abstract：OBJECTIVES:To characterize prostate-specific antigen (PSA) testing practices in a hospital-based primary care clinic, and to determine the outcomes of PSA testing, including urology referrals, biopsies, cancers detected, and cancer treatments. DESIGN:Retrospective cohort study. Data were obtained from computerized Dep...

journal_title：Journal of general internal medicine

authors： Hoffman RM,Blume P,Gilliland F

更新日期：1998-02-01 00:00:00

abstract：OBJECTIVE:To examine the association of clinic HIV-focused features and advanced HIV care experience with Pneumocystis carinii pneumonia (PCP) prophylaxis and development of PCP as the initial AIDS diagnosis. DESIGN:Nonconcurrent prospective study. SETTING:New York State Medicaid Program. PARTICIPANTS:Medicaid enrol...

journal_title：Journal of general internal medicine

authors： Turner BJ,Markson L,Cocroft J,Cosler L,Hauck WW

更新日期：1998-01-01 00:00:00

abstract：:This study is a cross-sectional descriptive survey of randomly selected primary care patients and physicians regarding patient, physician, and family roles in end-of-life decision making. The subjects included 329 adult outpatients and 272 practicing physicians. Physicians were more likely than patients to believe the...

journal_title：Journal of general internal medicine

authors： Johnston SC,Pfeifer MP,End-of-Life Study Group.

更新日期：1998-01-01 00:00:00

abstract：:The purpose of the study was to develop a comprehensive program evaluation instrument. Following pilot work with residents, a 69-item instrument consisting of statements with 5-point strongly agree to strongly disagree response options was distributed to 107 residents; 104 responded. Psychometric analyses revealed no ...

journal_title：Journal of general internal medicine

authors： Bellini L,Shea JA,Asch DA

更新日期：1997-11-01 00:00:00

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 care...

journal_title：Journal of general internal medicine

authors： Chin MH,Wang JC,Zhang JX,Lang RM

更新日期：1997-09-01 00:00:00

abstract：OBJECTIVE:To evaluate the accuracy of a preliminary diagnosis based solely on patient history and physical examination in medical outpatients with abdominal or chest pain. DESIGN:Prospective observational study. SETTING:General medical outpatient clinic in a university teaching hospital. PARTICIPANTS:One hundred nin...

journal_title：Journal of general internal medicine

authors： Martina B,Bucheli B,Stotz M,Battegay E,Gyr N

更新日期：1997-08-01 00:00:00

abstract：OBJECTIVE:Determine patient and hospital-level variation in proportions of low-severity admissions. DESIGN:Retrospective cohort study. SETTING:Thirty hospitals in a large metropolitan region. PATIENTS:A total of 43,209 consecutive eligible patients discharged in 1991 through 1993 with congestive heart failure (n = 2...

journal_title：Journal of general internal medicine

authors： Rosenthal GE,Harper DL,Shah A,Covinsky KE

更新日期：1997-07-01 00:00:00

abstract：OBJECTIVE:To characterize the informed consent process in routine, primary care office practice. DESIGN:Cross-sectional, descriptive evaluation of audiotaped encounters. SETTING:Offices of primary care physicians in Portland, Oregon. PARTICIPANTS:Internists (54%) and family physicians (46%), and their patients. MEA...

journal_title：Journal of general internal medicine

authors： Braddock CH 3rd,Fihn SD,Levinson W,Jonsen AR,Pearlman RA

更新日期：1997-06-01 00:00:00

abstract：:Our institution has instituted "short-call" and "nightfloat" systems to reduce the number of admissions to the traditional "long-call" housestaff. However, the nightfloat system introduces increased discontinuity to patient care, and interns may spend less time with short-call patients because they are nor required to...

journal_title：Journal of general internal medicine

authors： Griffith CH 3rd,Wilson JF,Rich EC

更新日期：1997-05-01 00:00:00

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

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

更新日期：1997-04-01 00:00:00

abstract：OBJECTIVE:To assess the effect of a program that encourages teamwork between physicians and pharmacists on attempts to lower total cholesterol levels and to meet recommended goals proposed by the National Cholesterol Education Program (NCEP). DESIGN:A single-blind, randomized, controlled trial lasting 6 months. SETTI...

journal_title：Journal of general internal medicine

authors： Bogden PE,Koontz LM,Williamson P,Abbott RD

更新日期：1997-03-01 00:00:00

abstract：OBJECTIVE:To assess the content and extent of HIV risk assessment by primary care physicians across a diverse panel of patients with unidentified HIV risk behaviors. DESIGN:Standardized patient examination to assess primary care physicians' skills at identifying and managing HIV infection and overall clinical skills. ...

journal_title：Journal of general internal medicine

authors： Wenrich MD,Curtis JR,Carline JD,Paauw DS,Ramsey PG

更新日期：1997-02-01 00:00:00

abstract：OBJECTIVE:Growing evidence indicates that life-sustaining therapies for the treatment of acute myocardial infarction (AMI) are underused among patients eligible for therapy, including the elderly and women. We examined the effect of a patient's comorbidity burden on use of these highly effective therapies in eligible p...

journal_title：Journal of general internal medicine

authors： McLaughlin TJ,Soumerai SB,Willison DJ,Gurwitz JH,Gao X,Borbas C,Gobel F

更新日期：1997-01-01 00:00:00

abstract：OBJECTIVE:To compare the use of medications in African-American and Caucasian elderly Medicare patients hospitalized with acute myocardial infarction (AMI) in Alabama. DESIGN:Retrospective medical record review. SETTING:All acute care hospitals in Alabama. PATIENTS:All Medicare patients with a principal discharge di...

journal_title：Journal of general internal medicine

authors： Allison JJ,Kiefe CI,Centor RM,Box JB,Farmer RM

更新日期：1996-12-01 00:00:00

abstract：OBJECTIVE:African-American (black) and white individuals have been shown to differ in their desire for life-sustaining treatments and their use of living wills for end-of-life care, but the reasons for these differences are unclear. This study was designed to test the hypothesis that these ethnic differences exist beca...

journal_title：Journal of general internal medicine

authors： McKinley ED,Garrett JM,Evans AT,Danis M

更新日期：1996-11-01 00:00:00

abstract：MAIN RESULTS:Compared with younger patients, patients aged 50 years or older were less likely to have acquired HIV via intravenous drug use or homosexual contact (p = .0001). Older patients were more likely to have comorbid diseases (12% vs 4%; p = .0001), had more frequent neurologic findings on admission (19% vs 9%; ...

journal_title：Journal of general internal medicine

authors： Keitz SA,Bastian LA,Bennett CL,Oddone EZ,DeHovitz JA,Weinstein RA

更新日期：1996-10-01 00:00:00

abstract：OBJECTIVE:Overall suicide mortality rates are higher among American Indians than in the general population and are particularly high among Indians residing in the upper Midwest. The identification, during encounters with health care providers, of individuals at high risk of suicide is a potential intervention strategy....

journal_title：Journal of general internal medicine

authors： Mock CN,Grossman DC,Mulder D,Stewart C,Koepsell TS

更新日期：1996-09-01 00:00:00

abstract：:The objective of this study was to assess reasons for physicians' noncompliance with computer-generated preventive care reminders. In an academic general internal medicine practice, a survey of physicians' reasons for noncompliance found that 55% of reminders were not complied with. Reasons included "not applicable" i...

journal_title：Journal of general internal medicine

authors： Litzelman DK,Tierney WM

更新日期：1996-08-01 00:00:00

abstract：OBJECTIVE:The purpose of this study is to assess the effect of a geriatrics-focused acute medicine inpatient rotation and the presence or absence of a geriatrician as attending physician on knowledge about and attitudes toward older patients and the field of geriatrics. DESIGN:Randomized trial. INTERVENTION:A 4-week ...

journal_title：Journal of general internal medicine

authors： Lindberg MC,Sullivan GM

更新日期：1996-07-01 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：:The study examined the relative contribution of caregivers' conduct and physical conditions of the hospital setting to patients' global satisfaction with health care, while controlling for self-assessed health status. The study was performed in the Soroka Medical Center, which is the only inpatient facility for a popu...

journal_title：Journal of general internal medicine

authors： Pilpel D

更新日期：1996-05-01 00:00:00

abstract：OBJECTIVE:To evaluate the effects of an intensive intervention to implement guidelines for cost-effective management of hypertension on medication use and cost, blood pressure control, and other resource use. DESIGN:Retrospective cohort trial based on the Cleveland Veterans' Affairs Medical Center Firm System. SETTIN...

journal_title：Journal of general internal medicine

authors： Aucott JN,Pelecanos E,Dombrowski R,Fuehrer SM,Laich J,Aron DC

更新日期：1996-03-01 00:00:00

abstract：:We varied the softness and nodularity of silicone breast models to assess the effects of age-related breast tissue characteristics on lump detection. In two sets of six silicone breast models manufactured to simulate premenopausal and postmenopausal breast tissue, respectively, 82 internal medicine attending and house...

journal_title：Journal of general internal medicine

authors： McDermott MM,Dolan NC,Huang J,Reifler D,Rademaker AW

更新日期：1996-02-01 00:00:00

abstract：OBJECTIVE:To assess, from the patient's perspective, selected aspects of the quality of inpatient hospital care in the United States. DESIGN:A cross-sectional survey, using telephone interviews of patients discharged from the medical services of a probability sample of 62 public and private, nonprofit, nonfederal acut...

journal_title：Journal of general internal medicine

authors： Delbanco TL,Stokes DM,Cleary PD,Edgman-Levitan S,Walker JD,Gerteis M,Daley J

更新日期：1995-12-01 00:00:00

abstract：OBJECTIVE:To determine whether students who take ambulatory rotations in internal medicine are more likely to choose internal medicine careers. DESIGN:National survey. SETTING AND PARTICIPANTS:The intended sample was 1,650 senior U.S. medical students from 16 medical schools, of whom 1,244 (76%) responded. Representa...

journal_title：Journal of general internal medicine

authors： Schwartz MD,Linzer M,Babbott D,Divine GW,Broadhead WE

更新日期：1995-10-01 00:00:00

abstract：OBJECTIVE:To characterize the patterns of health-related messages in consumer advertising from U.S. magazines. DESIGN:Observational survey of advertisements occupying a third of a page or more from the January 1994 issues of the 11 most popular consumer magazines. MEASUREMENTS AND MAIN RESULTS:Health messages were pr...

journal_title：Journal of general internal medicine

authors： Wofford JL,Pinson JA,Folmar SJ,Moran WP

更新日期：1995-09-01 00:00:00

abstract：OBJECTIVE:To describe how medical residents discuss do-not-resuscitate (DNR) orders with patients. DESIGN:Prospective observational study. SETTING:Inpatient medical wards of one university tertiary care center, one urban city public hospital, and one Veterans Affairs medical center. PARTICIPANTS:Thirty-one medical r...

journal_title：Journal of general internal medicine

authors： Tulsky JA,Chesney MA,Lo B

更新日期：1995-08-01 00:00:00

abstract：:In 1989, the internal medicine residency training program at St. John's Episcopal Hospital changed from a standard one-in-four on-call system to a night float system of resident on call. Using a confidential questionnaire that assessed the opinions of medical nurses, the nurses were asked which system they preferred, ...

journal_title：Journal of general internal medicine

authors： Buff DD,Shabti R

更新日期：1995-07-01 00:00:00

abstract：OBJECTIVE:To determine factors predicting adherence to a health care provider's screening mammography recommendation in a general internal medicine practice. DESIGN:Prospective observational study. SETTING:An urban academic general internal medicine practice. PATIENTS:Three hundred forty-nine asymptomatic women, age...

journal_title：Journal of general internal medicine

authors： Dolan NC,Reifler DR,McDermott MM,McGaghie WC

更新日期：1995-06-01 00:00:00

abstract：OBJECTIVE:To examine the relationship between resident physicians' perceptions of their preventive cardiology practices and a chart audit assessment of their documented services. DESIGN:A criterion standard comparison of two methods used to assess resident physicians' practices: self-report and chart audit. SETTING:P...

journal_title：Journal of general internal medicine

authors： Leaf DA,Neighbor WE,Schaad D,Scott CS

更新日期：1995-04-01 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：OBJECTIVE:To examine the impact of a nurse-coordinated intervention delivered to patients with non-insulin-dependent diabetes mellitus between office visits to primary care physicians. DESIGN:Randomized, controlled trial. SETTING:Veterans Affairs general medical clinic. PATIENTS:275 veterans who had NIDDM and were r...

journal_title：Journal of general internal medicine

authors： Weinberger M,Kirkman MS,Samsa GP,Shortliffe EA,Landsman PB,Cowper PA,Simel DL,Feussner JR

更新日期：1995-02-01 00:00:00

abstract：PURPOSE:To evaluate the acceptance rate and motivation for acceptance of hepatitis B virus (HBV) vaccine among preclinical medical and physician assistant (PA) students in comparison with similar data obtained from resident and staff physicians. METHODS:A cross-sectional survey of all second-year medical and PA studen...

journal_title：Journal of general internal medicine

authors： Diekema DJ,Ferguson KJ,Doebbeling BN

更新日期：1995-01-01 00:00:00

abstract：OBJECTIVE:To study an office-based strategy for increasing influenza vaccine delivery to high-risk patients at a university hospital general medicine practice. DESIGN:Historically controlled study of physician practices in an outpatient general medicine setting. SETTING:A group practice with two separate offices: a f...

journal_title：Journal of general internal medicine

authors： Merkel PA,Caputo GC

更新日期：1994-12-01 00:00:00

abstract：OBJECTIVE:To determine whether the addition of Quick Medical Reference (QMR) to usual educational tools improves an intern's performance in managing clinical cases that test diagnostic and investigative skills. DESIGN:Randomized, controlled, single-blinded crossover study. SETTING:Tertiary care teaching hospital. SU...

journal_title：Journal of general internal medicine

authors： Bacchus CM,Quinton C,O'Rourke K,Detsky AS

更新日期：1994-11-01 00:00:00

abstract：OBJECTIVE:To determine the frequency with which an acute confusional state is caused by a stroke and to evaluate the usefulness of obtaining computed tomography scans in this setting. DESIGN:Retrospective analysis. SETTING:Tertiary referral center. PATIENTS:The authors reviewed 127 neurology consultations requested ...

journal_title：Journal of general internal medicine

authors： Benbadis SR,Sila CA,Cristea RL

更新日期：1994-09-01 00:00:00

abstract：OBJECTIVE:To determine whether there are differences between men and women patients who have chronic fatigue syndrome (CFS) and, if so, to ascertain whether a gender-related pattern exists. DESIGN:A descriptive study of demographic, clinical, and psychosocial measures, the results of which were prospectively collected...

journal_title：Journal of general internal medicine

authors： Buchwald D,Pearlman T,Kith P,Schmaling K

更新日期：1994-07-01 00:00:00

abstract：:I have discussed the pharmacokinetics, efficacies, and side effects of the various nonnarcotic drugs available for the treatment of patients who have headache. Sumatriptan, the newest one, is expensive but may be cost-effective for those who have failed traditional migraine treatment, who visit the ER frequently, who ...

journal_title：Journal of general internal medicine

authors： Kumar KL

更新日期：1994-06-01 00:00:00

abstract：OBJECTIVE:To describe a novel method of time analysis for health care settings by quantifying internal medicine housestaff's work activities and contacts. DESIGN:Observational work sampling study based on random sampling technique. SETTING:General medicine service in a university hospital. PARTICIPANTS:All housestaf...

journal_title：Journal of general internal medicine

authors： Guarisco S,Oddone E,Simel D

更新日期：1994-05-01 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