Education Research: Physician identification and patient satisfaction on an academic neurology inpatient service.

Abstract:

OBJECTIVE:To determine the relationship between neurology inpatient satisfaction and (1) number of physicians involved in the patient's care and (2) patients' ability to identify their physicians. METHODS:A 10-item questionnaire addressing patient satisfaction and identification of physicians on the care team was administered to patients admitted to an academic, tertiary care, inpatient neurology service from May 1 to October 31, 2012. We hypothesized higher satisfaction among patients having fewer physicians on the care team and among patients able to identify their physicians. RESULTS:A total of 652 patients were enrolled. An average of 3.9 (range 3-8) physicians were involved in each patient's care. Patients were able to correctly identify on average 2.4 (60.7%) physicians involved in their care. Patients who were very satisfied correctly identified a larger percentage of physicians involved in their care (63.8% vs 50.7%, p < 0.001), were more likely to identify a physician who knew them best (94.3% vs 43.6%, p < 0.001) and who was "in charge" of their care (94.1% vs 57.6%, p < 0.001), and were more likely to have private insurance (82.8% vs 70.5%, p < 0.001) and fewer physicians involved in their care (3.84 vs 4.06, p = 0.02). CONCLUSIONS:Neurology inpatients' ability to identify physicians involved in their care is associated with patient satisfaction. Strategies to enhance patient satisfaction might target improving physician identification, reducing actual or perceived disparities in care based on payer status, and reducing handoffs or conducting handoffs at the bedside.

journal_name

Neurology

journal_title

Neurology

authors

Leon Guerrero CR,Anderson T,Zazulia AR

doi

10.1212/WNL.0000000000004961

subject

Has Abstract

pub_date

2018-02-13 00:00:00

pages

e632-e636

issue

7

eissn

0028-3878

issn

1526-632X

pii

WNL.0000000000004961

journal_volume

90

pub_type

杂志文章
  • Opioidergic changes in the pineal gland and hypothalamus in cluster headache: a ligand PET study.

    abstract::Using PET with the opioidergic ligand [11C]diprenorphine, the authors demonstrate decreased tracer binding in the pineal gland of cluster headache patients vs healthy volunteers. Opioid receptor availability in the hypothalamus and cingulate cortex depended on the duration of the headache disorder. Therefore, the path...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000204225.15947.f8

    authors: Sprenger T,Willoch F,Miederer M,Schindler F,Valet M,Berthele A,Spilker ME,Förderreuther S,Straube A,Stangier I,Wester HJ,Tölle TR

    更新日期:2006-04-11 00:00:00

  • Oral fluoroquinolone use and risk of peripheral neuropathy: a pharmacoepidemiologic study.

    abstract:OBJECTIVE:To quantify the risk of peripheral neuropathy (PN) with oral fluoroquinolone (FQ) use. METHODS:We conducted a case-control study within a cohort of men aged 45 to 80 years in the United States followed from 2001 to 2011. Cases were defined as those with the first physician visit diagnosis of PN, polyneuropat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000846

    authors: Etminan M,Brophy JM,Samii A

    更新日期:2014-09-30 00:00:00

  • Dietary patterns during adulthood and cognitive performance in midlife: The CARDIA study.

    abstract:OBJECTIVE:To investigate whether dietary patterns (Mediterranean diet [MedDiet], Dietary Approaches to Stop Hypertension [DASH], and A Priori Diet Quality Score [APDQS]) during adulthood are associated with midlife cognitive performance. METHODS:We studied 2,621 Coronary Artery Risk Development in Young Adults (CARDIA...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000007243

    authors: McEvoy CT,Hoang T,Sidney S,Steffen LM,Jacobs DR Jr,Shikany JM,Wilkins JT,Yaffe K

    更新日期:2019-04-02 00:00:00

  • Neutralizing antibodies reduce the efficacy of betaIFN during treatment of multiple sclerosis.

    abstract:OBJECTIVE:To analyze the impact of neutralizing antibodies (NAbs) on the clinical efficacy of IFNbeta. METHODS:This was an open-label study involving 78 patients with multiple sclerosis treated with Betaferon 8 million IU (MIU) subcutaneously (SC) every other day (n = 20), Rebif 22 micro g SC 3 times weekly (n = 25), ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000129265.73259.9e

    authors: Malucchi S,Sala A,Gilli F,Bottero R,Di Sapio A,Capobianco M,Bertolotto A

    更新日期:2004-06-08 00:00:00

  • Sign language aphasia due to left occipital lesion in a deaf signer.

    abstract::Localization of sign language production and comprehension in deaf people has been described as similar to that of spoken language aphasia. However, sign language employs a visuospatial modality through visual information. We present the first report of a deaf signer who showed substantial sign language aphasia with s...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000277455.08067.9c

    authors: Saito K,Otsuki M,Ueno S

    更新日期:2007-10-02 00:00:00

  • A distinctive autosomal dominant vacuolar neuromyopathy linked to 19p13.

    abstract:OBJECTIVE:To characterize a kindred with a distinctive autosomal dominant neuromuscular disorder. BACKGROUND:The authors studied a large Italian family affected by a progressive neuromyopathy. Ten individuals over three generations were affected. The disease was characterized by onset from the late teens to early 50s ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.4.830

    authors: Servidei S,Capon F,Spinazzola A,Mirabella M,Semprini S,de Rosa G,Gennarelli M,Sangiuolo F,Ricci E,Mohrenweiser HW,Dallapiccola B,Tonali P,Novelli G

    更新日期:1999-09-11 00:00:00

  • Serum and muscle potassium in experimental alcoholic myopathy.

    abstract::We investigated the possible role of potassium deficiency, a recognized cause of myopathy, in the pathogenesis of experimental acute alcoholic myopathy (EAM) in the rat. Alcohol-treated animals receiving the same dietary potassium as controls developed mild hypokalemia; however, muscle potassium was preserved or eleva...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.4.529

    authors: Haller RG,Carter NW,Ferguson E,Knochel JP

    更新日期:1984-04-01 00:00:00

  • Seizures and their outcome in progressive multifocal leukoencephalopathy.

    abstract::Seizures are not expected in progressive multifocal leukoencephalopathy (PML), a condition considered to be restricted to the white matter. Review of medical records of 89 patients with possible or proven PML showed an 18% prevalence of seizures. Seizures usually responded well to treatment and did not affect survival...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000194227.16696.11

    authors: Lima MA,Drislane FW,Koralnik IJ

    更新日期:2006-01-24 00:00:00

  • Vertical and horizontal meridian sparing in occipital lobe homonymous hemianopias.

    abstract::We report two patients with unique homonymous hemianopias from occipital lobe infarctions. One patient had vertical meridian sparing, and the other displayed horizontal meridian sparing. MRI correlation with the visual field defects confirmed that the vertical hemianopic meridian was represented along the border of th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.50.4.1170

    authors: Gray LG,Galetta SL,Schatz NJ

    更新日期:1998-04-01 00:00:00

  • Cognitive deficits of pure subcortical vascular dementia vs. Alzheimer disease: PiB-PET-based study.

    abstract:OBJECTIVES:Despite many neuropsychological studies to differentiate subcortical vascular dementia (SVaD) from Alzheimer disease (AD), previous studies did not eliminate confounding effects of mixed Alzheimer and vascular pathology. We aimed to investigate neuropsychological differences between patients with Pittsburgh ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182815485

    authors: Yoon CW,Shin JS,Kim HJ,Cho H,Noh Y,Kim GH,Chin JH,Oh SJ,Kim JS,Choe YS,Lee KH,Lee JH,Seo SW,Na DL

    更新日期:2013-02-05 00:00:00

  • Retrievable stents, "stentrievers," for endovascular acute ischemic stroke therapy.

    abstract::Endovascular therapy for acute ischemic stroke continues to evolve to improve both efficacy and safety. In the late 1990 s, intra-arterial chemical thrombolysis with prourokinase was shown to be effective in achieving partial recanalization and improving clinical outcome, in comparison with intra-arterial heparin admi...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/WNL.0b013e3182697e9e

    authors: Novakovic RL,Toth G,Narayanan S,Zaidat OO

    更新日期:2012-09-25 00:00:00

  • Initiating treatment for idiopathic parkinsonism.

    abstract::The initial decision in the management of idiopathic parkinsonism is whether any pharmacotherapy is indicated. There is no conclusive evidence that treatment is helpful before symptoms start to affect the patient's life, although some neurologists believe that deprenyl, also known as selegiline, could be useful. Once ...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Calne DB

    更新日期:1994-07-01 00:00:00

  • Gamma-hydroxybutyrate in experimental myoclonus.

    abstract::In Swiss mice, muscimol (3 mg per kilogram, intraperitoneally) caused myoclonic jerks of the hindquarters. These jerks were strong, repetitive, more or less regular, and of high frequency (peak response, 76 per minute). Pretreatment with sodium gamma-hydroxybutyrate (50 to 200 mg per kilogram) caused a dose-dependent ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.32.4.434

    authors: Menon MK

    更新日期:1982-04-01 00:00:00

  • Botulinum toxin for simple motor tics: a randomized, double-blind, controlled clinical trial.

    abstract:OBJECTIVE:To determine the effect of injections of botulinum toxin on simple motor tics. BACKGROUND:Case series with unblinded assessments have reported improvement in tic frequency and associated urge with botulinum toxin. METHODS:Patients with suitable simple motor tics were randomized to receive botulinum toxin an...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.56.5.605

    authors: Marras C,Andrews D,Sime E,Lang AE

    更新日期:2001-03-13 00:00:00

  • Implications of stroke prevention trials: treatment of global risk.

    abstract::Clinical trials have demonstrated that risk of cardiovascular events may be reduced in patients with stroke, using blood pressure (BP) reduction and statin therapy, independently of the presence of specific risk factors. These results suggest an alternative approach to secondary stroke prevention, focused more on glob...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000171745.13592.cb

    authors: Elkind MS

    更新日期:2005-07-12 00:00:00

  • Season of birth and risk of brain tumors in adults.

    abstract:BACKGROUND:Recent studies demonstrated an excess of winter births in children with brain tumors and in adults with various neurologic or psychiatric diseases relative to the general population. OBJECTIVE:To investigate a possible association between month of birth and risk of brain tumors in adults using data from a l...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/01.wnl.0000129984.01327.9d

    authors: Brenner AV,Linet MS,Shapiro WR,Selker RG,Fine HA,Black PM,Inskip PD

    更新日期:2004-07-27 00:00:00

  • Cognitive training in Parkinson disease: A systematic review and meta-analysis.

    abstract:OBJECTIVE:To quantify the effects of cognitive training (CT) on cognitive and behavioral outcome measures in patients with Parkinson disease (PD). METHODS:We systematically searched 5 databases for randomized controlled trials (RCTs) of CT in patients with PD reporting cognitive or behavioral outcomes. Efficacy was me...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1212/WNL.0000000000002145

    authors: Leung IH,Walton CC,Hallock H,Lewis SJ,Valenzuela M,Lampit A

    更新日期:2015-11-24 00:00:00

  • Long-term intake of vegetables and fruits and subjective cognitive function in US men.

    abstract:OBJECTIVE:To evaluate the prospective association of long-term intake of vegetables and fruits with late-life subjective cognitive function (SCF). METHODS:Among 27,842 men with a mean age of 51 years in 1986, we used multinomial logistic regression to examine the relation of vegetable and fruit consumption to future S...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000006684

    authors: Yuan C,Fondell E,Bhushan A,Ascherio A,Okereke OI,Grodstein F,Willett WC

    更新日期:2019-01-01 00:00:00

  • Tuberculous meningitis in the southwest United States: a community-based study.

    abstract::This community-based study analyzed 54 patients with definite or probable tuberculous meningitis (TBM) in New Mexico from 1970 through 1990. Patients ranged in age from 4 months to 86 years. The highest age-specific incidence occurred in the elderly, but 22% of patients were less than 10 years old. Native American pat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.9.1775

    authors: Davis LE,Rastogi KR,Lambert LC,Skipper BJ

    更新日期:1993-09-01 00:00:00

  • Family history of dementia is a risk factor for Lewy body disease.

    abstract::Genetic factors are important in Alzheimer disease (AD) and Parkinson disease but have not been well characterized in Lewy body dementia (LBD). The authors obtained family history in patients from an autopsy series of AD and LBD and in living healthy controls. A family history of dementia was more common in both LBD a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000219812.20616.b3

    authors: Woodruff BK,Graff-Radford NR,Ferman TJ,Dickson DW,DeLucia MW,Crook JE,Arvanitakis Z,Brassler S,Waters C,Barker W,Duara R

    更新日期:2006-06-27 00:00:00

  • Delivery of epilepsy care to adults with intellectual and developmental disabilities.

    abstract::Epilepsy is common in people with intellectual and developmental disabilities (IDD). In adulthood, patients with IDD and epilepsy (IDD-E) have neurologic, psychiatric, medical, and social challenges compounded by fragmented and limited care. With increasing neurologic disability, there is a higher frequency of epileps...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/WNL.0000000000002060

    authors: Devinsky O,Asato M,Camfield P,Geller E,Kanner AM,Keller S,Kerr M,Kossoff EH,Lau H,Kothare S,Singh BK,Wirrell E

    更新日期:2015-10-27 00:00:00

  • Response to cancer therapy in a patient with a paraneoplastic choreiform disorder.

    abstract::The authors report a patient with chorea and multifocal neurologic abnormalities associated with a small-cell lung carcinoma. A previously unreported antibody directed at a 76-kD neuronal protein antigen was identified in both serum and CSF. Antitumor treatment resulted in dramatic and sustained clinical neurologic an...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.57.4.719

    authors: Croteau D,Owainati A,Dalmau J,Rogers LR

    更新日期:2001-08-28 00:00:00

  • Granulomatous angiitis of the brain: a successfully treated case.

    abstract::A patient with clinical and radiographic findings initially suggesting a neoplasm was diagnosed as having Hodgkin disease. Computerized axial tomography demonstrated profound diffuse decreased density similar to that seen in cases of cerebral edema or leukomalacia. Cerebral angiography showed blood vessels with a bead...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.6.588

    authors: Rajjoub RK,Wood JH,Ommaya AK

    更新日期:1977-06-01 00:00:00

  • Friedreich's ataxia GAA repeat expansion in patients with recessive or sporadic ataxia.

    abstract::To explore the clinical heterogeneity associated with the Friedreich's ataxia (FRDA) expanded repeat and provide preliminary guidance for future gene testing in patients suspected of having FRDA, we tested patients with typical FRDA (group I), late-onset FRDA or FRDA with retained reflexes (group II), as well as those...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.49.4.1004

    authors: Geschwind DH,Perlman S,Grody WW,Telatar M,Montermini L,Pandolfo M,Gatti RA

    更新日期:1997-10-01 00:00:00

  • Further characterization of patients with amnesia after cardiac arrest: preserved recognition memory.

    abstract::We observed that patients with amnesia after cardiac arrest had preserved recognition memory despite profound loss of recall memory. In the present study, rate of forgetting was measured in six amnesic subjects for both recall and recognition memory of verbal material. The data show that recall decayed significantly f...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.3.408

    authors: Volpe BT,Holtzman JD,Hirst W

    更新日期:1986-03-01 00:00:00

  • Neutralizing antibodies to interferon beta: assessment of their clinical and radiographic impact: an evidence report: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology.

    abstract::The clinical and radiologic impact of developing neutralizing antibodies (NAbs) to interferon beta (IFNbeta) while on this therapy for multiple sclerosis (MS) is assessed. On the basis of Class II and III evidence, it is concluded that treatment of patients with MS with IFNbeta (Avonex, Betaseron, or Rebif) is associa...

    journal_title:Neurology

    pub_type:

    doi:10.1212/01.wnl.0000258545.73854.cf

    authors: Goodin DS,Frohman EM,Hurwitz B,O'Connor PW,Oger JJ,Reder AT,Stevens JC

    更新日期:2007-03-27 00:00:00

  • Ischemic stroke subtypes among Mexican Americans and non-Hispanic whites: the BASIC Project.

    abstract::Ischemic stroke subtype distribution was compared between Mexican Americans (MAs) and non-Hispanic whites (NHWs) in a community-based stroke surveillance study in Nueces County, TX. There was no difference in the distribution of stroke subtype by ethnicity (p = 0.19). There was a similar proportion of small-vessel and...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000133212.99040.07

    authors: Uchino K,Risser JM,Smith MA,Moyé LA,Morgenstern LB

    更新日期:2004-08-10 00:00:00

  • NOTCH3 mutation involving three cysteine residues in a family with typical CADASIL.

    abstract::Mutations in NOTCH3 are the cause of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL), a hereditary angiopathy causing stroke and vascular dementia. All CADASIL mutations identified so far result in the loss or gain of one cysteine residue within epidermal growth fac...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.9.1714

    authors: Dichgans M,Herzog J,Gasser T

    更新日期:2001-11-13 00:00:00

  • Spinal cord infarction: etiology and outcome.

    abstract::We reviewed 44 cases of ischemia and infarction of the spinal cord at two university hospitals. Three patients experienced transient ischemic attacks. Etiologies of completed strokes were diverse and included rupture and surgical repair of aortic aneurysms, aortic dissection, aortic rupture and thrombosis, global isch...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.2.321

    authors: Cheshire WP,Santos CC,Massey EW,Howard JF Jr

    更新日期:1996-08-01 00:00:00

  • Vitamin D, smoking, EBV, and long-term cognitive performance in MS: 11-year follow-up of BENEFIT.

    abstract:OBJECTIVE:To investigate whether vitamin D, smoking, and anti-Epstein-Barr virus (EBV) antibody concentrations predict long-term cognitive status and neuroaxonal injury in multiple sclerosis (MS). METHODS:This study was conducted among 278 patients with clinically isolated syndrome who participated in the clinical tri...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000009371

    authors: Cortese M,Munger KL,Martínez-Lapiscina EH,Barro C,Edan G,Freedman MS,Hartung HP,Montalbán X,Foley FW,Penner IK,Hemmer B,Fox EJ,Schippling S,Wicklein EM,Kappos L,Kuhle J,Ascherio A,BENEFIT Study Group.

    更新日期:2020-05-05 00:00:00