Search Results
Results 601 - 650 of 913
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Graber M A - - 1999
BACKGROUND: Patient education is an important component of family practice. Pamphlets, verbal instructions, and physicians' self-created materials have been the most common resources for patient education. Today, however, the popularity of the World Wide Web (Web) as a ready source of educational materials is increasing. The reading skills required by ...
Grad R - - 1998
OBJECTIVE: To determine the annual incidence of patient-defined emergencies and patients' use of emergency services at a family medicine teaching unit. DESIGN: Cross-sectional survey. SETTING: Hospital-based family medicine teaching unit in Montreal. PARTICIPANTS: Registered patients attending a family medicine teaching unit during 11 consecutive weekdays. MAIN OUTCOME MEASURES: Annual incidence ...
Heffner J E - - 1998
BACKGROUND: Little is known about the effectiveness of do-not-resuscitate (DNR) orders during transport of hospitalized patients away from their rooms. OBJECTIVE: To determine compliance with DNR orders in radiology departments. DESIGN: Observational study. SETTING: 248 hospital-based radiology departments. PARTICIPANTS: 248 radiology department representatives. MEASUREMENTS: 10-item questionnaire examining the response of ...
Adams J - - 1998
Difficult patients are familiar to emergency physicians. This article explores characteristics of the difficult patient, recognized emergency department processes, and physician characteristics that can contribute to difficulties. These difficulties can be minimized by caregivers who are skilled in managing the therapeutic relationship. This relationship is characterized by firm boundaries, good ...
Düsing R - - 1998
In a German multicentre study (1603 patients, 320 private practices), adverse effects and patient compliance during antihypertensive therapy were investigated using standardized questionnaires for both patient and physician. Patients with a change in antihypertensive therapy during the last six months were included in this study. The single most important reason ...
Singer A J - - 1998
OBJECTIVE: To determine the minimal clinically significant difference (MCSD) on a visual analog patient satisfaction scale. METHODS: The authors prospectively collected patient satisfaction evaluations during a clinical trial assessing the effect of introducing personal television sets on overall patient satisfaction from their ED encounters. Patient satisfaction was assessed with 2 ...
Roy V - - 1998
The present study has been conducted to assess social and behavioural factors predisposing individuals suffering from sexually transmitted diseases to seek treatment and the role of the health provider in them. Out results showed that the demographic, socio-economic and behavioural characteristics of patients seeking treatment at alternative places and those ...
Brown J B - - 1998
OBJECTIVES: To determine the proportion of patients who are accompanied by another person (ie, partner, child, relative, friend) during visits to their doctors; to describe the demographic characteristics and role(s) assumed by the main accompanying person and the nature of the presenting dyads; and to describe the influence of the ...
Hamm R M - - 1998
BACKGROUND: We studied patients' understanding of the characteristics of diagnostic tests for six common conditions to determine what patients know about diagnostic uncertainties before they communicate with a doctor. We compared the accuracy of patients' estimates of disease probabilities and diagnostic test characteristics for diseases with which they did or ...
Lowitt M H - - 1998
OBJECTIVE: To compare physician and patient impressions and interphysician diagnostic agreement between live teledermatology and in-person examinations. DESIGN: Paired video and in-person examinations with different dermatologists. SETTING: An urban Veterans Affairs dermatology clinic. PATIENTS: One hundred thirty-nine patients. MAIN OUTCOME MEASURES: Satisfaction questionnaires and interphysician diagnostic agreement. RESULTS: Patient and ...
Flood A B - - 1998
OBJECTIVE: To examine how a group practice used organizational strategies rather than provider-level incentives to achieve savings for health maintenance organization (HMO) compared to fee-for-service (FFS) patients. DATA SOURCES/STUDY SETTING: A large group practice with a group model HMO also treating FFS patients. Data sources were all patient encounter records, ...
Eagles J M - - 1998
BACKGROUND: Little is known about the prevalence or the consultation patterns of patients with seasonal affective disorder (SAD) in primary care settings. METHODS: Patients aged 16-64 years consulting a general practitioner (G.P.) during a three week period in January were screened with the Seasonal Pattern Assessment Questionnaire (SPAQ). Interview-confirmed cases ...
Mehra T - - 1998
This study was designed to evaluate the use of predictors and methods of improving patient compliance. A survey of 118 items was developed by searching the literature for items that other researchers have found to be significant. The new questionnaire contained six sections. Sections 1 and 2 pertained to predictors ...
Pinder M - - 1998
OBJECTIVES: 1) To establish a protocol within international and local ethical guidelines to obtain informed consent for critical care research, overcoming constraints previously described and 2) To evaluate eventual recruitment using this protocol. DESIGN: Prospective descriptive study. SETTING: Multidisciplinary ICU in a community-based university teaching hospital. PATIENTS AND PARTICIPANTS: Following ...
Fenwick A J - - 1998
"Best interests" is widely accepted as the appropriate foundation principle for medico-legal decisions concerning treatment withdrawal from patients in persistent vegetative state (PVS). Its application appears to progress logically from earlier use regarding legally incompetent patients. This author argues, however, that such confidence in the relevance of the principle of ...
Wilson T G TG - - 1998
1. In medicine and dentistry, compliance tends to be poor in patients who have chronic diseases that they perceive as nonthreatening. 2. Even in the most optimistic studies, the rate of complete compliance with suggested toothbrushing is less than 50%; other studies show it much lower. In studies focusing on ...
Bartol G M - - 1998
This article provides an exploratory discussion of what constitutes a healing environment in a perioperative setting, including how technology may support or interfere with patient healing. The need for maintaining a patient-centered focus is emphasized. Using reflective imaging to discover ways to appropriately tailor the environment to meet each patient's ...
Mourad F H - - 1998
An audit was carried out on the activities of a one stop clinic where patients referred by GPs for endoscopy are first interviewed by a gastroenterologist, directly before the procedure. Such a barrier to open access endoscopy did not seem to reduce the workload or the rate of normal examinations.
Murphy K R - - 1998
The computer can be a powerful ally in clinicians efforts to empower their patients to make the right individual decisions. The Internet, in particular, is an extremely valuable resource that enables patients to quickly obtain the latest information on support groups, therapeutic modalities, late-breaking research, and individual coping strategies. The ...
Greco M - - 1998
BACKGROUND: Five thousand eight hundred and eighty-five patient-completed questionnaires were used to evaluate the effectiveness of an interpersonal skills module designed for a vocational training programme for GPs. OBJECTIVES: It was anticipated that patient-based assessments would detect a significant improvement in the interpersonal skills of GP Registrars who undertook the ...
Brennan J A - - 1998
A prospective study of emergency department telemedicine was carried out at two hospitals in northern New Jersey. One hundred and twenty-two patients met the inclusion criteria. One hundred and four (85%) consented to participate, with 54 being randomized to the telemedicine group and 50 to the control group. Four patients ...
Khoo S P - - 1998
The delay in the diagnosis of oral cancer has been variously reported as being contributed by the clinicians, patients or both. The purpose of this study was to evaluate the referral pattern of 65 patients eventually diagnosed as having oral squamous cell carcinoma. The results showed that 50% of the ...
N'Dow J - - 1998
The records of 196 patients presenting with a clinical suspicion of scaphoid injury were reviewed to evaluate how junior accident and emergency doctors in a teaching hospital managed these patients. The management that was provided was assessed, and it was ascertained whether the presence of a unit policy meant that ...
Tachakra S - - 1998
We studied all patients attending a free-standing minor accident and treatment service (MATS) run by emergency nurse practitioners (ENPs). In a six-month period, 5563 patients were seen in the MATS, of whom 2843 (51%) were new attenders. A teleconsultation was carried out with 150 of these patients (2.7% of all ...
Walsh R A - - 1998
Literature related to breaking bad news to medical patients was reviewed. An analysis of citations appearing between 1994 and August 1997 updated earlier work and indicated that a minority (24%) of the studies on the subject were designed to collect original data. Ten randomized controlled trials (RCTs) evaluating communication strategies ...
Hakestam U - - 1997
In a clinical follow-up study 42 patients were selected from an original sample of 335 individuals who had undergone extensive prosthetic treatment. The selection was done in accordance with a treatment satisfaction measure. The selected patients' appliances were classified in accordance with the California Dental Association (CDA) quality assessment system. ...
Cook T A - - 1997
Data have been collected prospectively on patients referred to a specialist varicose vein clinic between January 1991 and December 1994. A seasonal variation in referral pattern of patients is demonstrated, with more patients being referred in the summer months. Similar fluctuations are seen in the number of patients waiting for ...
Trandel-Korenchuk D M - - 1997
The purposes of this study were to evaluate the reliability and validity of three short-form patient satisfaction instruments and to examine the effects of data collection methods on patient satisfaction ratings. With a framework to assess quality of care from the patient's perspective, acceptability, accessibility, patient satisfaction rating, provider recommendation, ...
Safran D G - - 1997
A growing scientific literature highlights concern about the influence of social bias in medical care. Differential treatment of male and female patients has been among the documented concerns. Yet, little is known about the extent to which differential treatment of male and female patients reflects the influence of social bias ...
Andries F - - 1997
The present study analyses the actual occupational situation, vocational handicaps and past labour career of a group of about 1000 Dutch patients suffering from a neuromuscular disorder (NMD). On the basis of the likelihood of a substantial employment history and sufficient numbers of patients, four types of NMD were selected: ...
Michie S - - 1997
One of the main aims of genetic counselling is to provide information to patients that they can understand and recall. Measuring information recall is problematic and most studies do not make the comparison between recalled information and the information that is given in consultations. The aim of this study was ...
Russo P L - - 1997
An outbreak of gastroenteritis caused by Norwalk-like virus occurred in two areas of the hospital: area 1, consisting of three adjacent and interconnected wards, with mostly elderly patients; and area 22, an acute ward in a separate building with elderly patients. In area 1, 40 patients and 20 staff were ...
Gilliland M D - - 1997
Lipocontouring the arm has a lower degree of patient satisfaction compared to other regions since untoward sequelae such as sagging and wrinkled skin may result. Circumferential para-Axillary Superficial Tumescent (CAST) liposuction was offered as an alternative to traditional arm liposuction or brachioplasty to 59 patients. Fifty-three of 59 patients (89.9%) ...
Olamijulo J A - - 1997
A questionnaire survey of new patients attending the colposcopy clinic of a teaching hospital was carried out. The intention was to evaluate the information leaflet routinely sent to women who have been referred for colposcopy because of abnormal cervical smear results and use the findings to propose changes that will ...
Skelton A M - - 1997
This paper reports on a study carried out in Nottinghamshire, UK, which focused upon patient education for low back pain in general (family) practice. This study found that patient education could not be viewed simply as either a repressive social control mechanism or as a vehicle for patient empowerment and ...
Salisbury C - - 1997
OBJECTIVE: To assess patients' satisfaction with out of hours care by a general practice cooperative compared with that by a deputising service. DESIGN: Postal questionnaire survey. SETTING: A general practice cooperative in London and a deputising service operating in an overlapping area. SUBJECTS: Weighted samples of patients receiving telephone advice, ...
Wiggers J H - - 1997
Past studies have demonstrated that the majority of health care visits are made to general practitioners, and that socio-economically disadvantaged individuals are significantly more likely to use such services. Relatively little is known, however, about the quality of general practice care provided to patients of different socio-economic status. The specific ...
Rahimtoola H - - 1997
An electronic patient database linking prescribes with a Dutch community pharmacy consortium was evaluated in a subset of the population of Noordwijk (11,760 patients out of a total of 25,600). The pharmacy database (a file of 41 disease contra-indications representing a subset of the prescribers' medical diagnosis) was studied in ...
Als A B - - 1997
BACKGROUND: The use of computers in general practice is becoming increasingly common. There has been concern about effects on doctor-patient communication. OBJECTIVES: The aim of this study was to identify common patterns in the use of desk-top computers by GPs with regard to interaction with the patients, and to assess ...
Whitehouse W W Department of Paediatric Neurology, Birmingham Children's Hospital, - - 1997
There may be discrepancies between the antiepileptic drug (AED) doses the physician believes the patient is taking and what is actually taken. This prospective study assesses the extent of the problem in one paediatric epilepsy clinic. A questionnaire was administered to the parent or patient by the clinical nurse specialist ...
Mazur D J - - 1997
To assess the level of involvement patients want in decision making related to the acceptance or rejection of an invasive medical intervention and whether their preference for decision making is related to their preference for qualitative (verbal) or quantitative (numeric) information about the risks of the procedure. A university-based Department ...
Kelner M - - 1997
This article compares the social and health characteristics of patients of five kinds of practitioners: family physicians (used as a baseline group); chiropractors; acupuncturist/traditional Chinese medicine doctors; naturopaths; and Reiki practitioners. The data were gathered in a large Canadian city during the period 1994 to 1995. Face-to-face interviews were conducted ...
Brown D L DL Department of Anesthesiology, Mayo Clinic Rochester, Minnesota 55905, - - 1997
To assess overall perioperative and anesthetic care-specific patient satisfaction. We mailed questionnaires postoperatively to three groups of surgical patients (those who underwent anesthesia without complications, those who experienced airway management difficulties, and those who had cardiovascular perturbations) and analyzed the responses. All patients 18 to 75 years of age who ...
Capen K - - 1997
Negligence is sometimes established on the basis of lapses in communication and patient care management that, in hindsight, could have been avoided. A recent BC court case concerned a patient who died because of a ruptured aneurysm. A Supreme Court judge found that some of the physicians involved had failed ...
Köhler U - - 1997
In contrast with cytotoxic therapy, the impact of hormonal therapy for advanced breast cancer in postmenopausal women is poorly documented. Two recent surveys of the impact of hormonal therapy in this patient group found that side-effects had an adverse impact on patients' quality of life which needed to be taken ...
Bullock M L - - 1997
BACKGROUND: Patient use of complementary and alternative medicine (CAM) is on the rise. With millions of Americans using CAM, it has become imperative from the public health point of view to undertake a coordinated research effort that will thoroughly evaluate the role and effectiveness of CAM modalities. METHODS: We developed ...
Steinke E - - 1996
Sexual counseling needs of myocardial infarction (MI) patients are frequently overlooked by nurses. This study sought to determine to what extent sexual counseling of MI patients was addressed in the acute care setting. The survey of 96 patients showed that sexual counseling was largely not addressed for this group of ...
Laposata M - - 1996
Mr. Paul Mango, Chief Operating Officer of a hospital-based clinical laboratory network in Pittsburgh, recently performed a survey of patients presenting for phlebotomy. The survey included the question, "What does a pathologist do?" The results were that 50% of the patients had no idea what a pathologist did, and 30% ...
Tasota F J - - 1996
There are two major goals of critical care: (1) to save those with a chance to live and (2) to help patients who are dying have a peaceful and dignified death. If reversal of the disease process is not possible and the patient is experiencing substantial pain and suffering, goals ...
Rosen H - - 1996
Aging and medically compromised patients are retaining their teeth longer. With the prolonged use of medications that produce xerostomia, these patients become more caries susceptible. Root surface caries, which undermines abutment crowns, results in loss of abutments because it is difficult to detect incipient lesions and make appropriate repairs before ...
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