Common response patterns of medical students in interviews of hospitalized patients.

Abstract:

:Sixty-eight interviews of hospitalized patients by freshmen medical students were examined for common response patterns. Response profiles were constructed for each medical student and subjected to cluster analysis. Four common response patterns were identified: Questioning Facilitators, Declaring Facilitators, Elaborators, and Prompters. The four patterns are distinguished by the different balance they strike between directing the interview and remaining responsive to the patient. Limitations of the study and its practical implications are also considered.

journal_name

Med Care

journal_title

Medical care

authors

Brent EE,Beckett DE

doi

10.1097/00005650-198611000-00002

subject

Has Abstract

pub_date

1986-11-01 00:00:00

pages

981-9

issue

11

eissn

0025-7079

issn

1537-1948

journal_volume

24

pub_type

杂志文章
  • Effects of Cardiovascular Health Shocks on Spouses' Work and Earnings: A National Study.

    abstract:BACKGROUND:Acute health shocks can reduce the ability to work and earn among working-age survivors. The full economic impact includes labor market effects on spouses/partners, but there is a knowledge gap in this area. OBJECTIVES:The objective of this study was to assess how 3 common health shocks, acute myocardial in...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001249

    authors: Jeon SH,Stepner M,Rotermann M,Fransoo R,Sanmartin C,Scales DC,Wunsch H,Iwashyna TJ,Garland A

    更新日期:2020-02-01 00:00:00

  • Changing provider behavior: an overview of systematic reviews of interventions.

    abstract:BACKGROUND:Increasing recognition of the failure to translate research findings into practice has led to greater awareness of the importance of using active dissemination and implementation strategies. Although there is a growing body of research evidence about the effectiveness of different strategies, this is not eas...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:

    authors: Grimshaw JM,Shirran L,Thomas R,Mowatt G,Fraser C,Bero L,Grilli R,Harvey E,Oxman A,O'Brien MA

    更新日期:2001-08-01 00:00:00

  • Reliance on Veterans Affairs outpatient care by Medicare-eligible veterans.

    abstract:OBJECTIVE:To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years. METHODS:We merged VA administrative and Medicare claims data to examine outpatient use during fiscal years (FY) 2001 to 2004 by 15,...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31822396c5

    authors: Liu CF,Manning WG,Burgess JF Jr,Hebert PL,Bryson CL,Fortney J,Perkins M,Sharp ND,Maciejewski ML

    更新日期:2011-10-01 00:00:00

  • Medical and psychiatric determinants of outpatient medical utilization.

    abstract::Ninety-two general medical outpatients were surveyed with an interview, questionnaires, and a medical record review to investigate the relationships among psychiatric disorder (depression and hypochondriasis), somatic symptoms, medical morbidity, and the utilization of ambulatory medical services. Medical utilization ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198606000-00009

    authors: Barsky AJ,Wyshak G,Klerman GL

    更新日期:1986-06-01 00:00:00

  • A comparison of four indirect methods of assessing utility values in rheumatoid arthritis.

    abstract:OBJECTIVES:Utility scores can be assessed indirectly using preference-based instruments and used as weightings for quality-adjusted life years in economic analyses. It is not clear whether available instruments yield similar results or what domains of health are contributing to the overall score in a sample of patients...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200411000-00012

    authors: Marra CA,Esdaile JM,Guh D,Kopec JA,Brazier JE,Koehler BE,Chalmers A,Anis AH

    更新日期:2004-11-01 00:00:00

  • Hospital Characteristics Associated With Risk-standardized Readmission Rates.

    abstract:BACKGROUND:Safety-net and teaching hospitals are somewhat more likely to be penalized for excess readmissions, but the association of other hospital characteristics with readmission rates is uncertain and may have relevance for hospital-centered interventions. OBJECTIVE:To examine the independent association of 8 hosp...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000713

    authors: Horwitz LI,Bernheim SM,Ross JS,Herrin J,Grady JN,Krumholz HM,Drye EE,Lin Z

    更新日期:2017-05-01 00:00:00

  • Underutilization of antihypertensive drugs and associated hospitalization.

    abstract::The association of underutilization of drugs prescribed for the treatment of hypertension and acute-care hospital readmissions was evaluated. The data base consisted of computerized hospitalization records and computerized out-patient pharmacy records, checked by chart audit for validity. The number of days' supply of...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198912000-00007

    authors: Maronde RF,Chan LS,Larsen FJ,Strandberg LR,Laventurier MF,Sullivan SR

    更新日期:1989-12-01 00:00:00

  • Comparison of Nurse Staffing Measurements in Staffing-Outcomes Research.

    abstract:BACKGROUND:Investigators have used a variety of operational definitions of nursing hours of care in measuring nurse staffing for health services research. However, little is known about which approach is best for nurse staffing measurement. OBJECTIVE:To examine whether various nursing hours measures yield different mo...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318277eb50

    authors: Park SH,Blegen MA,Spetz J,Chapman SA,De Groot HA

    更新日期:2015-01-01 00:00:00

  • Cultural sensitivity in physician-patient relationships: perspectives of an ethnically diverse sample of low-income primary care patients.

    abstract:BACKGROUND:Health care providers and health care training institutions need more specific, relevant, and useful information for providing culturally sensitive health care. OBJECTIVE:We sought to determine what patients considered to be culturally sensitive health care. RESEARCH DESIGN AND PARTICIPANTS:We conducted 20...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200307000-00010

    authors: Tucker CM,Herman KC,Pedersen TR,Higley B,Montrichard M,Ivery P

    更新日期:2003-07-01 00:00:00

  • Improving adherence to screening follow-up among women with abnormal Pap smears: results from a large clinic-based trial of three intervention strategies.

    abstract::In a large randomized trial involving over 2,000 women with abnormal cervical cytology (pap smear), three clinic-based interventions were tested as strategies to increase return rates for screening follow-up: 1) a personalized follow-up letter and pamphlet; 2) a slide-tape program on pap smears; and 3) transportation ...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005650-199203000-00004

    authors: Marcus AC,Crane LA,Kaplan CP,Reading AE,Savage E,Gunning J,Bernstein G,Berek JS

    更新日期:1992-03-01 00:00:00

  • A Comparison of Quality of Community Health Services Between Public and Private Community Health Centers in Urban China.

    abstract:BACKGROUND:This study was the first of its kind to evaluate and compare the quality of private and public community health centers (CHCs) in urban China. METHODS:A total of 2501 CHCs in 35 cities were chosen in 2011 using a multistage sampling method, and data on human resources, medical equipment and drug inventory w...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000414

    authors: Yin X,Gong Y,Yang C,Tu X,Liu W,Cao S,Yang H,Lu Z

    更新日期:2015-10-01 00:00:00

  • Constructing Episodes of Inpatient Care: How to Define Hospital Transfer in Hospital Administrative Health Data?

    abstract:BACKGROUND:Hospital administrative health data create separate records for each hospital stay of patients. Treating a hospital transfer as a readmission could lead to biased results in health service research. METHODS:This is a cross-sectional study. We used the hospital discharge abstract database in 2013 from Albert...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000624

    authors: Peng M,Li B,Southern DA,Eastwood CA,Quan H

    更新日期:2017-01-01 00:00:00

  • Does practice make perfect? Part I: The relation between hospital volume and outcomes for selected diagnostic categories.

    abstract::The effect of a greater volume of patients with similar conditions being treated at a hospital on the outcomes achieved is studied using a variety of categories of patients, 15 surgical and 2 medical, and involving 550,000 patients treated in over 1,200 nonfederal United States acute care hospitals. After demonstratin...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:

    authors: Flood AB,Scott WR,Ewy W

    更新日期:1984-02-01 00:00:00

  • Unlicensed foreign medical graduates in California. Social and demographic characteristics and progress toward licensure.

    abstract::Foreign-born physicians graduated from foreign medical schools who were unlicensed in California are described by nationality, age, sex, location, visa status, employment, English fluency, and specialty. Over 1,210 unlicensed foreign medical graduates (FMGs) were located in California and 736 were interviewed, approxi...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198312000-00004

    authors: Smith MW,Fowkes VK

    更新日期:1983-12-01 00:00:00

  • Out-of-pocket health spending between low-and higher-income populations: who is at risk of having high expenses and high burdens?

    abstract:OBJECTIVE:We studied the effects of health insurance, health care needs, and demographic and area characteristics on out-of-pocket health care spending for low and higher income insured populations. MATERIALS AND METHODS:We used the 2002 National Survey of America's Families to analyze out-of-pocket health spending. P...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000199692.78295.7c

    authors: Shen YC,McFeeters J

    更新日期:2006-03-01 00:00:00

  • Politics and Policymaking in Medicare Part C.

    abstract:BACKGROUND:Once just a small part of the Medicare program, private managed care plans now cover over one-third of all Medicare beneficiaries and cost the Federal government ~$210 billion each year. Importantly, the evolution of Medicare managed care policy has been far from linear; for several decades there have been d...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001256

    authors: Adrion ER

    更新日期:2020-03-01 00:00:00

  • Predictors of aggressive therapy for nonmetastatic prostate carcinoma in Massachusetts from 1998 to 2002.

    abstract:BACKGROUND:Most studies have found that black men are less likely to receive aggressive therapy for nonmetastatic prostate cancer, even after controlling for covariates. However, previous studies have not accounted for the clustering of outcomes by facility. OBJECTIVE:We sought to compare the proportions of black and ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000257144.29928.f0

    authors: Rose AJ,Backus BM,Gershman ST,Santos P,Ash AS,Battaglia TA

    更新日期:2007-05-01 00:00:00

  • The next step towards making use meaningful: electronic information exchange and care coordination across clinicians and delivery sites.

    abstract:BACKGROUND:Care for patients with chronic conditions often requires coordination between multiple physicians and delivery sites. Electronic Health Record (EHR) use could improve care quality and efficiency in part by facilitating care coordination. OBJECTIVE:We examined the association between EHR use and clinician pe...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000245

    authors: Graetz I,Reed M,Shortell SM,Rundall TG,Bellows J,Hsu J

    更新日期:2014-12-01 00:00:00

  • An index of insurance adequacy for fertility-related health care.

    abstract::Health insurance plans are evaluated here in terms of ability to guarantee financial access to a set of basic fertility-related health services. Extent of coverage is determined by whether a service is a contract benefit, its market cost, and how often it is used in a given population in one year. Comprehensive covera...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197501000-00003

    authors: Muller C,Krasner M,Jaffe FS

    更新日期:1975-01-01 00:00:00

  • A comparison of the patients and practices of recent graduates of family practice and general internal medicine residency programs.

    abstract::This study compares the characteristics of the practices and patients of recent graduates of family practice and general internal medicine residency programs. National samples of 104 family physicians and 134 general internists completed questionnaires and provided log-diary data for more than 7,500 office visits and ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198612000-00006

    authors: Cherkin DC,Rosenblatt RA,Hart LG,Schleiter MK

    更新日期:1986-12-01 00:00:00

  • Physician attitudes and experience regarding the care of patients with acquired immunodeficiency syndrome (AIDS) and related disorders (ARC).

    abstract::The number of patients with acquired immunodeficiency syndrome (AIDS) continues to increase. These patients require medical care from physicians who are well trained and who are willing to provide that care. In 1985, we undertook a survey of 314 heterosexual and homosexual physicians in Los Angeles County to determine...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198708000-00001

    authors: Richardson JL,Lochner T,McGuigan K,Levine AM

    更新日期:1987-08-01 00:00:00

  • Impact of predialysis therapeutic practices on patient outcomes during the first year of dialysis: the Pharmacoepidemiologic AVENIR study.

    abstract:BACKGROUND:Studies evaluating patient outcomes in dialysis as a function of quality of predialysis therapeutic care are lacking. OBJECTIVE:To evaluate the association of quality of predialysis therapeutic practices with survival and hospitalization during the first year of dialysis. RESEARCH DESIGN:The AVantagE de la...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3181d56926

    authors: Thilly N,Boini S,Loos-Ayav C,Kessler M,Briançon S,Frimat L

    更新日期:2012-01-01 00:00:00

  • Access to and utilization of health care by subgroups of Latino children.

    abstract:BACKGROUND:Latinos make up the largest group of minority children in the United States. Despite great diversity among Latino children, studies have traditionally treated them as a monolithic group. Few studies have examined patterns and determinants of access to and use of health care for different subgroups of Latino ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318190d9e4

    authors: Perez VH,Fang H,Inkelas M,Kuo AA,Ortega AN

    更新日期:2009-06-01 00:00:00

  • The utility of severity of illness information in assessing the quality of hospital care. The role of the clinical trajectory.

    abstract::This research explored whether differentiating patients whose severity of illness worsened, improved, or remained the same over the hospital stay is a good screen for quality of care. The hypothesis was that substandard care is more likely to occur among patients who have worsened. Severity was measured using the Comp...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199205000-00005

    authors: Iezzoni LI,Restuccia JD,Shwartz M,Schaumburg D,Coffman GA,Kreger BE,Butterly JR,Selker HP

    更新日期:1992-05-01 00:00:00

  • Assessing the quality of care for urinary tract infection in office practice: a comparative organizational study.

    abstract::As part of a comprehensive evaluation of care received by enrollees in a prepaid community health care project, we studied the process of care for enrollees reported to have a urinary tract infection. The care given to 98 patients enrolled in a large prepaid group practice (PGP) and 69 patients seen by 45 physicians i...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197806000-00005

    authors: LoGerfo JP,Larson E,Richardson WC

    更新日期:1978-06-01 00:00:00

  • Insurance continuity and receipt of diabetes preventive care in a network of federally qualified health centers.

    abstract:BACKGROUND AND OBJECTIVES:Having health insurance is usually associated with better access to care and better health outcomes. For patients receiving care at Federally Qualified Health Centers (FQHCs), where care is provided regardless of insurance status, the role health insurance status plays in affecting receipt of ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/mlr.0b013e318190ccac

    authors: Gold R,DeVoe J,Shah A,Chauvie S

    更新日期:2009-04-01 00:00:00

  • Patient noncompliance in the managed care setting. The case of medical therapy for glaucoma.

    abstract:OBJECTIVES:The authors identify demographic and clinical characteristics associated with noncompliance in patients beginning medical therapy for the treatment of glaucoma in a managed care setting. METHODS:The authors describe a retrospective cohort study in a group-model health maintenance organization in Massachuset...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199803000-00012

    authors: Gurwitz JH,Yeomans SM,Glynn RJ,Lewis BE,Levin R,Avorn J

    更新日期:1998-03-01 00:00:00

  • Perceived barriers to mental health service use among individuals with mental disorders in the Canadian general population.

    abstract:BACKGROUND:Eliminating barriers to care is important for improving health service use. However, the barriers to mental health care have not been well investigated. OBJECTIVES:This study was designed to provide information about the barriers to mental health service use and to identify clinical factors associated with ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000196954.67658.95

    authors: Wang J

    更新日期:2006-02-01 00:00:00

  • The relative complexity of primary care provided by medical specialists.

    abstract::Utilizing national data on patient care provided by family practitioners, general internists, and subspecialists in internal medicine, this study examines the complexity of care provided by generalist physicians versus subspecialty physicians on a disease-specific basis. Limiting the analysis to "principal care" provi...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198411000-00002

    authors: Mendenhall RC,Moynihan CJ,Radecki SE

    更新日期:1984-11-01 00:00:00

  • Physician practice revenues and use of information technology in patient care.

    abstract:OBJECTIVES:Although information technology (IT) may improve efficiency and quality of patient care, the adoption of clinical IT by physicians has been limited. This study investigates the relationships between physician practice revenue and use of clinical IT. RESEARCH DESIGN:We undertook a cross-sectional analysis of...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000241089.98461.e5

    authors: Furukawa MF,Ketcham JD,Rimsza ME

    更新日期:2007-02-01 00:00:00