abstract：OBJECTIVES:Among patients unlikely to attend a scheduled colonoscopy, we examined the impact of peer coach versus educational brochure support and compared these with concurrent patients who did not receive support. METHODS:From health system data, we identified 275 consecutive patients aged >50 who kept <75% of visit...

journal_title：Journal of general internal medicine

authors： Turner BJ,Weiner M,Berry SD,Lillie K,Fosnocht K,Hollenbeak CS

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:The placebo and the placebo effect are often investigated in the context of clinical trials. Little data exist on the use of placebos in the course of routine health care. OBJECTIVE:The aim of this study is to describe a group of academic physicians' use of placebos and their knowledge, attitudes, and belie...

journal_title：Journal of general internal medicine

authors： Sherman R,Hickner J

更新日期：2008-01-01 00:00:00

abstract：OBJECTIVE:To evaluate the association between chronic illness with complexity (CIC) and optimal glycemic control. PARTICIPANTS:Cross-sectional and longitudinal analyses of Diabetes Epidemiologic Cohort database of Veterans Health Administration (VHA) users with diabetes, less than 75 years old, with HbA1c tests in fis...

journal_title：Journal of general internal medicine

authors： Meduru P,Helmer D,Rajan M,Tseng CL,Pogach L,Sambamoorthi U

更新日期：2007-12-01 00:00:00

abstract：BACKGROUND:To practice Evidence-Based Medicine (EBM), physicians must quickly retrieve evidence to inform medical decisions. Internal Medicine (IM) residents receive little formal education in electronic database searching, and have identified poor searching skills as a barrier to practicing EBM. OBJECTIVE:To design a...

journal_title：Journal of general internal medicine

authors： Stark R,Helenius IM,Schimming LM,Takahara N,Kronish I,Korenstein D

更新日期：2007-12-01 00:00:00

abstract：BACKGROUND:Treatment guidelines recommend all HIV/HCV-co-infected persons be considered for hepatitis C virus (HCV) treatment, yet obstacles to testing and accessing treatment for HCV continue for women. OBJECTIVE:To assess awareness of HCV, and describe diagnostic referrals and HCV treatment among women in the Women'...

journal_title：Journal of general internal medicine

authors： Cohen MH,Grey D,Cook JA,Anastos K,Seaberg E,Augenbraun M,Burian P,Peters M,Young M,French A

更新日期：2007-12-01 00:00:00

abstract：BACKGROUND:Little is known about the quality of the patient-physician relationship for terminally ill African Americans. OBJECTIVE:To compare the quality of the patient-physician relationship between African-American and white patients and examine the extent to which relationship quality contributes to differences in ...

journal_title：Journal of general internal medicine

authors： Smith AK,Davis RB,Krakauer EL

更新日期：2007-11-01 00:00:00

abstract：OBJECTIVES:To examine how practice constraints contribute to barriers in the health care of persons with dementia and their families, particularly with respect to behavioral aspects of care. DESIGN:Cross-sectional qualitative interview study of primary care physicians. SETTING:Physicians' offices. PARTICIPANTS:Forty...

journal_title：Journal of general internal medicine

authors： Hinton L,Franz CE,Reddy G,Flores Y,Kravitz RL,Barker JC

更新日期：2007-11-01 00:00:00

abstract：BACKGROUND:Interpreter services for medical care increase physician-patient communication and safety, yet a "formal certification" process to demonstrate interpreter competence does not exist. Testing and training is left to individual health care facilities nationwide. Bilingual staff are often used to interpret, with...

journal_title：Journal of general internal medicine

authors： Moreno MR,Otero-Sabogal R,Newman J

更新日期：2007-11-01 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：BACKGROUND:Despite growing emphasis on public reporting of health care quality data, available data are often ignored. OBJECTIVE:To evaluate the usefulness of web-based physician-level data for patients choosing a new primary care physician (PCP). DESIGN:Patients seeking a new PCP (n = 2225) were invited to view web-...

journal_title：Journal of general internal medicine

authors： Fanjiang G,von Glahn T,Chang H,Rogers WH,Safran DG

更新日期：2007-10-01 00:00:00

abstract：INTRODUCTION:Imperfect sign-out of patient information between providers has been shown to contribute to medical error, but there are no standardized curricula to teach sign-out skills. At our institution, we identified several deficiencies in skills and a lack of any existing training. AIM:To develop a sign-out curri...

journal_title：Journal of general internal medicine

authors： Horwitz LI,Moin T,Green ML

更新日期：2007-10-01 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:Whether having a stable and predictable lifestyle is associated with health care use and health status among HIV patients is unknown. OBJECTIVE:To develop and test the reliability and validity of a measure of life chaos for adults with HIV and examine its association with health care use and health status. ...

journal_title：Journal of general internal medicine

authors： Wong MD,Sarkisian CA,Davis C,Kinsler J,Cunningham WE

更新日期：2007-09-01 00:00:00

abstract：BACKGROUND:The use of androgen deprivation therapy (ADT) for prostate cancer has increased substantially in recent years, exposing more men to potential treatment complications, including osteoporosis and fractures. OBJECTIVE:To determine whether men treated with ADT for prostate cancer received osteoporosis screening...

journal_title：Journal of general internal medicine

authors： Yee EF,White RE,Murata GH,Handanos C,Hoffman RM

更新日期：2007-09-01 00:00:00

abstract：BACKGROUND:Residency programs involve trainees in quality improvement (QI) projects to evaluate competency in systems-based practice and practice-based learning and improvement. Valid approaches to assess QI proposals are lacking. OBJECTIVE:We developed an instrument for assessing resident QI proposals--the Quality Im...

journal_title：Journal of general internal medicine

authors： Leenstra JL,Beckman TJ,Reed DA,Mundell WC,Thomas KG,Krajicek BJ,Cha SS,Kolars JC,McDonald FS

更新日期：2007-09-01 00:00:00

abstract：INTRODUCTION:Although women will account for almost 11% of veterans by 2040, we know little about their health and functioning, particularly compared to men. OBJECTIVE:To compare women and men veterans' health-related quality of life (HRQOL) and VA health care utilization and to see if previously described association...

journal_title：Journal of general internal medicine

authors： Singh JA,Murdoch M

更新日期：2007-09-01 00:00:00

abstract：BACKGROUND:Stigma is associated with depression treatment, however, whether stigma differs between depression treatment modalities is not known, nor have racial differences in depression treatment stigma been fully explored. OBJECTIVE:To measure stigma for four depression treatments and estimate its association with t...

journal_title：Journal of general internal medicine

authors： Givens JL,Katz IR,Bellamy S,Holmes WC

更新日期：2007-09-01 00:00:00

abstract：BACKGROUND:Concern about the link between clinical supervision and safe, quality health care has led to widespread increases in the supervision of medical trainees. The effects of increased supervision on patient care and trainee education are not known, primarily because the current multifacted and poorly operationali...

journal_title：Journal of general internal medicine

authors： Kennedy TJ,Lingard L,Baker GR,Kitchen L,Regehr G

更新日期：2007-08-01 00:00:00

abstract：BACKGROUND:Residents have a major role in teaching students, yet little has been written about the effects of resident work hour restrictions on medical student education. OBJECTIVE:Our objective was to determine the effects of resident work hour restrictions on medical student education. DESIGN:We compared student r...

journal_title：Journal of general internal medicine

authors： Nixon LJ,Benson BJ,Rogers TB,Sick BT,Miller WJ

更新日期：2007-07-01 00:00:00

abstract：BACKGROUND:Beta-blockers have been shown to improve survival in patients with congestive heart failure (CHF). However, few studies have looked at the effects of these medications specifically in women. OBJECTIVE:To determine the effectiveness of beta-blockers in women with CHF. PATIENTS:We conducted a retrospective c...

journal_title：Journal of general internal medicine

authors： Keyhan G,Chen SF,Pilote L

更新日期：2007-07-01 00:00:00

abstract：BACKGROUND:Food insecurity refers to limited or uncertain access to food resulting from inadequate financial resources. There is a clear association between food insecurity and obesity among women, but little is known about the relationship between food insecurity and type 2 diabetes. OBJECTIVE:To evaluate whether the...

journal_title：Journal of general internal medicine

authors： Seligman HK,Bindman AB,Vittinghoff E,Kanaya AM,Kushel MB

更新日期：2007-07-01 00:00:00

abstract：BACKGROUND:Studies examining the effectiveness of pay-for-performance programs to improve quality of care primarily have been confined to bonus-type arrangements that reward providers for performance above a predetermined threshold. No studies to date have evaluated programs placing providers at financial risk for perf...

journal_title：Journal of general internal medicine

authors： Young GJ,Meterko M,Beckman H,Baker E,White B,Sautter KM,Greene R,Curtin K,Bokhour BG,Berlowitz D,Burgess JF Jr

更新日期：2007-06-01 00:00:00

abstract：BACKGROUND:Early detection of cognitive impairment is a goal of high-quality geriatric medical care, but new approaches are needed to reduce rates of missed cases. OBJECTIVE:To evaluate whether adding routine cognitive screening to primary care visits for older adults increases rates of dementia diagnosis, specialist ...

journal_title：Journal of general internal medicine

authors： Borson S,Scanlan J,Hummel J,Gibbs K,Lessig M,Zuhr E

更新日期：2007-06-01 00:00:00

abstract：BACKGROUND:The World Health Organization encourages the development of youth friendly services, yet little is known on how youth currently present in general practice. OBJECTIVE:To describe the perspectives, expectations, and service receipt of young people presenting to family doctors to inform the development of you...

journal_title：Journal of general internal medicine

authors： Haller DM,Sanci LA,Patton GC,Sawyer SM

更新日期：2007-06-01 00:00:00

abstract：BACKGROUND:The care of patients with complex illnesses requires careful management, but systems of care management (CM) vary in their structure and effectiveness. OBJECTIVE:To create a framework identifying components of broad-based CM interventions and validate the framework, including using this framework to evaluat...

journal_title：Journal of general internal medicine

authors： Dorr DA,Wilcox A,Jones S,Burns L,Donnelly SM,Brunker CP

更新日期：2007-06-01 00:00:00

abstract：BACKGROUND:Although differences in cardiovascular disease (CVD) risk factors between immigrants and nonimmigrants have been examined previously, the effect of acculturation on CVD risk factors in immigrants has been less well studied. OBJECTIVE:To determine the association between length of U.S. residence (proxy for a...

journal_title：Journal of general internal medicine

authors： Koya DL,Egede LE

更新日期：2007-06-01 00:00:00

abstract：BACKGROUND:The University of California, Los Angeles (UCLA)/Charles R. Drew University Medical Education Program was developed to train physicians for practice in underserved areas. The UCLA/Drew Medical Education Program students receive basic science instruction at UCLA and complete their required clinical rotations ...

journal_title：Journal of general internal medicine

authors： Ko M,Heslin KC,Edelstein RA,Grumbach K

更新日期：2007-05-01 00:00:00

abstract：:Patients with medically unexplained symptoms (MUS) have little or no demonstrable disease explanation for the symptoms, and comorbid psychiatric disorders are frequent. Although common, costly, distressed, and often receiving ill-advised testing and treatments, most MUS patients go unrecognized, which precludes effect...

journal_title：Journal of general internal medicine

authors： Smith RC,Dwamena FC

更新日期：2007-05-01 00:00:00

abstract：SPECIFIC AIM:Although the Department of Veterans Affairs (VA) has made significant organizational changes to improve diabetes care, diabetes self-management has received limited attention. The purpose of this study is to assess factors influencing diabetes self-management among veterans with poorly controlled diabetes....

journal_title：Journal of general internal medicine

authors： Nelson KM,McFarland L,Reiber G

更新日期：2007-04-01 00:00:00

abstract：BACKGROUND:Many Americans lack health insurance. Despite good evidence that lack of insurance compromises access to care, few prospective studies examine its relationship to health outcomes. OBJECTIVE:To determine the relationship between insurance and cardiovascular outcomes and the relationship between insurance and...

journal_title：Journal of general internal medicine

authors： Fowler-Brown A,Corbie-Smith G,Garrett J,Lurie N

更新日期：2007-04-01 00:00:00

abstract：BACKGROUND:Clinician's knowledge of a woman's cancer family history (CFH) and counseling about health-related behaviors (HRB) is necessary for appropriate breast cancer care. OBJECTIVE:To evaluate whether clinicians solicit CFH and counsel women on HRB; to assess relationship of well visits and patient risk perception...

journal_title：Journal of general internal medicine

authors： Karliner LS,Napoles-Springer A,Kerlikowske K,Haas JS,Gregorich SE,Kaplan CP

更新日期：2007-03-01 00:00:00

abstract：BACKGROUND:A number of practice guidelines and recommendations call for the assessment of childhood abuse history among adult medical patients. The cultural sensitivity of screening questions, however, has not been examined. OBJECTIVE:To assess whether questions that inquire about childhood abuse history function diff...

journal_title：Journal of general internal medicine

authors： Thombs BD,Bennett W,Ziegelstein RC,Bernstein DP,Scher CD,Forde DR

更新日期：2007-03-01 00:00:00

abstract：BACKGROUND:Many medical schools have incorporated the Stages of Change Model into their curricula with specific application to tobacco cessation. OBJECTIVE:This study examined the extent to which medical students were prepared to provide stage-based interventions to treat nicotine dependence. DESIGN:Using a quasi-exp...

journal_title：Journal of general internal medicine

authors： Prochaska JJ,Teherani A,Hauer KE

更新日期：2007-02-01 00:00:00

abstract：:The quality of diabetes care delivered to patients falls below the expectations of practice guidelines and clinical trial evidence. Studies in many jurisdictions with varying health care systems have shown that recommended processes of care occur less often than they should; hence, outcomes of care are inadequate. Man...

journal_title：Journal of general internal medicine

authors： Shah BR,Hux JE,Laupacis A,Zinman B,Zwarenstein M

更新日期：2007-02-01 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 assess racial/ethnic differences in multiple diabetes self-care behaviors. DESIGN:Cross-sectional study. PARTICIPANTS:21,459 participants with diabetes in the 2003 Behavioral Risk Factor Surveillance survey. MEASUREMENTS:The study assessed self-care behaviors including physical activity, fruits/vegetabl...

journal_title：Journal of general internal medicine

authors： Nwasuruba C,Khan M,Egede LE

更新日期：2007-01-01 00:00:00

abstract：OBJECTIVES:To review systematically the evidence about what factors influence the decision to choose or not choose a career in academic medicine. DESIGN:A systematic review of relevant literature from 1990 to May 2005. DATA SOURCES:Searches of The Cochrane Library, Medline (using Ovid and PubMed) from 1990 to May 200...

journal_title：Journal of general internal medicine

authors： Straus SE,Straus C,Tzanetos K,International Campaign to Revitalise Academic Medicine.

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:The gap in asthma prevalence, morbidity, and mortality is increasing in low-income racial/ethnic minority groups as compared with Caucasians. In order to address these disparities,alternative beliefs and behaviors need to be identified. OBJECTIVE:To identify causal models of asthma and the context of conven...

journal_title：Journal of general internal medicine

authors： George M,Birck K,Hufford DJ,Jemmott LS,Weaver TE

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:Health-related quality of life (HRQoL) has become an important facet of HIV/AIDS research. Typically, the unit of analysis is either the total instrument score or subscale score. Developing a typology of responses across various HRQoL measures, however, may advance understating of patients' perspectives. ME...

journal_title：Journal of general internal medicine

authors： Kudel I,Farber SL,Mrus JM,Leonard AC,Sherman SN,Tsevat J

更新日期：2006-12-01 00:00:00

abstract：OBJECTIVE:To evaluate whether training primary care clinicians in maintenance care for patients who have changed their drinking influences practice behavior. DESIGN:We randomized 15 physician and 3 mid-level clinicians in 2 primary care offices in a 2:1 design. The 12 intervention clinicians received a total of 2 (1/4...

journal_title：Journal of general internal medicine

authors： Friedmann PD,Rose J,Hayaki J,Ramsey S,Charuvastra A,Dubé C,Herman D,Stein MD

更新日期：2006-12-01 00:00:00