Utilization and dosing of angiotensin-converting enzyme inhibitors for heart failure. Effect of physician specialty and patient characteristics.

Abstract:

:To determine if physician specialty is associated with underutilization and underdosing of angiotensin-converting enzyme inhibitors among patients with heart failure, we reviewed the charts of 214 outpatients with decreased systolic function at an urban academic medical center. Regardless of whether patients were cared for by cardiologists, generalist physicians, or a combination of the two specialities, approximately 75% of the patients were taking an angiotensin-converting enzyme inhibitor. However, only approximately 60% of these patients were taking dosages proved to be efficacious in trials. Emphasis on adequate dosing is needed among all specialty groups.

journal_name

J Gen Intern Med

authors

Chin MH,Wang JC,Zhang JX,Lang RM

doi

10.1046/j.1525-1497.1997.07110.x

subject

Has Abstract

pub_date

1997-09-01 00:00:00

pages

563-6

issue

9

eissn

0884-8734

issn

1525-1497

journal_volume

12

pub_type

杂志文章
  • Reducing barriers to mental health and social services for Iraq and Afghanistan veterans: outcomes of an integrated primary care clinic.

    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

    pub_type: 杂志文章

    doi:10.1007/s11606-011-1746-1

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

    更新日期:2011-10-01 00:00:00

  • Cost-effective choice of antimicrobial therapy for serious infections.

    abstract::The authors evaluated the financial and health implications of treatment choices for three serious classes of infection: hospital-acquired pneumonia, intra-abdominal infection, and sepsis of unknown origin. Data were obtained from a systematic review of clinical literature and published data bases, by written question...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02596417

    authors: Weinstein MC,Read JL,MacKay DN,Kresel JJ,Ashley H,Halvorsen KT,Hutchings HC

    更新日期:1986-11-01 00:00:00

  • Diabetes and Prior Coronary Heart Disease are Not Necessarily Risk Equivalent for Future Coronary Heart Disease Events.

    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

    pub_type: 杂志文章

    doi:10.1007/s11606-015-3556-3

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

    更新日期:2016-04-01 00:00:00

  • A practical guide to developing effective web-based learning.

    abstract:OBJECTIVE:Online learning has changed medical education, but many "educational" websites do not employ principles of effective learning. This article will assist readers in developing effective educational websites by integrating principles of active learning with the unique features of the Web. DESIGN:Narrative revie...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1111/j.1525-1497.2004.30029.x

    authors: Cook DA,Dupras DM

    更新日期:2004-06-01 00:00:00

  • General internal medicine and technologically less developed countries.

    abstract:OBJECTIVE:To assess the international health activities of departments of medicine, divisions of general medicine, and general medicine faculty and the interest among departments of medicine in joint international health ventures. DESIGN:15-item, mailed questionnaire. PARTICIPANTS:100 chiefs of divisions of general m...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02599433

    authors: Einterz RM,Dittus RS,Mamlin JJ

    更新日期:1990-09-01 00:00:00

  • The Role of Primary Care in Improving Access to Medication-Assisted Treatment for Rural Medicaid Enrollees with Opioid Use Disorder.

    abstract:BACKGROUND:The opioid epidemic has disproportionately affected rural areas, where a limited number of health care providers offer medication-assisted treatment (MAT), the mainstay of treatment for opioid use disorder (OUD). Rural residents with OUD may face multiple barriers to engagement in MAT including long travel d...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-019-04943-6

    authors: Cole ES,DiDomenico E,Cochran G,Gordon AJ,Gellad WF,Pringle J,Warwick J,Chang CH,Kim JY,Kmiec J,Kelley D,Donohue JM

    更新日期:2019-06-01 00:00:00

  • Comparing care for breast cancer survivors to non-cancer controls: a five-year longitudinal study.

    abstract:BACKGROUND:Deficiencies in care for cancer survivors may result from unclear roles for primary care providers (PCPs) and oncology specialists in follow-up. OBJECTIVES:To compare cancer survivors' care to non-cancer controls. DESIGN:Retrospective, longitudinal, controlled study starting 366 days post-diagnosis. SUBJE...

    journal_title:Journal of general internal medicine

    pub_type: 临床试验,杂志文章

    doi:10.1007/s11606-009-0903-2

    authors: Snyder CF,Frick KD,Peairs KS,Kantsiper ME,Herbert RJ,Blackford AL,Wolff AC,Earle CC

    更新日期:2009-04-01 00:00:00

  • Elderly veterans receiving care at a Veterans Affairs Medical Center while enrolled in Medicare-financed HMOs. Is the taxpayer paying twice?

    abstract::Elderly veterans who visit our Veterans Affairs (VA) Medical Center primary care clinic often mention they are enrolled in HMOs. Approximately 20% of patients hospitalized at our facility report health insurance coverage. Of 1,000 hospitalizations during a 6-month period in which veterans reported insurance coverage, ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1046/j.1525-1497.1997.012004247.x

    authors: Passman LJ,Garcia RE,Campbell L,Winter E

    更新日期:1997-04-01 00:00:00

  • Patient satisfaction in resident and attending ambulatory care clinics.

    abstract:OBJECTIVE:To measure and compare patient satisfaction with care in resident and attending physician internal medicine ambulatory care clinics. DESIGN:A cross-sectional survey using a questionnaire derived from the Visit-Specific Satisfaction Questionnaire (VSQ) and Patient Satisfaction Index (PSI) distributed from Mar...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2001.91005.x

    authors: Yancy WS Jr,Macpherson DS,Hanusa BH,Switzer GE,Arnold RM,Buranosky RA,Kapoor WN

    更新日期:2001-11-01 00:00:00

  • Relationship between organizational factors and performance among pay-for-performance hospitals.

    abstract:BACKGROUND:The Centers for Medicare & Medicaid Services (CMS)/Premier Hospital Quality Incentive Demonstration (HQID) project aims to improve clinical performance through a pay-for-performance program. We conducted this study to identify the key organizational factors associated with higher performance. METHODS:An inv...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-009-0997-6

    authors: Vina ER,Rhew DC,Weingarten SR,Weingarten JB,Chang JT

    更新日期:2009-07-01 00:00:00

  • Harnessing the Power of Hospitalists in Operational Disaster Planning: COVID-19.

    abstract::Hospitalists are well poised to serve in key leadership roles and in frontline care in particular when facing a pandemic such as the SARS-CoV-2 (COVID-19) infection. Much of the disaster planning in hospitals around the country addresses overcrowded emergency departments and decompressing these locations; however, in ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11606-020-05952-6

    authors: Bowden K,Burnham EL,Keniston A,Levin D,Limes J,Persoff J,Thurman L,Burden M

    更新日期:2020-09-01 00:00:00

  • Association between Opioid Prescribing in Medicare and Pharmaceutical Company Gifts by Physician Specialty.

    abstract:BACKGROUND:The association between pharmaceutical industry promotion and physician opioid prescribing is poorly understood. Whether the influence of industry gifts on prescribing varies by specialty is unknown. OBJECTIVE:To examine the relationship between opioid-related gifts to physicians and opioid prescribing in t...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-019-05470-0

    authors: Hollander MAG,Donohue JM,Stein BD,Krans EE,Jarlenski MP

    更新日期:2020-08-01 00:00:00

  • Relationship between conflicts of interest and research results.

    abstract:CONTEXT:To date, research regarding the influence of conflicts of interest on the presentation of findings by researchers has been limited. OBJECTIVE:To evaluate the sources of funding for published manuscripts, and association between reported findings and conflicts of interest. METHODS:Data from both print and elec...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2004.30617.x

    authors: Friedman LS,Richter ED

    更新日期:2004-01-01 00:00:00

  • Optimal management strategies for HIV-infected patients who present with cough or dyspnea: a cost-effective analysis.

    abstract:OBJECTIVE:To determine the effectiveness and costs of alternative management strategies for patients infected with the human immunodeficiency virus (HIV) who present with pulmonary symptoms. DESIGN:Decision analysis comparing initial testing (arterial blood gas analysis, induced sputum analysis, or bronchoscopy with b...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF02598081

    authors: Freedberg KA,Tosteson AN,Cotton DJ,Goldman L

    更新日期:1992-05-01 00:00:00

  • Older patients' aversion to antidepressants. A qualitative study.

    abstract:BACKGROUND:Depression is common among older patients yet is often inadequately treated. Patient beliefs about antidepressants are known to affect treatment initiation and adherence, but are often not expressed in clinical settings. OBJECTIVE:To explore attitudes toward antidepressants in a sample of depressed, communi...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2005.00296.x

    authors: Givens JL,Datto CJ,Ruckdeschel K,Knott K,Zubritsky C,Oslin DW,Nyshadham S,Vanguri P,Barg FK

    更新日期:2006-02-01 00:00:00

  • Development and Content Validation of a Patient-Reported Sexual Risk Measure for Use in Primary Care.

    abstract:BACKGROUND:Patient-provider sexual risk behavior discussions occur infrequently but may be facilitated by high-quality sexual risk screening tools. OBJECTIVE:To develop the Sexual Risk Behavior Inventory (SRBI), a brief computer-administered patient-reported measure. DESIGN:Qualitative item development/quantitative i...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11606-018-4496-5

    authors: Fredericksen RJ,Mayer KH,Gibbons LE,Edwards TC,Yang FM,Walcott M,Brown S,Dant L,Loo S,Gutierrez C,Paez E,Fitzsimmons E,Wu AW,Mugavero MJ,Mathews WC,Lober WB,Kitahata MM,Patrick DL,Crane PK,Crane HM

    更新日期:2018-10-01 00:00:00

  • Which advance directive do patients prefer?

    abstract::This study examined patient acceptance of two different advance directives. Outpatients completed the two directives and a 12-item acceptability questionnaire for each, and then stated their directive preferences. Of 128 patients enrolled, 97 (76%) responded. Overall, 47% of the respondents were satisfied with the Let...

    journal_title:Journal of general internal medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF02599143

    authors: Reinders M,Singer PA

    更新日期:1994-01-01 00:00:00

  • Using Health Systems Engineering Approaches to Prepare for Tailoring of Implementation Interventions.

    abstract:BACKGROUND:Implementation of evidence-based practices often requires tailoring implementation strategies to local contextual factors, including available resources, expertise, and cultural norms. Using an exemplar case, we describe how health systems engineering methods can be used to understand system-level variation ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-020-06121-5

    authors: Barnes GD,Acosta J,Kurlander JE,Sales AE

    更新日期:2020-08-31 00:00:00

  • Depressed Mood, Perceived Health Competence and Health Behaviors: aCross-Sectional Mediation Study in Outpatients with Coronary Heart Disease.

    abstract:BACKGROUND:Identifying potential mechanisms that link depressed mood with worse health behaviors is important given the prevalence of depressed mood in patients with coronary heart disease (CHD) and its relationship with subsequent mortality. Perceived health competence is an individual's confidence in his/her ability ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-018-4767-1

    authors: Yeh VM,Mayberry LS,Bachmann JM,Wallston KA,Roumie C,Muñoz D,Kripalani S

    更新日期:2019-07-01 00:00:00

  • Integrating buprenorphine treatment into office-based practice: a qualitative study.

    abstract:BACKGROUND:Despite the availability and demonstrated effectiveness of office-based buprenorphine maintenance treatment (BMT), the systematic examination of physicians' attitudes towards this new medical practice has been largely neglected. OBJECTIVE:To identify facilitators and barriers to the potential or actual impl...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-008-0881-9

    authors: Barry DT,Irwin KS,Jones ES,Becker WC,Tetrault JM,Sullivan LE,Hansen H,O'Connor PG,Schottenfeld RS,Fiellin DA

    更新日期:2009-02-01 00:00:00

  • Disgust Sensitivity and Support for Organ Donation: Time to Take Disgust Seriously.

    abstract:BACKGROUND:There are currently roughly 10,000 Germans on the organ waiting list, and that number is over 113,000 in the USA. There is a clear need to increase support for organ donation in general and to increase the number of registered donors in particular. OBJECTIVE:The current study examines the relationship betwe...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-020-05734-0

    authors: Mazur LB,Gormsen E

    更新日期:2020-08-01 00:00:00

  • Influence of caregiving on lifestyle and psychosocial risk factors among family members of patients hospitalized with cardiovascular disease.

    abstract:BACKGROUND:Few data have evaluated the relationship between caregiving and cardiovascular disease (CVD) risk. OBJECTIVE:The purpose of this study was to determine the prevalence and predictors of caregiver strain and to evaluate the association between caregiving and CVD lifestyle and psychosocial risk factors among f...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11606-008-0852-1

    authors: Aggarwal B,Liao M,Christian A,Mosca L

    更新日期:2009-01-01 00:00:00

  • Anti-NMDA-receptor encephalitis: case report and literature review of an under-recognized condition.

    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

    pub_type: 杂志文章,评审

    doi:10.1007/s11606-011-1641-9

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

    更新日期:2011-07-01 00:00:00

  • A video-intervention to improve clinician attitudes toward patients with sickle cell disease: the results of a randomized experiment.

    abstract:BACKGROUND:Clinician attitudes toward patients are associated with variability in the quality of health care. Attitudes are typically considered difficult to change, and few interventions have attempted to do so. Negative attitudes toward adults with sickle cell disease have been identified as an important barrier to t...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11606-010-1605-5

    authors: Haywood C Jr,Lanzkron S,Hughes MT,Brown R,Massa M,Ratanawongsa N,Beach MC

    更新日期:2011-05-01 00:00:00

  • Guideline-based antibiotics and mortality in healthcare-associated pneumonia.

    abstract:BACKGROUND:Guidelines recommend administration of antibiotics with activity against methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas aeruginosa for treatment of healthcare-associated pneumonia (HCAP). It is unclear if this therapy improves outcomes for patients with HCAP. OBJECTIVE:To determine if ad...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11606-012-2011-y

    authors: Madaras-Kelly KJ,Remington RE,Sloan KL,Fan VS

    更新日期:2012-07-01 00:00:00

  • Decreasing disparities in breast cancer screening in refugee women using culturally tailored patient navigation.

    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

    pub_type: 杂志文章

    doi:10.1007/s11606-013-2491-4

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

    更新日期:2013-11-01 00:00:00

  • Prostate-specific antigen screening and mortality from prostate cancer.

    abstract:BACKGROUND:There is no available evidence from randomized trials that early detection of prostate cancer improves health outcomes, but the prostate-specific antigen (PSA) test is commonly used to screen men for prostate cancer. OBJECTIVE:The objective of the study is to see if screening with PSA decreases mortality fr...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-007-0479-7

    authors: Marcella SW,Rhoads GG,Carson JL,Merlino F,Wilcox H

    更新日期:2008-03-01 00:00:00

  • Meeting requirements and changing culture. The development of a web-based clinical skills evaluation system.

    abstract::The Accreditation Council of Graduate Medical Education (ACGME) and the Residency Review Committee require a competency-based, accessible evaluation system. The paper system at our institution did not meet these demands and suffered from low compliance. A diverse committee of internal medicine faculty, program directo...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2004.30065.x

    authors: Triola MM,Feldman HJ,Pearlman EB,Kalet AL

    更新日期:2004-05-01 00:00:00

  • The effect of competing direct-to-consumer advertising campaigns on the use of drugs for benign prostatic hyperplasia: time series analysis.

    abstract:BACKGROUND:Direct-to-consumer advertising (DTCA) remains a controversial issue, with concerns that it leads to unnecessary and inappropriate prescribing. Whether DTCA shifts prescribing from first-line (guideline-recommended) therapy to second-line drugs has not been studied. OBJECTIVE:The purpose of this study was to...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-014-3063-y

    authors: Skeldon SC,Kozhimannil KB,Majumdar SR,Law MR

    更新日期:2015-04-01 00:00:00

  • Successful lecturing: a prospective study to validate attributes of the effective medical lecture.

    abstract:OBJECTIVE:In a study conducted over 3 large symposia on intensive review of internal medicine, we previously assessed the features that were most important to course participants in evaluating the quality of a lecture. In this study, we attempt to validate these observations by assessing prospectively the extent to whi...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1046/j.1525-1497.2000.06439.x

    authors: Copeland HL,Longworth DL,Hewson MG,Stoller JK

    更新日期:2000-06-01 00:00:00