abstract：OBJECTIVE:Patients' self-management practices have substantial consequences on morbidity and mortality in diabetes. While the quality of patient-physician relations has been associated with improved health outcomes and functional status, little is known about the impact of different patient-physician interaction styles...

journal_title：Journal of general internal medicine

authors： Heisler M,Bouknight RR,Hayward RA,Smith DM,Kerr EA

更新日期：2002-04-01 00:00:00

abstract：OBJECTIVE:Community physicians in the United States prescribe antibiotics to 80% to 90% of smokers with acute bronchitis. We performed a systematic review of the literature to determine the efficacy of antibiotics for smokers with acute bronchitis. DESIGN:A medline search was done using the keywords bronchitis, cough,...

journal_title：Journal of general internal medicine

authors： Linder JA,Sim I

更新日期：2002-03-01 00:00:00

abstract：BACKGROUND:African-American and low-income women have lower rates of cancer screening and higher rates of late-stage disease than do their counterparts. OBJECTIVE:To examine the effects of primary care, health insurance, and HMO participation on adherence to regular breast, cervical, and colorectal cancer screening. ...

journal_title：Journal of general internal medicine

authors： O'Malley AS,Forrest CB,Mandelblatt J

更新日期：2002-02-01 00:00:00

abstract：OBJECTIVE:Adherence to combination antiretroviral therapy is critical for clinical and virologic success in HIV-infected patients. To combat poor adherence, clinicians must identify nonadherent patients so they can implement interventions. However, little is known about the accuracy of these assessments. We sought to d...

journal_title：Journal of general internal medicine

authors： Miller LG,Liu H,Hays RD,Golin CE,Beck CK,Asch SM,Ma Y,Kaplan AH,Wenger NS

更新日期：2002-01-01 00:00:00

abstract：OBJECTIVE:To compare specialist and primary care physician participation in California's Medicaid fee-for-service and managed care programs. DESIGN:Cross-sectional survey. PARTICIPANTS:A probability sample stratified by county and by race of 962 specialist physicians and 713 primary care physicians practicing in the ...

journal_title：Journal of general internal medicine

authors： Backus L,Osmond D,Grumbach K,Vranizan K,Phuong L,Bindman AB

更新日期：2001-12-01 00:00:00

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

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

abstract：OBJECTIVE:One of the major factors influencing length of stay for patients with community-acquired pneumonia is the timing of conversion from intravenous to oral antibiotics. We measured physician attitudes and beliefs about the antibiotic switch decision and assessed physician characteristics associated with practice ...

journal_title：Journal of general internal medicine

authors： Halm EA,Switzer GE,Mittman BS,Walsh MB,Chang CC,Fine MJ

更新日期：2001-09-01 00:00:00

abstract：OBJECTIVES:To examine the extent and type of discordance between personal and medical classifications of weight status, and to examine the influence of sociodemographic factors on the misclassification of weight status. DESIGN/SETTING:The 1991 Health Promotion and Disease Prevention Supplement of the National Health I...

journal_title：Journal of general internal medicine

authors： Chang VW,Christakis NA

更新日期：2001-08-01 00:00:00

abstract：OBJECTIVE:Assess impact of a computer-based patient support system on quality of life in younger women with breast cancer, with particular emphasis on assisting the underserved. DESIGN:Randomized controlled trial conducted between 1995 and 1998. SETTING:Five sites: two teaching hospitals (Madison, Wis, and Chicago, I...

journal_title：Journal of general internal medicine

authors： Gustafson DH,Hawkins R,Pingree S,McTavish F,Arora NK,Mendenhall J,Cella DF,Serlin RC,Apantaku FM,Stewart J,Salner A

更新日期：2001-07-01 00:00:00

abstract：:Americans are living longer - a mark of success in public health and medical care - but more will live the last few years with progressive illness and disability. The dominant conception of care delivery separates "aggressive" or life-extending care from "palliative" or death-accepting care, with an assumed "transitio...

journal_title：Journal of general internal medicine

authors： Lynn J,Forlini JH

更新日期：2001-05-01 00:00:00

abstract：OBJECTIVE:To assess factors associated with patient satisfaction with communication of mammography results and their understanding and ability to recall these results. DESIGN:Cross-sectional telephone survey. SETTING:Academic breast imaging center. PATIENTS:Two hundred ninety-eight patients who had either a screenin...

journal_title：Journal of general internal medicine

authors： Dolan NC,Feinglass J,Priyanath A,Haviley C,Sorensen AV,Venta LA

更新日期：2001-03-01 00:00:00

abstract：:Our aim was to improve clinical reasoning skills by applying an established theory of memory, cognition, and decision making (fuzzy-trace theory) to instruction in evidence-based medicine. Decision-making tasks concerning chest pain evaluation in women were developed for medical students and internal medicine resident...

journal_title：Journal of general internal medicine

authors： Lloyd FJ,Reyna VF

更新日期：2001-02-01 00:00:00

abstract：:We sought to determine whether an Internet-based continuing medical education (CME) program could improve physician confidence, knowledge, and clinical skills in managing pigmented skin lesions. The CME program provided an interactive, customized learning experience and incorporated well-established guidelines for rec...

journal_title：Journal of general internal medicine

authors： Harris JM,Salasche SJ,Harris RB

更新日期：2001-01-01 00:00:00

abstract：OBJECTIVE:To assess the feasibility and efficacy of two interventions for improving adherence to antiretroviral therapy regimens in HIV-infected subjects compared with a control intervention. DESIGN:Randomized, controlled, pilot study. SETTING:Department of Veterans Affairs HIV clinic and community-based HIV clinical...

journal_title：Journal of general internal medicine

authors： Rigsby MO,Rosen MI,Beauvais JE,Cramer JA,Rainey PM,O'Malley SS,Dieckhaus KD,Rounsaville BJ

更新日期：2000-12-01 00:00:00

abstract：OBJECTIVE:To determine how accurately preventive care reported in the medical record reflects actual physician practice or competence. DESIGN:Scoring criteria based on national guidelines were developed for 7 separate items of preventive care. The preventive care provided by randomly selected physicians was measured p...

journal_title：Journal of general internal medicine

authors： Dresselhaus TR,Peabody JW,Lee M,Wang MM,Luck J

更新日期：2000-11-01 00:00:00

abstract：:Although criteria are available to guide the selection of general internal medicine (GIM) fellowship programs, the factors actually used in this process are unclear. Using a survey of current GIM fellows, we determined that most received information from their residency advisors, and many viewed them as the most impor...

journal_title：Journal of general internal medicine

authors： Caiola E,Litaker D

更新日期：2000-09-01 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：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：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

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

更新日期：2000-06-01 00:00:00

abstract：OBJECTIVE:To determine patient characteristics associated with patient and proxy perceptions of physicians' recommendations for life-prolonging care versus comfort care, and with acceptance of such recommendations. DESIGN:Cross-sectional. SETTING:Five teaching hospitals in Denver, Colo. PATIENTS:We studied 239 hospi...

journal_title：Journal of general internal medicine

authors： Johnson MF,Lin M,Mangalik S,Murphy DJ,Kramer AM

更新日期：2000-04-01 00:00:00

abstract：BACKGROUND:As a result of market forces and maturing technology, generalists are currently providing services, such as colonoscopy, that in the past were deemed the realm of specialists. OBJECTIVE:To determine whether there were differences in patient characteristics, procedure complexity, and clinical indications whe...

journal_title：Journal of general internal medicine

authors： Meyer GS,Cheng EY,Elting J

更新日期：2000-03-01 00:00:00

abstract：OBJECTIVE:To describe adult primary care physicians' and psychiatrists' approach to alcohol screening and treatment, and to identify correlates of more optimal practices. DESIGN:Cross-sectional mailed survey. PARTICIPANTS:A national systematic sample of 2,000 physicians practicing general internal medicine, family me...

journal_title：Journal of general internal medicine

authors： Friedmann PD,McCullough D,Chin MH,Saitz R

更新日期：2000-02-01 00:00:00

abstract：OBJECTIVE:To assess the impact of informed consent on elderly patients' colorectal cancer (CRC) screening preferences. DESIGN:Randomized, controlled trial. SETTING:Four general internal medicine practices. PATIENTS:We studied 399 elderly patients visiting their primary care provider for routine office visits. INTER...

journal_title：Journal of general internal medicine

authors： Wolf AM,Schorling JB

更新日期：2000-01-01 00:00:00

abstract：OBJECTIVE:The presentation format of clinical trial results, or the "frame," may influence perceptions about the worth of a treatment. The extent and consistency of that influence are unclear. We undertook a systematic review of the published literature on the effects of information framing on the practices of physicia...

journal_title：Journal of general internal medicine

authors： McGettigan P,Sly K,O'Connell D,Hill S,Henry D

更新日期：1999-10-01 00:00:00

abstract：OBJECTIVE:To determine whether internists in the United States and China have different ideas and behaviors regarding informing patients of terminal diagnoses and HIV/AIDS, the role of the family in end-of-life decision making, and assisted suicide. DESIGN:Structured questionnaire of clinical vignettes followed by mul...

journal_title：Journal of general internal medicine

authors： Feldman MD,Zhang J,Cummings SR

更新日期：1999-08-01 00:00:00

abstract：OBJECTIVE:To define the prevalence and detection rates of mental disorders among high utilizers as compared with typical utilizers, and to examine the effect of case-mix adjustment on these parameters. DESIGN:Cross-sectional study. SETTING:General internal medicine outpatient clinic associated with an urban, academic...

journal_title：Journal of general internal medicine

authors： Lefevre F,Reifler D,Lee P,Sbenghe M,Nwadiaro N,Verma S,Yarnold PR

更新日期：1999-07-01 00:00:00

abstract：OBJECTIVE:To review the current information on medical complications, psychological implications, and legislative issues related to body piercing, a largely unregulated industry in the United States. METHODS:We conducted a MEDLINE search of English language articles from 1966 until May 1998 using the search terms "bod...

journal_title：Journal of general internal medicine

authors： Koenig LM,Carnes M

更新日期：1999-06-01 00:00:00

abstract：OBJECTIVE:To determine whether physicians at a general internal medicine clinic spend more time with non-English-speaking patients. DESIGN:A time-motion study comparing physician time spent with non-English-speaking patients and time spent with English-speaking patients during 5 months of observation. We also tested p...

journal_title：Journal of general internal medicine

authors： Tocher TM,Larson EB

更新日期：1999-05-01 00:00:00

abstract：OBJECTIVE:To describe the clinical features of patients diagnosed with upper respiratory tract infections (URIs), and determine which clinical features are associated with antibiotic use. DESIGN:Prospective cohort study. SETTING:Three ambulatory care practices at a group-model HMO in the Denver metropolitan area. PA...

journal_title：Journal of general internal medicine

authors： Gonzales R,Barrett PH Jr,Steiner JF

更新日期：1999-03-01 00:00:00

abstract：OBJECTIVE:To compare the prevalence of hot flashes and health education regarding menopause in African-American and white American women in the late reproductive years. DESIGN:Cross-sectional study. SETTING:Population-based sample recruited through random digit dialing. PARTICIPANTS:The sample was 436 women between ...

journal_title：Journal of general internal medicine

authors： Grisso JA,Freeman EW,Maurin E,Garcia-Espana B,Berlin JA

更新日期：1999-02-01 00:00:00

abstract：OBJECTIVE:To compare primary care providers' depression-related knowledge, attitudes, and practices and to understand how these reports vary for providers in staff or group-model managed care organizations (MCOs) compared with network-model MCOs including independent practice associations and preferred provider organiz...

journal_title：Journal of general internal medicine

authors： Meredith LS,Rubenstein LV,Rost K,Ford DE,Gordon N,Nutting P,Camp P,Wells KB

更新日期：1999-01-01 00:00:00

abstract：OBJECTIVE:The use of aspirin for primary prevention of cardiovascular events in the general population is controversial. The purpose of this study was to create a versatile model to evaluate the effects of aspirin in the primary prevention of cardiovascular events in patients with different risk profiles. DESIGN:A Mar...

journal_title：Journal of general internal medicine

authors： Augustovski FA,Cantor SB,Thach CT,Spann SJ

更新日期：1998-12-01 00:00:00

abstract：OBJECTIVE:To determine whether depressive symptoms measured at baseline are associated with mortality and to describe the course of depressive symptoms and their relation to physical decline in patients over a 6-year period. DESIGN:Prospective cohort study conducted from 1990 through 1996. SETTING:Urban academic prim...

journal_title：Journal of general internal medicine

authors： Callahan CM,Wolinsky FD,Stump TE,Nienaber NA,Hui SL,Tierney WM

更新日期：1998-11-01 00:00:00

abstract：:Patients can obtain screening mammograms without a physician's referral, leading to potential problems in clinical care. Because of the complexity of self-referral and the limitations of prior studies, we examined this phenomenon in a representative sample of mammography facilities. A questionnaire was given to all wo...

journal_title：Journal of general internal medicine

authors： Suter LG,Elmore JG

更新日期：1998-10-01 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：OBJECTIVE:To determine time allocation and the perceived value to education and patient care of the weekday activities of internal medicine housestaff on inpatient rotations and to compare the work activities of interns and residents. DESIGN:An observational study. We classified activities along five dimensions (assoc...

journal_title：Journal of general internal medicine

authors： Dresselhaus TR,Luck J,Wright BC,Spragg RG,Lee ML,Bozzette SA

更新日期：1998-08-01 00:00:00

abstract：OBJECTIVE:To determine patient knowledge about life-sustaining treatments and physician understanding of patient preferences for proxies and treatments after outpatient discussions about advance directives. DESIGN:Cross-sectional interview-based and questionnaire-based survey. SETTING:Two university general internal ...

journal_title：Journal of general internal medicine

authors： Fischer GS,Tulsky JA,Rose MR,Siminoff LA,Arnold RM

更新日期：1998-07-01 00:00:00

abstract：:We surveyed employers of general internists at teaching hospitals to determine whether they prefer that new hires are graduates of general internal medicine (GIM) fellowships. We surveyed former GIM fellows who graduated between 1988 and 1994 to determine whether they found jobs with protected research time and whethe...

journal_title：Journal of general internal medicine

authors： Zakowski LJ,Cooney TG,Noel GL

更新日期：1998-06-01 00:00:00

abstract：:We conducted a telephone survey of patients in a university-based medical practice to determine if there was a difference across payer class in patients' willingness to have supervised housestaff physicians function as their primary care providers. Overall, commercial managed care patients were more likely to object t...

journal_title：Journal of general internal medicine

authors： Gross C,Callahan M,Mele J

更新日期：1998-05-01 00:00:00

abstract：OBJECTIVE:To compare physicians' and their patients' attitudes toward pharmaceutical gifts. DESIGN:Survey of physicians and their patients. SETTING:Two tertiary-care medical centers, one military and one civilian. PARTICIPANTS:Two hundred sixty-eight of 392 consecutively surveyed physicians, 100 of 103 randomly sele...

journal_title：Journal of general internal medicine

authors： Gibbons RV,Landry FJ,Blouch DL,Jones DL,Williams FK,Lucey CR,Kroenke K

更新日期：1998-03-01 00:00:00