"It's not about you".

abstract：OBJECTIVE:In 1996, the Health Care Financing Administration (HCFA) introduced new evaluation and management (E&M) guidelines mandating more intensive supervision and documentation by attending physicians. We assessed the effects of the guidelines on inpatient teaching. DESIGN:Pretest-posttest, nonequivalent control gr...

journal_title：Journal of general internal medicine

authors： Fihn SD,Schleyer AM,Kelly-Hedrick H,Martin DB

更新日期：2000-07-01 00:00:00

abstract：BACKGROUND:As children with diabetes transition to adulthood, they may be especially vulnerable to diabetic ketoacidosis (DKA). Cross-national comparisons may inform efforts to avoid this complication. OBJECTIVE:To compare DKA hospitalization rates in the USA and Manitoba, Canada, during the vulnerable years known as ...

journal_title：Journal of general internal medicine

authors： Gaffney A,Christopher A,Katz A,Chateau D,McDougall C,Bor D,Himmelstein D,Woolhandler S,McCormick D

更新日期：2019-07-01 00:00:00

abstract：OBJECTIVE:To report rates of cost-related skipping of medications and other treatments, assess correlates of skipping, examine changes in skipping between 1998 and 2000, and identify factors associated with changes in skipping. DESIGN, SETTING, AND PARTICIPANTS:Cross-sectional and longitudinal analyses of surveys of a...

journal_title：Journal of general internal medicine

authors： Wilson IB,Rogers WH,Chang H,Safran DG

更新日期：2005-08-01 00:00:00

abstract：OBJECTIVE:To examine changes in the quality of primary care experienced and reported by Medicare beneficiaries from 1998 to 2000. DESIGN:Longitudinal observational study. SETTING:Thirteen states with large, mature Medicare HMO markets. PARTICIPANTS:Probability sample of noninstitutionalized Medicare beneficiaries ag...

journal_title：Journal of general internal medicine

authors： Montgomery JE,Irish JT,Wilson IB,Chang H,Li AC,Rogers WH,Safran DG

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:The double-blind placebo-controlled design is commonly considered the gold standard in research methodology; however, subject expectation bias could subvert blinding. OBJECTIVE:The primary aim of this study was to examine the impact of expectation bias. Specifically, we examined perceived treatment assignme...

journal_title：Journal of general internal medicine

authors： Thomas JL,Guo H,Lynam IM,Powell JN,Okuyemi KS,Bronars CA,Ahluwalia JS

更新日期：2008-09-01 00:00:00

abstract：BACKGROUND:The transition from pediatric to adult care is a critical period for young adults with childhood-onset conditions. General internists are tasked with participating in the care of this vulnerable population. Existing guidelines regarding transition do not fully address structural or organizational characteris...

journal_title：Journal of general internal medicine

authors： Hart LC,Mouw MS,Teal R,Jonas DE

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:Extension for Community Healthcare Outcomes (ECHO) and related models of medical tele-education are rapidly expanding; however, their effectiveness remains unclear. This systematic review examines the effectiveness of ECHO and ECHO-like medical tele-education models of healthcare delivery in terms of improve...

journal_title：Journal of general internal medicine

authors： McBain RK,Sousa JL,Rose AJ,Baxi SM,Faherty LJ,Taplin C,Chappel A,Fischer SH

更新日期：2019-12-01 00:00:00

abstract：OBJECTIVE:To identify the ethical dilemmas that internists encounter, the strategies they use to address them, and the usefulness of ethics consultation. DESIGN:National telephone survey. SETTING:Doctors' offices. PARTICIPANTS:General internists, oncologists, and critical care/pulmonologists (N = 344, 64% response r...

journal_title：Journal of general internal medicine

authors： DuVal G,Clarridge B,Gensler G,Danis M

更新日期：2004-03-01 00:00:00

abstract：BACKGROUND:Quite often medical students or novice residents have difficulty in ruling out diseases even though they are quite unlikely and, due to this difficulty, such students and novice residents unnecessarily repeat laboratory or imaging tests. OBJECTIVE:To explore whether or not a carefully designed short trainin...

journal_title：Journal of general internal medicine

authors： Noguchi Y,Matsui K,Imura H,Kiyota M,Fukui T

更新日期：2004-05-01 00:00:00

abstract：OBJECTIVE:Heart failure (HF) is a leading cause of hospitalization. Clinical and socio-demographic factors have been associated with cardiac admissions, but little is known about the role of anxiety. We examined whether symptoms of anxiety were associated with cardiac hospitalizations at 12 months in HF patients. METH...

journal_title：Journal of general internal medicine

authors： Damen NL,Pelle AJ,Szabó BM,Pedersen SS

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND:To date, 38 states have enacted dense breast notification (DBN) laws mandating that mammogram reports include language informing women of risks related to dense breast tissue. OBJECTIVE:Nationally representative survey to assess the association between residing in a state with a DBN law and women's awarenes...

journal_title：Journal of general internal medicine

authors： Kyanko KA,Hoag J,Busch SH,Aminawung JA,Xu X,Richman IB,Gross CP

更新日期：2020-07-01 00:00:00

abstract：:Over the past several decades, and particularly during the last 10 to 15 years, there has been a rapid increase in the accessibility of legalized gambling in the United States and other parts of the world. Few studies have systematically explored the relationships between patterns of gambling and health status. Existi...

journal_title：Journal of general internal medicine

authors： Potenza MN,Fiellin DA,Heninger GR,Rounsaville BJ,Mazure CM

更新日期：2002-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:Patient-provider language barriers may play a role in health-care disparities, including obtaining colorectal cancer (CRC) screening. Professional interpreters and language-concordant providers may mitigate these disparities. DESIGN, SUBJECTS, AND MAIN MEASURES: We performed a retrospective coh...

journal_title：Journal of general internal medicine

authors： Linsky A,McIntosh N,Cabral H,Kazis LE

更新日期：2011-02-01 00:00:00

abstract：BACKGROUND:Inadequate health literacy is prevalent among seniors and is associated with poor health outcomes. At hospital discharge, medications are frequently changed and patients are informed of these changes via their discharge instructions. OBJECTIVES:Explore the association between health literacy and medication ...

journal_title：Journal of general internal medicine

authors： Lindquist LA,Go L,Fleisher J,Jain N,Friesema E,Baker DW

更新日期：2012-02-01 00:00:00

abstract：:Three hundred ninety-one cases of chronic lymphocytic leukemia (CLL) from the Tumour Registry of Manitoba, spanning a 20-year period from January 1960 to December 1979, were reviewed. Survival curves were developed using the staging systems of Rai and Binet. A clear separation in survival was found utilizing the syste...

journal_title：Journal of general internal medicine

authors： MacDougall BK,Weinerman BH

更新日期：1988-03-01 00:00:00

abstract：INTRODUCTION:Despite the 1984 United Nations's Convention Against Torture calling to train doctors to work with torture survivors, many physicians are unaware of their obligation and few are taught the requisite clinical skills. AIM:To describe the development, implementation, and evaluation of a curriculum to teach r...

journal_title：Journal of general internal medicine

authors： Metalios EE,Asgary RG,Cooperman N,Smith CL,Du E,Modali L,Sacajiu G

更新日期：2008-07-01 00:00:00

abstract：BACKGROUND:Fluid resuscitation is a widely used intervention that is mandated in the management of sepsis. While its use can be life-saving, its overuse is associated with harm. Despite this, the best means of assessing a need for fluid resuscitation in an acute medical setting is unclear. OBJECTIVE:To assess studies ...

journal_title：Journal of general internal medicine

authors： Seccombe A,McCluskey L,Moorey H,Lasserson D,Sapey E

更新日期：2019-09-01 00:00:00

abstract：OBJECTIVE:The objective of the study is to examine the association between ambulatory care sensitive hospitalizations (ACSH) and dual Medicare/Veteran Health Administration use. PARTICIPANTS:A nationally representative sample of Medicare beneficiaries, who participated in the Medicare Current Beneficiary Survey (MCBS)...

journal_title：Journal of general internal medicine

authors： Ajmera M,Wilkins TL,Sambamoorthi U

更新日期：2011-11-01 00:00:00

abstract：BACKGROUND:While studies have been published in the last 30 years that examine the effect of charge display during physician decision-making, no analysis or synthesis of these studies has been conducted. OBJECTIVE:We aimed to determine the type and quality of charge display studies that have been published; to synthes...

journal_title：Journal of general internal medicine

authors： Goetz C,Rotman SR,Hartoularos G,Bishop TF

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Most guidelines recommend against PSA-based screening for prostate cancer in men ≥ 70 years of age. Adherence to these guidelines is variable. OBJECTIVE:To determine whether the use of a "Best Practice Advisory" (BPA) intervention within the electronic medical record (EMR) system can alter the rate of PSA s...

journal_title：Journal of general internal medicine

authors： Presti J Jr,Alexeeff S,Horton B,Prausnitz S,Avins AL

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:The coronavirus disease 2019 (COVID-19) emerged in December 2019 and posed numerous challenges to China's health system. Almost 4 million primary care practitioners (PCPs) participated in controlling the outbreak. However, PCPs' barriers to and experience of the epidemic control remain unknown and are essent...

journal_title：Journal of general internal medicine

authors： Xu Z,Ye Y,Wang Y,Qian Y,Pan J,Lu Y,Fang L

更新日期：2020-11-01 00:00:00

abstract：:Physicians and patients increasingly use social media technologies, such as Facebook, Twitter, and weblogs (blogs), both professionally and personally. Amidst recent reports of physician misbehavior online, as well as concerns about social media's potential negative effect on trust in the medical profession, several n...

journal_title：Journal of general internal medicine

authors： Decamp M

更新日期：2013-02-01 00:00:00

abstract：BACKGROUND:Our objective was to assess the performance of machine learning methods to predict post-operative delirium using a prospective clinical cohort. METHODS:We analyzed data from an observational cohort study of 560 older adults (≥ 70 years) without dementia undergoing major elective non-cardiac surgery. Post-op...

journal_title：Journal of general internal medicine

authors： Racine AM,Tommet D,D'Aquila ML,Fong TG,Gou Y,Tabloski PA,Metzger ED,Hshieh TT,Schmitt EM,Vasunilashorn SM,Kunze L,Vlassakov K,Abdeen A,Lange J,Earp B,Dickerson BC,Marcantonio ER,Steingrimsson J,Travison TG,Inouye SK

更新日期：2020-10-19 00:00:00

abstract：BACKGROUND:Patient navigator (PN) programs can improve breast cancer screening in low income, ethnic/racial minorities. Refugee women have low breast cancer screening rates, but it has not been shown that PN is similarly effective. OBJECTIVE:Evaluate whether a PN program for refugee women decreases disparities in brea...

journal_title：Journal of general internal medicine

authors： Percac-Lima S,Ashburner JM,Bond B,Oo SA,Atlas SJ

更新日期：2013-11-01 00:00:00

abstract：:This Perspective discusses 12 key facts derived from 50 years of health services research and argues that this knowledge base can stimulate innovative thinking about how to make health care systems safer, more efficient, more cost effective, and more patient centered, even as they respond to the needs of diverse commu...

journal_title：Journal of general internal medicine

authors： Brook RH,Vaiana ME

更新日期：2015-10-01 00:00:00

abstract：OBJECTIVE:To summarize for clinicians recent epidemiologic evidence regarding medical risks of alcohol use for women. METHODS:MEDLINE and PsychINFO, 1990 through 1996, were searched using key words "women" or "woman," and "alcohol." MEDLINE was also searched for other specific topics and authors from 1980 through 1996...

journal_title：Journal of general internal medicine

authors： Bradley KA,Badrinath S,Bush K,Boyd-Wickizer J,Anawalt B

更新日期：1998-09-01 00:00:00

abstract：BACKGROUND:Despite high rates of post-deployment psychosocial problems in Iraq and Afghanistan veterans, mental health and social services are under-utilized. OBJECTIVE:To evaluate whether a Department of Veterans Affairs (VA) integrated care (IC) clinic (established in April 2007), offering an initial three-part prim...

journal_title：Journal of general internal medicine

authors： Seal KH,Cohen G,Bertenthal D,Cohen BE,Maguen S,Daley A

更新日期：2011-10-01 00:00:00

abstract：:The safety net, a collection of public hospitals, federally qualified health centers (FQHCs), and publicly funded community-based healthcare entities, provides essential care to middle-aged and older adults with geriatric conditions. The role of the safety net for these adults will intensify over the next two decades ...

journal_title：Journal of general internal medicine

authors： Chodos AH,Cassel CK,Ritchie CS

更新日期：2020-11-01 00:00:00

abstract：:Anti-N-methyl-D-aspartate receptor (anti-NMDA-R) encephalitis is an immune-mediated syndrome that remains under-recognized despite a growing body of literature. This syndrome has been predominantly described in young females with a constellation of symptoms, including personality changes, autonomic dysfunction and neu...

journal_title：Journal of general internal medicine

authors： Day GS,High SM,Cot B,Tang-Wai DF

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:As the Veterans Health Administration (VHA) reorganizes providers into the patient-centered medical home, questions remain whether this model of care can demonstrate improved patient outcomes and cost savings. OBJECTIVE:We measured adoption of medical home features by VHA primary care clinics prior to wides...

journal_title：Journal of general internal medicine

authors： Yoon J,Rose DE,Canelo I,Upadhyay AS,Schectman G,Stark R,Rubenstein LV,Yano EM

更新日期：2013-09-01 00:00:00