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Results 201 - 250 of 908
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Somville F J M P - - 2008
Until the no-fault law in Belgium (15/05/2007) comes in action on 01/01/2009 it will be a system of fault to prove. Therefore the informed consent stays a mean or not liability progress. At this moment it stays a problem for the surgeon when he has not given any information about ...
Makeham Meredith A B - - 2008
The Threats to Australian Patient Safety (TAPS) study collected 648 anonymous reports about threats to patient safety from a representative random sample of Australian general practitioners. These contained any events the GPs felt should not have happened and would not want to happen again, regardless of who was at fault ...
Hochman Ohad - - 2008
OBJECTIVE: The objective of this study was to assess the correlation between patients' view of the consultation and the assessment of an auditing physician on the same consultation. METHODS: A prospective study in military clinics was conducted. A board-certified family physician made a real-time semistructured assessment of the medical consultation. ...
Geller Berta M - - 2008
Rural populations as well as less educated people in the United States are less likely to receive colorectal cancer (CRC) screening than people living in urban areas and more educated people. We tested a computer tablet, Patient/Provider Communication Assistant (PPCA), which collected data, educated patients, and printed personalized notes to ...
van Weel-Baumgarten Evelyn - - 2008
Life style related risk factors have negative consequences for many health outcomes. Although preventive actions undertaken on a population level are effective, these actions do not reach the individuals who could benefit most. Family doctors could reach many of these individuals when they consult them for other reasons. Unfortunately time ...
Jones Rupert C M - - 2008
INTRODUCTION: The Lung Information Needs Questionnaire (LINQ) assesses, from the patient's perspective, their need for education. This questionnaire yields a total score and scores in six domains: disease knowledge, medicine, self-management, smoking, exercise and diet. The aim of this study was to assess the sensitivity of the LINQ to change ...
Doran Tim - - 2008
BACKGROUND: In the English pay-for-performance program, physicians use a range of criteria to exclude individual patients from the quality calculations that determine their pay. This process, which is called exception reporting, is intended to safeguard patients against inappropriate treatment by physicians seeking to maximize their income. However, exception reporting may ...
Mariotti Giuliano - - 2008
OBJECTIVE: There is a lack of standard methods for determining the clinical priority of patients referred by general practitioners (GPs) for specialist outpatient consultations. We introduced a system of progressive involvement by general practitioners and specialists with 80 diagnostic procedures. The aim of this study was to evaluate this new ...
Chitnis J - - 2008
OBJECTIVE: To determine whether daily board rounds in the emergency department (ED) alter patient management and whether they provide educational opportunities. METHOD: A prospective observational study of board rounds conducted in a small to medium-sized ED in the United Kingdom. Data were collected on changes made and educational events that ...
Bodner Stanley - - 2008
Patient care and management can present a significant source of stress for the practicing dentist. This article presents the various facets and underpinnings of stress, followed by an overview of the physiologic phenomena attending the classic stress response, with an examination of the interplay between the psychologic components of stress ...
Gould Mark - - 2008
Patient safety errors are often caused by the NHS being a "Tower of Babel", with many "languages" spoken. Staff "tribes" often focus on their own agendas, rather than on the patients' health. The National Patient Safety Campaign is aiming to make the topic a priority of staff, patients and carers.
Shah Amit - - 2008
INTRODUCTION: The benefits of a healthy lifestyle are well-known. However, translating such information into behavior change is challenging. We explored patient perception in regard to how frequently this information is being disseminated, whether it may alter patient behavior, and whether information tailored to race versus general information is desirable. METHODS: ...
Alvarez Guisasola F - - 2008
AIMS: This study was undertaken to evaluate (i) factors associated with patient-reported hypoglycaemia; (ii) association of patient-reported hypoglycaemic symptoms with treatment satisfaction and barriers to adherence and (iii) association between treatment satisfaction, adherence and glycaemic control among patients with type 2 diabetes who added a sulphonylurea or a thiazolidinedione to ...
Finch Tracy - - 2008
OBJECTIVE: To explore the importance of ;coherence' in the normalization of treatment interventions by examining teledermatology for skin disease management from the perspectives of patients and their advocates. METHODS: Twelve teledermatology services were studied using semi-structured interviews. Participants were patients (n = 20) and health professionals, managers and patient advocates ...
Cook Paul F - - 2008
Patients and healthcare practitioners (HCPs) each have theories about the causes of medication adherence problems. Traditional patient education focuses on correcting patients' inaccurate beliefs, but more recent models suggest working within patients' theories. Secondary data from a telehealth medication adherence program were analyzed to determine whether patients' or HCPs' causal ...
Yamashiro T - - 2008
OBJECTIVE: We assessed the hypnotic effects of and patient satisfaction with three types of hypnotics prescribed empirically: ultra-short-acting (US-a), short-acting (S-a), and intermediate- and long-acting (IL-a) agents. METHODS: We studied 310 insomniac patients (age 60.5 +/- 15.0 years) treated with US-a (n = 124), S-a (n = 149) or IL-a ...
Atisha Dunya M DM Section of Plastic Surgery, Department of Surgery, University of Michigan Medical Center, Ann Arbor, Mich 48109, - - 2008
As the U.S. population becomes increasingly overweight, a growing number of patients with body mass indexes greater than 30 are seeking mastectomy reconstruction. The authors' purpose was to prospectively evaluate the effect of body mass index on patient satisfaction with breast reconstruction. Women undergoing first-time breast reconstruction at one of ...
Hayashi Nobukazu - - 2008
For the epidemiological surveys and evaluations of therapy, it is essential to evaluate the severity of diseases. There are several reported methods of assessment for acne severity including lesion counting, comparison of the patient's to a photographic standard and comparison of the patient's to a text description. But all of ...
Casap Nardy - - 2008
PURPOSE: To evaluate the effect of informed consent on stress levels associated with removal of impacted mandibular third molars. PATIENTS AND METHODS: A total of 60 patients scheduled for extraction of impacted mandibular third molars participated in this study. The patients were unaware of the study's objectives. Data from 20 ...
Salonia Andrea - - 2008
Educational status has been investigated rarely as a potential factor affecting the behavior of patients with new onset erectile dysfunction (ED) toward seeking first medical help and subsequent compliance with prescribed phosphodiesterase type 5 inhibitor (PDE5) therapy. To test whether the educational status of patients with new onset ED and ...
Downie Robin - - 2008
Patient choice is becoming the centre of health policy in the UK and other countries. But there is ambiguity about what choice means. As the term is used in everyday life, choice is the foundation of the doctrine of patient consent. The doctor is responsible for choosing appropriate treatment, and ...
Milgrom Lionel R - - 2008
INTRODUCTION: The Memory of Water, a "local" explanation of homeopathy's efficacy, has been supplemented recently by complementary "nonlocal" hypotheses. One of these envisages "quantum macro-entanglement" among patient, practitioner, and remedy to form a "PPR" entangled state, from which the possibility of cure may manifest. METHODS: Semiotic analysis affords a geometrical ...
Hamann Johannes - - 2008
Shared decision making is advocated for patients with schizophrenia. However, there is limited knowledge as to which events are actually considered to be decisions by psychiatrists and patients. Semistructured interviews with regard to clinical decisions of the preceding week were performed with psychiatrists and inpatients with schizophrenia. There was good ...
Heathcote Jennifer - - 2008
OBJECTIVES: To discover what motivates patients who agree to doctors on postgraduate clinical training attachments being involved in their care; to explore potential negative effects on patients; and to consider how the experience could be improved for the patient. METHODS: Questionnaire survey of 103 female family planning clinic (FPC) patients. ...
Garrett P W PW Simpson Centre for Health Services Research, The University of New South Wales, Liverpool Health Service, Locked Bag 7103, Liverpool BC NSW 1871, Australia. - - 2008
The subjective experiences of patients with little or no English who either attended the Emergency Department or were admitted to the wards of a tertiary referral hospital were explored. The reports of experiences from 49 patients of a tertiary referral hospital were analysed using grounded theory methods applied to translated ...
Olsen Jon C - - 2008
The study objective was to determine if Emergency Department (ED) patients experience fewer breaches of privacy and confidentiality in a larger, renovated ED compared to a similar patient population before renovation. We surveyed a convenience sample of patients regarding their privacy and confidentiality at the conclusion of their ED stay. ...
Teherani Arianne - - 2008
Standardized patient simulations have been used as an assessment tool, providing teachers an opportunity to observe learner clinical and communication skills while eliminating the fear of harm to patients. Yet the vices and virtues of these simulations in measuring clinical and communication skills have been deliberated. Based on our standardized ...
Krebs D W - - 2008
Timely adherence to clinical and pharmacy appointments is well correlated with favourable patient outcomes among HIV-infected individuals on antiretroviral therapy. To date, however, there is little work exploring reasons behind missed visits or evaluating programmatic strategies to recall patients. For this study we implemented community-based follow-up of late patients as ...
McEvoy Phil - - 2008
Patient registries are a central component of the Chronic Care Model and research suggests that their use is associated with improved outcomes for patients with a range of chronic diseases. This article begins by outlining the case for using patient registries and it identifies some of the issues that need ...
Fourrier-Réglat Annie - - 2008
BACKGROUND: In pharmacoepidemiology studies where patients are selected by prescribers, there is concern that the patients of responding prescribers are not necessarily an unbiased sample of all patients. However, this usually cannot be explored. In the CADEUS study, patients and prescribers were independently contacted so that data are available for ...
Ottmani S - - 2008
We sought to characterize conceptions of tuberculosis (TB) in an urban population in Morocco. Thus 301 subjects, some being treated for TB (patients) and some attending health facilities for other conditions (non-patients), in 2 Moroccan cities were surveyed. Most patients did not identify their illness as TB referring instead to ...
Georges J-J - - 2008
BACKGROUND: Caring for terminally ill patients is a meaningful task, however the patient's suffering can be a considerable burden and cause of frustration. OBJECTIVES: The aim of this study is to describe the experiences of general practitioners (GPs) in The Netherlands in dealing with a request for euthanasia from a ...
Carey Michael P MP Center for Health and Behavior, Syracuse University, Syracuse, NY 13244-2340, USA. - - 2008
Sexually transmitted infection (STI) clinics provide an opportune setting for HIV prevention efforts. This randomized controlled trial evaluated a unique, two-step approach to sexual risk reduction at a publicly-funded STI clinic. During an initial visit, patients completed an audio-computer assisted self-interview (ACASI), were randomized to and received one of two ...
Hardy Robert - - 2008
RATIONALE, AIMS AND OBJECTIVES: Protocols may improve patient care by standardizing investigations performed. In pre-operative surgical patients this should ensure all patients undergo essential investigations while limiting unnecessary tests. Previous studies have shown poor protocol adherence within 6 weeks of implementation unless strictly enforced. With this in mind, we analysed ...
Dijkstra Arie - - 2008
The observation that the use of antidepressants has strongly increased during the past decade implies that on a micro level doctors and patients more often decide that antidepressants are the appropriate treatment. Therefore, it is important to increase insight into patients' decision making regarding the use of antidepressants. The decision ...
Pevzner Leo - - 2008
OBJECTIVE: To explore patient attitudes related to cesarean delivery on maternal request (CDMR). STUDY DESIGN: Questionnaires were distributed to patients in mid-trimester. Questions assessed patient demographics, knowledge, perceived risks, and attitudes about CDMR. RESULTS: Three hundred and fourteen questionnaires and 188 written responses were used for analysis. Most patients (95%) ...
Chartier-Kastler Emmanuel - - 2008
INTRODUCTION: Little stress has been placed on patients' satisfaction with regard to management of erectile dysfunction (ED) after radical prostatectomy (RP) and on how physicians' and patients' views may differ in this respect. AIM: To assess the extent to which urologists' perceptions of their patients' expectations and the actual needs ...
Sun Chiao-Yin - - 2008
BACKGROUND: Hemodialysis and phosphate (P) binder therapy are the major methods to reduce the phosphate level in dialysis patients. However, dietary P restriction is necessary for adequate control. The successful dietary control is based on patient compliance. Patient education is the best method to assure the knowledge and drive of ...
Heje Hanne Nørgaard - - 2008
BACKGROUND: Knowledge of the extent to which patient characteristics are systematically associated with variation in patient evaluations will enable us to adjust for differences between practice populations and thereby compare GPs. Whether this is appropriate depends on the purpose for which the patient evaluation was conducted. Associations between evaluations and ...
O'connor Elodie J - - 2008
The current study investigated the impact of neurological illness on marital relationship satisfaction. Participants numbered 423 patients and 335 carers from motor neurone disease (MND), Huntington's disease (HD), Parkinson's, and multiple sclerosis (MS). The results demonstrated that patients and carers with HD had a significantly lower level of relationship satisfaction ...
Uziel Yosef - - 2008
Intra-articular corticosteroid injection in juvenile idiopathic arthritis (JIA) is often associated with anxiety and pain. Recent reports advocate the use of nitrous oxide (NO), a volatile gas with analgesic, anxiolytic and sedative properties. To prospectively evaluate the effectiveness and safety of NO analgesia for intra-articular corticosteroid injection in JIA, and ...
Alemi Farrokh - - 2008
Patients give many reasons for why they have not kept up with their resolutions; research shows that many of these causal attributions are wrong. This article provides a tool to help patients sort out causes of and constraints on their behavior, in general, and exercise, in particular. Patient's diary data ...
Rivera A Joy - - 2008
The traditional approach to solving patient safety problems in healthcare is to blame the last person to touch the patient. But since the publication of To Err is Human, the call has been instead to use human factors and systems engineering methods and principles to solve patient safety problems. However, ...
Mollon Brent - - 2008
Telephone reminder systems have been used to assist in the treatment of many chronic diseases. However, it is unclear if these systems can increase medication and appointment adherence in patients with diabetes without direct patient-provider telephone contact. We tested the feasibility of using an automated telephone reminder system (ATRS) to ...
Charles Marilyn - - 2008
The therapeutic community at the Austen Riggs Center relies on patient authority to preserve the open setting. Patients' willingness to take on the challenges and responsibilities of citizenship makes it possible to work without bars or locks. Most patients arrive having been labeled "treatment resistant," a label that can connote ...
Zlatarić Dubravka Knezović - - 2008
This study aimed to analyze factors related to patients' general satisfaction with removable partial dentures (RPDs), such as esthetics, retention, speech, chewing, and comfort. A total of 103 patients with Kennedy Class I RPDs (34 to 82 years old; mean age: 63; 35 men, 68 women) assessed their satisfaction with ...
Salzwedel Cornelie - - 2008
BACKGROUND: Video-assisted patient education during the preanesthetic clinic visit is a new intervention to increase knowledge transfer to the patient regarding anesthesia procedure and risks. However, little is known about whether video-based patient education influences patient anxiety and the duration of the preanesthetic visit. METHODS: Two hundred nine consecutive patients, ...
Chan Edward - - 2008
Thirty-two male patients in gay relationships and eight family physicians were recruited from a family practice in order to determine comfort with an eight-question Gay Abuse Screening Protocol (GASP). The GASP was administered during a typical clinical encounter. After the encounter, physicians and patients each completed a 5-point Likert Scale ...
Greenfield Sheila - - 2008
Coronary heart disease patients have to learn to manage their condition to maximise quality of life and prevent recurrence or deterioration. They may develop their own informal methods of self-management in addition to the advice they receive as part of formal cardiac rehabilitation programmes. This study aimed to explore the ...
Favre Romain R Department of Ultrasound and Fetal Medicine, Strasbourg, - - 2008
We evaluate the level of information and informed consent given for the screening of Down syndrome (DS) before the first-trimester ultrasound scan. We evaluate the nature of the medical information given and the patient's understanding. This makes it possible to analyze the existence of the necessary elements (level of information ...
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