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Ayers J - - 1996
While the growth of HMOs has slowed patient visits to doctors, it also has created a deluge of press clippings. On July 16, 1996, three articles on the subject appeared in the Wall Street Journal, front section. The headlines painted a vivid picture of the forces acting on HMOs and ...
Folker Anna P - - 1996
In this survey we have investigated the experiences and attitudes of Danish physicians regarding end-of-life decisions. Most respondents have made decisions that involve hastening the death of a patient, and almost all find it acceptable to do so. Such decisions are made more often, and considered ethically more acceptable, with ...
Schuler A - - 1996
Between 1975 and 1994 about 1.5 million neonates were screened by Guthrie tests at the phenylketonuria (PKU) Centre in Budapest. In this period 160 children with PKU were found. The corresponding incidence rate is about 1:9000. In a cumulative longitudinal design we investigated 56 patients with classical PKU between the ...
Harpole L H - - 1996
To evaluate the impact of patient characteristics and method of data collection on satisfaction results used for the comparison of practice locations, questionnaires were distributed to 1,208 adult outpatients at five medicine clinics, either on-site or by mail. Patient dissatisfaction with three service domains was measured: communication with the provider, ...
Hakestam U - - 1996
A specially designed questionnaire was sent to 489 patients waiting for major prosthodontic treatment. Further material regarding these patients was collected from treatment files and public records. The study aimed to describe the patient group from a socio-economic standpoint and to identify factors affecting the patient's expectations concerning prosthodontic treatment. ...
Britt H - - 1996
In Australia an increasing proportion of active general practitioners (GPs) are women. Overseas research showing differences between male and female GPs in practice style, the reasons patients consult them, or in the nature of the medical conditions they manage has failed to adjust for confounders. In Australia, such differences have ...
Feierabend R H - - 1996
BACKGROUND: Prenatal appointment-keeping is considered an important component of adequate prenatal care. Interventions designed to increase the frequency with which patients keep prenatal appointments would be most effective if directed toward patients at greatest risk of missing prenatal appointments; however, it is difficult to identify this population of patients. The ...
Bostrom J - - 1996
Two systems of telephone follow-up of discharged patients were compared in this 3-month study. All medical and surgical patients on five nursing units of one acute care institution were included, yielding a sample of over 1,400 patients. One group of patients was called 2 to 3 days after discharge; another ...
Montazeri A - - 1996
As part of a project on quality of life in patients with lung cancer, an investigation was carried out to examine how patients reacted to the study. A group of 82 patients attending a chest clinic were interviewed by means of a short questionnaire. They were asked to indicate whether ...
Bechara A - - 1996
Following damage to specific sectors of the prefrontal cortex, humans develop a defect in real-life decision making, in spite of otherwise normal intellectual performance. The patients so affected may even realize the consequences of their actions but fail to act accordingly, thus appearing oblivious to the future. The neural basis ...
Mureau M A - - 1996
PURPOSE: We studied the degree of agreement between hypospadias patient and surgeon satisfaction with the cosmetic surgical result, and the relation between penile length, meatal position and patient satisfaction. MATERIALS AND METHODS: Cosmetic and functional results in 35 boys with hypospadias were assessed, and a standardized questionnaire was completed by ...
Riskó A - - 1996
The diagnosis of cancer in many cases provokes a crisis, resulting in an increase of regression and defence mechanisms (splitting, projective identification, projection, denial, repression). This article reviews the increased sensitivity, the partial and temporary narrowing of consciousness, and the weakening of reality control. In many cases fluctuating depersonalisation and ...
Sood R - - 1996
This study was conducted to assess the prevalence of neuroticism and its correlation with the various sociodemographic factors and presenting complaints among patients attending a family practice outpatient clinic. One hundred and forty two consecutive patients attending the outpatient clinic were administered PGI Health Questionnaire N2. Higher incidence of neuroticism ...
Iversen O E - - 1996
OBJECTIVE: To determine the number of delivery units in Norway that have become smoke free for employees and patients. DESIGN: A pre-categorised questionnaire was sent in September 1994 to the physician or midwife responsible for each of the 68 delivery units in the country. MAIN OUTCOME MEASURES: Hospital smoking policies, ...
Pahlman I - - 1996
Finland enacted as the first country in Europe an Act on the Status and Rights of Patients. This report deals with the experiences gained in the course of the implementation of the patient law during the past three years it has been in force. Patients' rights to information and self-determination ...
Churgin P G - - 1995
A large primary care HMO health care center in Chandler, Ariz, has utilized a comprehensive computerized patient record for the past 2 years. The patient flow through the center is described in detail. Patients (n = 126) completing an automated medical record office visit were surveyed at random to determine ...
Faulkner A - - 1995
STUDY OBJECTIVE: To assess the scope for reducing unnecessary outpatient reattendances, using a benchmark an acute specialty at a site recognised to have an especially low ratio of repeat to new attendances. DESIGN: This was a survey of the re-attendance workload at general surgery outpatient clinics over a three month ...
Fleming C - - 1995
Consider a do-not-resuscitate (DNR) order when a patient's presumed consent for cardiopulmonary resuscitation (CPR) is in question, the patient has an illness that is terminal or severe and irreversible, or he or she is permanently unconscious or likely to have cardiac or respiratory arrest. The patient with decisional capacity has ...
Gunn S R - - 1995
BACKGROUND: The management of detoxification patients is a complex interdisciplinary effort requiring involvement, cooperation, and understanding from staff at all levels of the facility. In 1992-93, alcohol-related diagnoses were the highest admission diagnosis at the Royal C. Johnson Veterans Affairs Medical Center (VAMC). Yet only 44% of the detoxification patients ...
Stoppe G - - 1995
With regard either to the controversial debate about the efficacy of cognition enhancers (CEs) or to the high costs which the frequent prescription of these drugs causes the German health system's economy, we wanted to know what physicians expect from a therapy with these drugs. We performed a representative survey ...
Tattersall R - - 1995
A personal review is presented about the conclusions and highlights during the Congress on Patient Education 2000 (14 June 1994, Geneva, Switzerland). Attention is paid to differences between diseases concerning patient education. Further, a summary is presented of the discussion of quality of life, over-optimism, medical information supply, purpose of ...
Van Heeringen C - - 1995
The failure to comply with referral for out-patient after-care is a well-documented problem among attempted suicide patients. The present study aimed at the investigation of an experimental referral procedure by means of a randomized controlled study. Non-compliant patients in the experimental group were visited in their homes by a community ...
Rhee K J - - 1995
STUDY OBJECTIVE: To compare the overall satisfaction with emergency department care of patients seen by a nurse practitioner (NP) with that of patients seen in the usual fashion. DESIGN: A case-control study comparing responses by means of a five-point scale from a prospectively designed telephone survey. SETTING: Midwestern urban university ...
Layde P M - - 1995
BACKGROUND: Seriously or terminally ill patients are frequently incapacitated and unable to express their preferences regarding cardiopulmonary resuscitation (CPR). In this situation, family members or other surrogate decision makers are often asked whether they believe the patient would want to be resuscitated. We evaluated the concordance of patient CPR preferences ...
Nessa J - - 1995
OBJECTIVE: To present a method for transcribing the doctor-patient dialogue reflecting the interactional processes of the consultation. DESIGN: Audiotape recording followed by transcription of one selected consultation from a Norwegian general practice. Analysis of the discourse according to pragmatic and textlinguistic principles. MAIN OUTCOME: Doctor-patient interaction made visible by the ...
Schommer J C - - 1995
The objective of this study was to identify participant and environment variables that affect pharmacist-patient communication, and test their effects in a range of community pharmacy practices. Data were collected through unobtrusive observation, patient interviews, and pharmacist interviews in 12 community pharmacies. Random samples of 30 patients who received a ...
Faust D - - 1995
In clinical situations patient honesty and self-interest usually coincide; however, in legal circumstances patients may be motivated to deceive and may be skilled in doing so. Research raises doubts about the capacity of health professionals to detect malingering, particularly when there is less known about conditions or expected symptom patterns, ...
Berenson A B - - 1995
OBJECTIVE: We compared continuation rates, effectiveness, satisfaction with method, side effects, and condom practices among adolescents using levonorgestrel implants (Norplant, Wyeth-Ayerst Laboratories, Philadelphia) as compared with oral contraceptives. STUDY DESIGN: We conducted a case-control study comparing 94 adolescents < or = 18 years old who received Norplant between March 1, ...
Tafelski T - - 1995
Having presented an overview of the available methods of contraception, the authors present one approach to prescribing contraceptives based on their experience. First, adolescent patients in our practice are discouraged from engaging in sexual intercourse. Abstinence is the only fail-safe method of contraception and provides benefits both emotionally and physically ...
Dowell J S - - 1995
OBJECTIVES: To observe one general practice's attempt to reduce prescribing costs on becoming third wave fundholders through the introduction of a generic formulary applied to all new and repeat prescribing. To assess the impact on patients and prescribing patterns. DESIGN: An observational study using interviews with patients and practitioners; questionnaires ...
Bradley C - - 1995
OBJECTIVE: To determine why most patients do not exercise their right of appeal against detention under section 2 of the Mental Health Act 1983. DESIGN: Part one--retrospective analysis of the clinical notes of patients detained under section 2 of the Mental Health Act. Part two-interviews with patients on the penultimate ...
Beal M C - - 1995
To evaluate interexaminer agreement on palpatory diagnostic findings, we compared interexaminer results, patient disability self-evaluations, and assessment of patients' progress by referring physicians. Three examiners (two clinicians and a third-year osteopathic medical student fellow) monitored patients' progress using negotiated examination procedures. The patients were examined independently by each examiner at ...
Mead G E - - 1995
One hundred inpatients on an acute hospital elderly care unit and 43 of their relatives were interviewed shortly before hospital discharge. Eighty per cent of elderly patients and their relatives were aware of cardiopulmonary resuscitation (CPR). Television drama was their main source of information. Patients and relatives overestimated the effectiveness ...
Tomita M - - 1995
Computer Assisted Instruction (CAI) is a valuable tool that not only encourages patients, but also provides medical information and the motivation for self management. We developed three modules within a multimedia environment for patients with diabetes or bronchial asthma; positive results were obtained. By using CAI, a reduction in the ...
Spandorfer J M - - 1995
STUDY OBJECTIVE: To assess patients' comprehension of their emergency department discharge instructions and to determine if inner-city patients' literacy levels are adequate to comprehend written discharge instructions. DESIGN: Prospective, observational study. SETTING: The ED of an inner-city university hospital. PARTICIPANTS: Two hundred seventeen patients consecutively discharged from the ED during ...
Nolin C E - - 1995
Patient confusion and anger resulting from poor provider-patient communication are major factors giving rise to malpractice claims. This article uses the true story of Patient X to explore how communication issues contribute to claims. It also studies the motives of malpractice plaintiffs within the context of the scholarly literature. The ...
Nolan R P - - 1995
This paper presents guidelines to help patients initiate change in risk behaviours for coronary artery disease. Two questions are explored. These address the clinical method and session content, respectively. How might we best conduct the interview, so that the patient's motivation for changing risk behaviour is enhanced? What is the ...
Iversen K R - - 1995
In Norway, organizational changes in hospitals and a stronger focus on patient safety have changed the way of organizing and managing paper based patient records. Hospital-wide patient records tend to replace department based records. Since not only clinicians, but also other non-medical staff have access to the paper records, they ...
Rosenblum D - - 1994
Modern oncologic treatment includes prescriptive remedies for patient-defined illnesses as well as physician-defined diseases. To obtain needed information, oncologists must be skilled as discriminative, analytical, supportive, critical, and appreciative listeners. Listening skills help to establish rapport, confirm understanding, and exchange background information. The neuropsychiatric needs of impaired patients and oncologists ...
Scott A - - 1994
Patient satisfaction and customer focus are increasingly important objectives set for health services. The patient satisfaction survey is becoming the main method of assessing this aspect of health care. In competitive environments, those institutions that show that they respond to consumers' needs are in a better position to attract funding. ...
Watrous J - - 1994
Most medical facilities' leaders are concerned with satisfying the patients who use their healthcare organization. Whereas many facilities have identified specific individuals whose job it is to hear patient complaints, the authors promote the view that all staff members play important roles in patient advocacy. Management's role is to determine ...
Haddock K S - - 1994
Discharge planning impacts hospital costs and patient outcomes. The purpose of this study was to determine the effects of a structured discharge planning program using collaboration between the CNS and the social worker. The quasi-experimental study used a sample of 64 elderly patients. The experimental group (n = 29) had ...
Schaefer M E - - 1994
It is important to prevent the spread of disease in the dental office, both from the immunocompromised patient to the healthcare providers and/or other patients, and vice versa. This paper reviews some of the standard infection control practices, also called universal precautions, that ensure the safety of all patients, immunocompromised ...
Swarzman G F - - 1994
There have been many changes to the patient accounting management process in recent years, the introduction of electronic data interchange (EDI) among them. The future, however, holds considerably more opportunities--and some potential threats. This article examines the issues and provides a series of practical suggestions for meeting the future challenges ...
Henning R - - 1994
Patients should be referred early to hospice services. Regular communication between patient, family, treating general practitioner and hospice improves 'control' and life quality for patients. Pain control is a major problem and specialist care is frequently required. Hospice units can correct non terminal conditions, returning patients to the community in ...
Young J M - - 1994
BACKGROUND: Through continuously improved design, progressive lenses have become the presbyopic lens style of choice by some practitioners. Studies have shown them to be preferred by patients but growth has been modest over the last 35 years. Many practitioners may remember early problems now eliminated. This stigma may prevent many ...
Sorum P C - - 1994
My wife's recent illness taught me that patients are not only texts read by their physicians but also the authors of their bodies and stories. As "reader-response" theorists point out, each reading is necessarily a reconstitution of the text. By rewriting in medical terminology, physicians, like literary critics, put patients' ...
Stumpf P G - - 1994
Because menopause and its consequences constitute an endocrinopathy, long-term administration of HRT is often necessary to achieve optimal results. Compliance is therefore an important consideration in the clinical use of HRT. A number of factors appear to influence physicians in their prescribing of HRT, including estimates of benefits and risks ...
Cantor M A - - 1994
As professionals we are called on to preserve or create and sustain functioning dentition, using the best and most appropriate techniques and materials available. Maintaining, or improving, what is already in use, while minimizing trauma to the patient, must be our goal. The older patient challenges our ability and ingenuity, ...
Mäntyjärvi M - - 1994
Information on no-show patients in an ophthalmological out-patient department was collected and analyzed during one month in 1992 and compared to one month in 1993, after the introduction of a new policy of allocating fines to those patients who did not show for their appointments. In October 1992, 118 patients ...
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