Strengthening academic generalist departments and divisions.

abstract：OBJECTIVE:Translating lessons from clinical trials on the prevention or delay of type 2 diabetes to populations in nonstudy settings remains a challenge. The purpose of this paper is to review, from the perspective of practicing clinicians, available evidence on lifestyle interventions or medication to prevent or delay...

journal_title：Journal of general internal medicine

authors： Burnet DL,Elliott LD,Quinn MT,Plaut AJ,Schwartz MA,Chin MH

更新日期：2006-01-01 00:00:00

abstract：OBJECTIVE:Routine screening for prostate cancer is controversial because of frequent false-positive results, the potential for slow, non-life-threatening growth of untreated cancer, the uncertainty regarding whether treatment can extend life, and the potential for treatment complications. This study examines how inform...

journal_title：Journal of general internal medicine

authors： Flood AB,Wennberg JE,Nease RF Jr,Fowler FJ Jr,Ding J,Hynes LM

更新日期：1996-06-01 00:00:00

abstract：BACKGROUND:Pain self-management is an effective, evidence-based treatment for chronic pain. Peer support, in which patients serve as coaches for other patients, has been effective in other chronic conditions and is a potentially promising approach to implementing pain self-management programs using fewer clinical resou...

journal_title：Journal of general internal medicine

authors： Matthias MS,Bair MJ,Ofner S,Heisler M,Kukla M,McGuire AB,Adams J,Kempf C,Pierce E,Menen T,McCalley S,Johnson NL,Daggy J

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:Group-based lifestyle change programs based on the Diabetes Prevention Program (DPP) are associated with clinically significant weight loss and decreases in cardiometabolic risk factors. However, these benefits depend on successful real-world implementation. Studies have examined implementation in community ...

journal_title：Journal of general internal medicine

authors： Halley MC,Petersen J,Nasrallah C,Szwerinski N,Romanelli R,Azar KMJ

更新日期：2020-06-01 00:00:00

abstract：OBJECTIVE:To measure primary care physicians' familiarity with, attitudes toward, and confidence in preventive care practice guidelines for the elderly and to determine whether their attitudes are associated with implementation of guidelines into clinical practice. DESIGN:A self-administered survey of physicians emplo...

journal_title：Journal of general internal medicine

authors： Weingarten S,Stone E,Hayward R,Tunis S,Pelter M,Huang H,Kristopaitis R

更新日期：1995-03-01 00:00:00

abstract：BACKGROUND:Little is known about the outcomes of in-hospital cardiopulmonary resuscitation (CPR) in Asian populations including elderly patients in Japan. OBJECTIVE:To determine the survival outcome of in-hospital CPR among elderly patients in Japan, and to identify predictors associated with survival. DESIGN:Retrosp...

journal_title：Journal of general internal medicine

authors： Hayashi T,Matsushima M,Bito S,Kanazawa N,Inoue N,Luthe SK,Wee CC

更新日期：2019-02-01 00:00:00

abstract：BACKGROUND:Financial compensation for participating in research is controversial, especially when participants are recruited from economically disadvantaged and/or marginalized populations such as drug users. Little is known about these participants' own views regarding payment for research participation. OBJECTIVE:Th...

journal_title：Journal of general internal medicine

authors： Slomka J,McCurdy S,Ratliff EA,Timpson S,Williams ML

更新日期：2007-10-01 00:00:00

abstract：OBJECTIVE:Although hospitalization patterns have been studied, little is known about hospital readmission among HIV-infected patients in the era of highly active antiretroviral therapy. We explored the risk factors for early readmission to a tertiary care inner-city hospital among HIV-infected patients with pneumonia i...

journal_title：Journal of general internal medicine

authors： Palepu A,Sun H,Kuyper L,Schechter MT,O'Shaughnessy MV,Anis AH

更新日期：2003-04-01 00:00:00

abstract：BACKGROUND:Genotype-guided initial warfarin dosing may reduce over-anticoagulation and serious bleeding compared to a one-dose-fits-all dosing method. OBJECTIVE:The objective of this review was to investigate the safety and efficacy of genotype-guided dosing of warfarin in reducing the occurrence of serious bleeding e...

journal_title：Journal of general internal medicine

authors： Kangelaris KN,Bent S,Nussbaum RL,Garcia DA,Tice JA

更新日期：2009-05-01 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：:This paper was inadvertently published with open access; the authors have requested the copyright revert to the society. It has been re-published with appropriate licensing. ...

journal_title：Journal of general internal medicine

authors： Maraj B,Harding-Theobald E,Karaki F

更新日期：2018-12-01 00:00:00

abstract：CASE REPORT:A 32-year-old African male presented with 10 hours of severe back pain. Initial computed tomography scan of the back showed no abnormality, and initial laboratory investigations were consistent with rhabdomyolysis. Despite stopping potential causative medications, aggressive intravenous hydration, and urine...

journal_title：Journal of general internal medicine

authors： Minnema BJ,Neligan PC,Quraishi NA,Fehlings MG,Prakash S

更新日期：2008-06-01 00:00:00

abstract：BACKGROUND:Multi-faceted depression care programs based within the healthcare system have been found to be effective, but may not fully address the needs of African American Intimate Partner Violence (IPV) survivors, many of whom are not seeking depression care in healthcare settings. OBJECTIVES:To develop and evaluat...

journal_title：Journal of general internal medicine

authors： Nicolaidis C,Wahab S,Trimble J,Mejia A,Mitchell SR,Raymaker D,Thomas MJ,Timmons V,Waters AS

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:Individuals involved with the criminal justice system have increased health needs and poor access to primary care. OBJECTIVE:To examine hospital and emergency department (ED) utilization and related costs by individuals with recent criminal justice involvement. DESIGN:Cross-sectional survey. PARTICIPANTS:...

journal_title：Journal of general internal medicine

authors： Frank JW,Linder JA,Becker WC,Fiellin DA,Wang EA

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Mind-body practices such as yoga are widely popular, but little is known about how such exercises impact health-related quality of life. OBJECTIVE:To measure changes in health-related quality of life associated with 3 months of mind-body training as practiced in community-based settings. DESIGN:Prospective...

journal_title：Journal of general internal medicine

authors： Lee SW,Mancuso CA,Charlson ME

更新日期：2004-07-01 00:00:00

abstract：BACKGROUND:Development of electronic health record (EHR) prediction models to improve palliative care delivery is on the rise, yet the clinical impact of such models has not been evaluated. OBJECTIVE:To assess the clinical impact of triggering palliative care using an EHR prediction model. DESIGN:Pilot prospective be...

journal_title：Journal of general internal medicine

authors： Courtright KR,Chivers C,Becker M,Regli SH,Pepper LC,Draugelis ME,O'Connor NR

更新日期：2019-09-01 00:00:00

abstract：:Studies finding weak or nonexistent relationships between hospital performance on providing recommended care and hospital-level clinical outcomes raise questions about the value and validity of process of care performance measures. Such findings may cause clinicians to question the effectiveness of the care process pr...

journal_title：Journal of general internal medicine

authors： Finney JW,Humphreys K,Kivlahan DR,Harris AH

更新日期：2016-04-01 00:00:00

abstract：BACKGROUND:For more than a decade, the presence of diabetes has been considered a coronary heart disease (CHD) "risk equivalent". OBJECTIVE:The objective of this study was to revisit the concept of risk equivalence by comparing the risk of subsequent CHD events among individuals with or without history of diabetes or ...

journal_title：Journal of general internal medicine

authors： Rana JS,Liu JY,Moffet HH,Jaffe M,Karter AJ

更新日期：2016-04-01 00:00:00

abstract：OBJECTIVE:To determine whether echocardiography affects the decisions to use beta blockers or to recommend bacterial endocarditis prophylaxis in patients suspected of having mitral valve prolapse (MVP). DESIGN:Retrospective review of echocardiograms and clinical records. SETTING:Military tertiary care hospital. PATI...

journal_title：Journal of general internal medicine

authors： Olive KE,Grassman ED

更新日期：1990-11-01 00:00:00

abstract：PURPOSE:Recent reports have emphasized the importance of delivery systems in improving health care quality. However, few prior studies have assessed differences in primary care quality between physician groups that differ in size and organizational configuration. We examined whether larger physician group size and affi...

journal_title：Journal of general internal medicine

authors： Friedberg MW,Coltin KL,Pearson SD,Kleinman KP,Zheng J,Singer JA,Schneider EC

更新日期：2007-10-01 00:00:00

abstract：BACKGROUND:eConsult programs have been instituted to increase access to specialty expertise. Opt-in choice eConsult programs maintain primary care physician (PCP) autonomy to decide whether to utilize eConsults versus traditional specialty referrals, but little is known about how this intervention may impact PCP eConsu...

journal_title：Journal of general internal medicine

authors： Rikin S,Zhang C,Lipsey D,Deluca J,Epstein EJ,Berger M,Tomer Y,Arnsten JH

更新日期：2020-11-01 00:00:00

abstract：:To train more generalist physicians, structural changes must be made along the continuum of medical education. Future generalists require in-depth exposure to primary care practice, with substantive experience in the longitudinal management of patient panels and the opportunity to work with successful generalist role ...

journal_title：Journal of general internal medicine

authors： Burke W,Baron RB,Lemon M,Losh D,Novack A

更新日期：1994-04-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:Affect and how it is regulated plays a role in pain perception, maintenance of pain, and its resolution. This randomized, controlled trial evaluated an innovative affective self-awareness (ASA) intervention, which was designed to reduce pain and improve functioning in individuals with fibromyal...

journal_title：Journal of general internal medicine

authors： Hsu MC,Schubiner H,Lumley MA,Stracks JS,Clauw DJ,Williams DA

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:Aspirin reduces mortality for men and women with coronary heart disease (CHD). Previous research suggests women with acute coronary syndromes receive less aggressive care, including less frequent early administration of aspirin. The presence of gender differences in aspirin use for secondary prevention is le...

journal_title：Journal of general internal medicine

authors： Opotowsky AR,McWilliams JM,Cannon CP

更新日期：2007-01-01 00:00:00

abstract：OBJECTIVE:To examine the knowledge of, counseling about, and use of prior directives among patients with HIV-related disease. DESIGN:Cross-sectional survey with personal interviews that was part of the evaluation of a multi-site AIDS Health Services Program. SETTING:Outpatient clinics and AIDS community-based organiz...

journal_title：Journal of general internal medicine

authors： Teno J,Fleishman J,Brock DW,Mor V

更新日期：1990-11-01 00:00:00

abstract：:We designed a questionnaire survey to study internal medicine residents' plans to use a chaperone during the pelvic, breast, rectal, and testicular examinations. We found chaperone use by male and female residents differed markedly, and neither group planned to use chaperones universally. When examining female patient...

journal_title：Journal of general internal medicine

authors： Ehrenthal DB,Farber NJ,Collier VU,Aboff BM

更新日期：2000-08-01 00:00:00

abstract：:To investigate the frequency of physician delivery of advice to stop smoking and patient characteristics affecting whether physicians deliver such advice, the authors surveyed 97 current cigarette smokers seen in two specialty and one general medicine clinic at a university medical center. Approximately two thirds of ...

journal_title：Journal of general internal medicine

authors： Ockene JK,Hosmer DW,Williams JW,Goldberg RJ,Ockene IS,Biliouris T,Dalen JE

更新日期：1987-09-01 00:00:00

abstract：OBJECTIVE:To assess the relationship between gender, background, and brief training and physicians' detection of and treatment for woman abuse. DESIGN:Quasi-experimental and correlational designs, plus control for background factors. SETTING:Two residency training programs: general internal medicine and family practi...

journal_title：Journal of general internal medicine

authors： Saunders DG,Kindy P Jr

更新日期：1993-11-01 00:00:00

abstract：BACKGROUND:Hyperglycemia is common among diabetic inpatients, and has been linked to adverse outcomes. However, antihyperglycemic treatment is seldom intensified in noncritical care patients, and the relationship between intensification frequency and glucose control is poorly understood. We evaluated the relationship b...

journal_title：Journal of general internal medicine

authors： Matheny ME,Shubina M,Kimmel ZM,Pendergrass ML,Turchin A

更新日期：2008-02-01 00:00:00

abstract：BACKGROUND:Access to health care varies according to a person's race and ethnicity. Delaying treatment is one measure of access with important health consequences. OBJECTIVE:Determine whether perceptions of unfair treatment because of race or ethnicity are associated with reported treatment delays, controlling for eco...

journal_title：Journal of general internal medicine

authors： Van Houtven CH,Voils CI,Oddone EZ,Weinfurt KP,Friedman JY,Schulman KA,Bosworth HB

更新日期：2005-07-01 00:00:00