaluation of traditional practice demonstrated significant deficiencies (phase I). Drinking was then allowed within one ...
Chumbley Gillian M - - 2002
AIMS OF THE STUDY: To formulate and evaluate an information leaflet for patients using patient-controlled analgesia (PCA), incorporating information thought to be important by patients. RATIONALE: The benefit of current information leaflets, written by professionals, has not been studied and their value to patients is unknown. BACKGROUND: Previous studies have ...
Tandon M - - 2002
PURPOSE: Many patients use complementary/alternative medicine (CAM) for their health problems especially where long-term treatment is required. Epilepsy is the most prevalent neurological disorder requiring long-term treatment and compliance. The purpose of the study was to establish the pattern of use of CAM in epileptic patients. METHODS: 1000 patients with ...
Brown Rhonda F - - 2002
BACKGROUND: Patients vary widely in their preferences and capacity for participation in medical decision-making. This study aimed to document oncologist responses to more extreme presentations and identify helpful and unhelpful strategies for clinicians. PATIENTS AND METHODS: A trained actor played the role of a patient with early stage breast cancer ...
Johnson Paul E - - 2002
We propose an explanation for variation in disease outcomes based on patient adaptation to the conditions of chronic disease. We develop a model of patient adaptation using the example of Type 2 diabetes mellitus and assumptions about the process entailed in transforming self-care behaviors of compliance with treatment, compliance with ...
Thoonen Bart P A - - 2002
This paper studies the effects of patient education, tailored to individual needs of patients as part of an asthma self-management program. A tailored education program was designed which took into account individual information needs of patients by using a feedback instrument. Totally 98 steroid dependent asthmatics entered the tailored education ...
Carter Alix J E - - 2002
OBJECTIVES: Administration of intravenous (IV) dextrose to hypoglycemic patients is delegated to advanced care paramedics in Ontario. Following a quality assurance review, which revealed that 47% of patients refused transport after receiving IV dextrose, the authors studied whether such patients seek additional medical care in the three days following the ...
Muraine M - - 2002
In many countries the number of corneal donations is far too low to graft all patients on waiting lists within reasonable time. The aim of this study was to define specifically what practical changes are to be implemented to fully meet corneal graft demand. The list of potential donors drawn ...
Bascom Paul B PB Division of General Internal Medicine and Geriatrics, L475, Center for Ethics in Health Care, Oregon Health & Science University, Portland, OR 97201, USA. - - 2002
Studies of dying patients have shown that about half would like the option of physician-assisted suicide (PAS) to be available for possible future use. Those percentages decrease significantly with each step patients take toward action. Studies show that although about 10% of patients seriously consider PAS, only 1% of dying ...
Selhub Eva M - - 2002
Primary care physicians are often taxed by patient complaints that do not seem to have a clear etiology, nor do the patients improve despite good medications and expensive procedures. Current studies show that stress or distress may have a significant effect on the onset, the course, and the management of ...
Tattersall Martin H N MH Department of Cancer Medicine, University of Sydney, NSW, Australia. - - 2002
Patients with cancer are known to value consultation audio tapes as an information aid and frequently accept the offer to tape record their consultations with oncologists. Systematic reviews have shown that providing patients with an audio tape of their consultations improves how much information they remember. In surveys, many Australian ...
Melchart Dieter - - 2002
BACKGROUND AND OBJECTIVES: Patient preferences play an important role when choosing between different treatment options and may have an influence on outcome. We performed a study to investigate (1) to what extent patients make use of the offer to receive acupuncture as a pretreatment for gastroscopy, (2) whether this is ...
Pawlikowska T R B - - 2002
BACKGROUND: Primary health care reform is underpinned by a move towards patient-centred holistic care. This pilot study uses the Patient Enablement Instrument (PEI) to assess outcome at a fundamental level: that of the patient and their doctor at consultation. OBJECTIVES: Our aim was to assess the evaluative potential of the ...
- - 2002
It can be tough getting patients to take their medicines as prescribed, particularly when there are side-effects or other barriers involved. To get around this problem, Roche decided to develop a DM approach to guide patients taking the organization's new weight-loss agent, XENICAL. In place now for 15 months, the ...
Davies K - - 2002
The term 'confusion' can create conflicting images in terms of a patient's level of consciousness, awareness and ability to communicate effectively. In relation to Accident and Emergency (A&E) practice it is crucial that the nurse assessing the patient is not only taking into account the presenting clinical picture, but is ...
Ritz E - - 2002
The incidence of patients with end-stage renal disease and type 2 diabetes has increased tremendously over the past few decades. Unfortunately, many patients with diabetes are referred late to nephrologists. Currently, between a quarter and a third of European patients are referred to a nephrologist less than one month prior ...
Very Mark - - 2002
OBJECTIVES: To evaluate the diagnostic accuracy and satisfaction of patient or family (or both) in the evaluation of hemangiomas and other vascular malformations. STUDY DESIGN: Prospective, relational database. METHODS: Ninety-eight patients participated in a prospective, Institutional Review Board-approved, relational database study in the Hemangioma and Vascular Birthmark Center at the ...
- - 2002
Your patient flow can be dramatically improved with electronic patient tracking systems that give information in real time. If ED staff can spot delays at a glance, steps can be taken to correct the root of the problem before backlog occurs. If specific time goals aren't met, an immediate intervention ...
Masys Daniel - - 2002
The Patient-Centered Access to Secure Systems Online (PCASSO) project is designed to apply state-of-the-art-security to the communication of clinical information over the Internet. The authors report the legal and regulatory issues associated with deploying the system, and results of its use by providers and patients. Human subject protection concerns raised ...
O'Sullivan Sinead S Division of Gastroenterlogy, University of Western Ontario, London, - - 2002
Only the British Society of Gastroenterology has published consent guidelines that are inclusive for endoscopic retrograde cholangiopancreatography (ERCP). Previous research has shown that there are variations in the information discussed with patients who are undergoing ERCP. To examine the informed consent practices for ERCP in Ontario. A self-report questionnaire was ...
Schwartz L - - 2002
It remains unclear what patient advocacy actually entails and what values it ought to embody. It will be useful to ascertain whether advocacy means supporting any decision the patient makes, or if the advocate can claim to represent the patient by asserting well-intentioned paternalistic claims on the patient's behalf. This ...
Sondell Katarina - - 2002
PURPOSE: Dentist-patient verbal communication dimensions on patient satisfaction were investigated in a prosthodontic context, controlling for the age and gender of patients and dentists and the amount of delivered prosthodontic treatment. Two concepts of satisfaction were defined, one for the single visit (satisfaction with care), and one for the overall ...
Legemaate Johan - - 2002
Many initiatives have been taken to advocate, develop and emphasize patients' rights. The existence of legislation, case law or charters in the area of patients' rights does not guarantee that these rights are or will be successfully implemented in everyday practice. The implementation of patients' rights requires specific actions and ...
Nadelson Carol - - 2002
Boundaries in the doctor-patient relationship is an important concept to help health professionals navigate the complex and sometimes difficult experience between patient and doctor where intimacy and power must be balanced in the direction of benefiting patients. This paper reviews the concept of boundary violations and boundary crossings in the ...
Edwards P - - 2001
Is there sufficient evidence to suggest that the wearing of face masks is imperative during surgical procedures for maximum patient protection? Or is it just another ritual that needs to be re-examined in the light of today's emphasis on evidence-based medicine. Should we be re-educating theatre staff that the wearing ...
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