abstract：BACKGROUND:Patient-centered care--including the domains of access and communication--is an important determinant of positive clinical outcomes. OBJECTIVE:To explore associations between race and HIV-infected patients' experiences of access and communication. DESIGN:This was a cross-sectional survey. PARTICIPANTS:Nin...

journal_title：Journal of general internal medicine

authors： Korthuis PT,Saha S,Fleishman JA,McGrath MM,Josephs JS,Moore RD,Gebo KA,Hellinger J,Beach MC,HIV Research Network.

更新日期：2008-12-01 00:00:00

abstract：BACKGROUND:Many physicians and professional leaders agree that community participation is an important professional role for physicians. Volunteerism has also received increasing attention in the national agenda for social change. Yet little is known about physicians' community volunteer activities. OBJECTIVE:To measu...

journal_title：Journal of general internal medicine

authors： Grande D,Armstrong K

更新日期：2008-12-01 00:00:00

abstract：BACKGROUND:Little information exists regarding the impact of Medicare Part D on generic drug use. OBJECTIVE:To examine changes in the use of generic prescriptions attributable to Part D among a sample of Medicare beneficiaries. DESIGN, PARTICIPANTS, AND MEASUREMENTS:Difference-in-difference analysis of pharmacy claim...

journal_title：Journal of general internal medicine

authors： Zhang JX,Yin W,Sun SX,Alexander GC

更新日期：2008-10-01 00:00:00

abstract：BACKGROUND:Consumer-directed health plans are increasingly common, yet little is known about their impact on physician decision-making and preventive service use. OBJECTIVE:To determine how patients' deductible levels and socioeconomic status may affect primary care physicians' recommendations for colorectal cancer sc...

journal_title：Journal of general internal medicine

authors： Pollack CE,Mallya G,Polsky D

更新日期：2008-10-01 00:00:00

abstract：BACKGROUND:Pay for performance (P4P) programs have shown only modest improvements in outcomes and do not target patient behaviors. Many large employers and payers are turning to pay for performance for patients (P4P4P) to reduce health costs and improve the health of their covered populations. How these programs may be...

journal_title：Journal of general internal medicine

authors： Long JA,Helweg-Larsen M,Volpp KG

更新日期：2008-10-01 00:00:00

abstract：BACKGROUND:Standardized means to identify patients likely to benefit from language assistance are needed. OBJECTIVE:To evaluate the accuracy of the U.S. Census English proficiency question (Census-LEP) in predicting patients' ability to communicate effectively in English. DESIGN:We investigated the sensitivity and sp...

journal_title：Journal of general internal medicine

authors： Karliner LS,Napoles-Springer AM,Schillinger D,Bibbins-Domingo K,Pérez-Stable EJ

更新日期：2008-10-01 00:00:00

abstract：BACKGROUND:Patients who leave hospitals against medical advice (AMA) may be at risk for adverse health outcomes. Their decision to leave may not be clearly understood by providers. This study explored providers' experiences with and attitudes toward patients who leave the hospital AMA. OBJECTIVE:To explore providers' ...

journal_title：Journal of general internal medicine

authors： Windish DM,Ratanawongsa N

更新日期：2008-10-01 00:00:00

abstract：BACKGROUND:Medical weblogs ("blogs") have emerged as a new connection between health professionals and the public. OBJECTIVE:To examine the scope and content of medical blogs and approximate how often blog authors commented about patients, violated patient privacy, or displayed a lack of professionalism. DESIGN:We de...

journal_title：Journal of general internal medicine

authors： Lagu T,Kaufman EJ,Asch DA,Armstrong K

更新日期：2008-10-01 00:00:00

abstract：BACKGROUND:Decisions to forgo life-sustaining medical treatments in terminally ill patients are challenging, but ones that all doctors must face. Few studies have evaluated the impact of medical training on medical students' attitudes towards end-of-life decisions and none have compared them with an age-matched group o...

journal_title：Journal of general internal medicine

authors： Gruber PC,Gomersall CD,Joynt GM,Lee A,Tang PY,Young AS,Yu NY,Yu OT

更新日期：2008-10-01 00:00:00

abstract：BACKGROUND:Although experts recommend that healthcare organizations create forums for honest dialogue about race, there is little insight into the physician perspectives that may influence these conversations across the healthcare workforce. OBJECTIVE:To identify the range of perspectives that might contribute to work...

journal_title：Journal of general internal medicine

authors： Nunez-Smith M,Curry LA,Berg D,Krumholz HM,Bradley EH

更新日期：2008-09-01 00:00:00

abstract：BACKGROUND:Undertreatment of osteoporosis after hip or wrist fracture has been well documented, but the reasons for current patterns of care are poorly understood. OBJECTIVE:We tested the role of physician and patient characteristics in predicting undertreatment when osteoporosis management was clearly indicated after...

journal_title：Journal of general internal medicine

authors： Block AE,Solomon DH,Cadarette SM,Mogun H,Choudhry NK

更新日期：2008-09-01 00:00:00

abstract：BACKGROUND:The double-blind placebo-controlled design is commonly considered the gold standard in research methodology; however, subject expectation bias could subvert blinding. OBJECTIVE:The primary aim of this study was to examine the impact of expectation bias. Specifically, we examined perceived treatment assignme...

journal_title：Journal of general internal medicine

authors： Thomas JL,Guo H,Lynam IM,Powell JN,Okuyemi KS,Bronars CA,Ahluwalia JS

更新日期：2008-09-01 00:00:00

abstract：CONTEXT:Patient safety indicators (PSIs) are screening tools that use administrative data to identify potential complications of care and are being increasingly used as measures of hospital safety. It is unknown whether PSIs are related to standard quality metrics. OBJECTIVE:To examine the relationship between select ...

journal_title：Journal of general internal medicine

authors： Isaac T,Jha AK

更新日期：2008-09-01 00:00:00

abstract：BACKGROUND:The risk of adverse events among alcohol-interactive medication users can occur with one standard alcoholic drink. Research on the extent to which this occurs is scant. OBJECTIVE:To examine the prevalence and correlates of concurrent alcohol and alcohol-interactive (AI) medication use across different level...

journal_title：Journal of general internal medicine

authors： Jalbert JJ,Quilliam BJ,Lapane KL

更新日期：2008-09-01 00:00:00

abstract：BACKGROUND:Treatment decisions about menopause are predicated on a transient duration of vasomotor symptoms. However, evidence supporting a specific duration is weak. OBJECTIVE:To estimate the natural progression of vasomotor symptoms during the menopause transition by systematically compiling available evidence using...

journal_title：Journal of general internal medicine

authors： Politi MC,Schleinitz MD,Col NF

更新日期：2008-09-01 00:00:00

abstract：:One of the most significant changes in US hospitals over the past decade has been the emergence of hospitalists as key providers of inpatient care. The number of hospitalists in both community and teaching hospitals is growing rapidly, and as the field burgeons, many are questioning where hospitalists should reside wi...

journal_title：Journal of general internal medicine

authors： Flanders SA,Saint S,McMahon LF,Howell JD

更新日期：2008-08-01 00:00:00

abstract：BACKGROUND:Postmenopausal women with a prior fracture have an increased risk for future fracture. Whether a history of non-vertebral fracture defines a group of women with low bone mass but without osteoporosis for whom alendronate would prevent new non-vertebral fracture is not known. SUBJECTS AND METHODS:Secondary a...

journal_title：Journal of general internal medicine

authors： Ryder KM,Cummings SR,Palermo L,Satterfield S,Bauer DC,Feldstein AC,Schousboe JT,Schwartz AV,Ensrud K,Fracture Intervention Trial Research Group.

更新日期：2008-08-01 00:00:00

abstract：BACKGROUND:Conflicting data exists regarding the effect of continuity on diabetes care. Resident physicians frequently treat patients with diabetes in their continuity clinics; however, maintaining continuity in a resident clinic can be very challenging. OBJECTIVE:To determine if resident continuity is associated with...

journal_title：Journal of general internal medicine

authors： Dearinger AT,Wilson JF,Griffith CH,Scutchfield FD

更新日期：2008-07-01 00:00:00

abstract：BACKGROUND:Despite evidence of inadequate physical examination skills among medical students, teaching these skills has declined. One method of enhancing inspection skills is teaching "visual literacy," the ability to reason physiology and pathophysiology from careful and unbiased observation. OBJECTIVE:To improve stu...

journal_title：Journal of general internal medicine

authors： Naghshineh S,Hafler JP,Miller AR,Blanco MA,Lipsitz SR,Dubroff RP,Khoshbin S,Katz JT

更新日期：2008-07-01 00:00:00

abstract：INTRODUCTION:Despite the 1984 United Nations's Convention Against Torture calling to train doctors to work with torture survivors, many physicians are unaware of their obligation and few are taught the requisite clinical skills. AIM:To describe the development, implementation, and evaluation of a curriculum to teach r...

journal_title：Journal of general internal medicine

authors： Metalios EE,Asgary RG,Cooperman N,Smith CL,Du E,Modali L,Sacajiu G

更新日期：2008-07-01 00:00:00

abstract：BACKGROUND:Assessing resident well-being is becoming increasingly important from a programmatic standpoint. Two measures that have been used to assess this are the Clance Impostor Scale (CIS) and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). However, little is known about the relationship between the t...

journal_title：Journal of general internal medicine

authors： Legassie J,Zibrowski EM,Goldszmidt MA

更新日期：2008-07-01 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:Teamwork is important for improving care across transitions between providers and for increasing patient safety. OBJECTIVE:This review's objective was to assess the characteristics and efficacy of published curricula designed to teach teamwork to medical students and house staff. DESIGN:The authors searche...

journal_title：Journal of general internal medicine

authors： Chakraborti C,Boonyasai RT,Wright SM,Kern DE

更新日期：2008-06-01 00:00:00

abstract：:Sarcoidosis is a multisystem disease of unknown etiology. Renal manifestation is rare and usually caused by hypercalcemia and nephrocalcinosis. Moreover, renal disease can occur as granulomatous interstitial nephritis (GIN), which is a histological diagnosis. We describe a case of sarcoidosis first presenting with mul...

journal_title：Journal of general internal medicine

authors： Mayer C,Müller A,Halbritter J,Wirtz H,Stumvoll M

更新日期：2008-06-01 00:00:00

abstract：OBJECTIVE:The objective of the study was to identify potential explanatory factors for racial differences in blood pressure (BP) control. DESIGN:The design of the study was a cross-sectional study PATIENTS/PARTICIPANTS:The study included 608 patients with hypertension who were either African American (50%) or white (...

journal_title：Journal of general internal medicine

authors： Bosworth HB,Powers B,Grubber JM,Thorpe CT,Olsen MK,Orr M,Oddone EZ

更新日期：2008-05-01 00:00:00

abstract：OBJECTIVE:To evaluate patient-provider agreement on whether weight and related behaviors were discussed during routine visits. DESIGN:Post-visit survey assessments of patients and providers. PARTICIPANTS:Obese patients make up the majority of all patients seen in primary care (PC). The patients and physicians were re...

journal_title：Journal of general internal medicine

authors： Greiner KA,Born W,Hall S,Hou Q,Kimminau KS,Ahluwalia JS

更新日期：2008-05-01 00:00:00

abstract：OBJECTIVES:The telephone can facilitate medical care but also result in adverse outcomes leading to telephone-related malpractice suits. Analyzing claims might identify errors amenable to prevention. The objective of the study was to describe medical errors involving the telephone in patient-clinician encounters that s...

journal_title：Journal of general internal medicine

authors： Katz HP,Kaltsounis D,Halloran L,Mondor M

更新日期：2008-05-01 00:00:00

abstract：BACKGROUND:With positive results from diabetes prevention studies, there is interest in convenient ways to incorporate screening for glucose intolerance into routine care and to limit the need for fasting diagnostic tests. OBJECTIVE:The aim of this study is to determine whether random plasma glucose (RPG) could be use...

journal_title：Journal of general internal medicine

authors： Ziemer DC,Kolm P,Foster JK,Weintraub WS,Vaccarino V,Rhee MK,Varughese RM,Tsui CW,Koch DD,Twombly JG,Narayan KM,Phillips LS

更新日期：2008-05-01 00:00:00

abstract：BACKGROUND:For patients with peripheral arterial disease (PAD), depression is associated with worse patency and recurrent symptoms in the treated leg, but its association with death or cardiovascular events in other vascular beds is unknown. OBJECTIVE:To assess the association between depression and mortality or cardi...

journal_title：Journal of general internal medicine

authors： Cherr GS,Zimmerman PM,Wang J,Dosluoglu HH

更新日期：2008-05-01 00:00:00

abstract：BACKGROUND:Electronic prescribing (e-prescribing) has the potential to improve the safety and efficiency of medication use, but uptake of e-prescribing in community-based settings has been limited to date. In April 2004, 2 large insurers in Massachusetts began a program to fund e-prescribing systems for targeted clinic...

journal_title：Journal of general internal medicine

authors： Fischer MA,Vogeli C,Stedman MR,Ferris TG,Weissman JS

更新日期：2008-04-01 00:00:00

abstract：OBJECTIVE:To determine the overdose rate of drugs that require renal dose adjustment and factors related with overdose. SUBJECTS:Total of 23,635,210 records of prescriptions and laboratory data of inpatients at a tertiary teaching hospital for the period from January 2002 to December 2005. METHODS:A clinical data mar...

journal_title：Journal of general internal medicine

authors： Sheen SS,Choi JE,Park RW,Kim EY,Lee YH,Kang UG

更新日期：2008-04-01 00:00:00

abstract：:Multiple factors are driving residency programs to explicitly address practice-based learning and improvement (PBLI), yet few information systems exist to facilitate such training. We developed, implemented, and evaluated a Web-based tool that provides Internal Medicine residents at the University of Virginia Health S...

journal_title：Journal of general internal medicine

authors： Lyman JA,Schorling J,Nadkarni M,May N,Scully K,Voss J

更新日期：2008-04-01 00:00:00

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

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

更新日期：2008-03-01 00:00:00

abstract：BACKGROUND:Chronic kidney disease (CKD) is a growing public health concern that overwhelmingly affects older adults. National guidelines have called for earlier referral of CKD patients, but it is unclear how these should apply to older adults. OBJECTIVE:This scholarly review aims to explore the current literature abo...

journal_title：Journal of general internal medicine

authors： Campbell KH,Dale W,Stankus N,Sachs GA

更新日期：2008-03-01 00:00:00

abstract：BACKGROUND:Despite advances in pharmacologic therapy and invasive management strategies for patients with non-ST-segment elevation acute coronary syndromes (NSTE ACS), these patients still suffer substantial morbidity and mortality. OBJECTIVE:The objective of this study was to analyze independent predictors of 1-year ...

journal_title：Journal of general internal medicine

authors： Mahaffey KW,Yang Q,Pieper KS,Antman EM,White HD,Goodman SG,Cohen M,Kleiman NS,Langer A,Aylward PE,Col JJ,Reist C,Ferguson JJ,Califf RM,SYNERGY Trial Investigators.

更新日期：2008-03-01 00:00:00

abstract：BACKGROUND:The term "clinical inertia" is used to describe the failure to manage a chronic condition aggressively enough to bring it under control. The underlying mechanisms for clinical inertia remain poorly understood. OBJECTIVE:To describe one potential mechanism for clinical inertia, seen through the lens of clini...

journal_title：Journal of general internal medicine

authors： Rose AJ,Shimada SL,Rothendler JA,Reisman JI,Glassman PA,Berlowitz DR,Kressin NR

更新日期：2008-02-01 00:00:00

abstract：INTRODUCTION:We present a case of a foramen magnum meningioma that highlights the importance of the neurologic exam when evaluating a patient with dysphagia. A 58-year-old woman presented with an 18-month history of progressive dysphagia, chronic cough and 30-pound weight loss. Prior gastroenterologic and laryngologic ...

journal_title：Journal of general internal medicine

authors： Tsao GJ,Tsang MW,Mobley BC,Cheng WW

更新日期：2008-02-01 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:Various stakeholders can have differing opinions regarding ethical review when introducing new procedures with patients. OBJECTIVE:This pilot study examines the way in which Research Ethics Boards (REBs; Institutional Review Boards) and clinical biochemists (CBs; laboratory medicine specialists) differ in t...

journal_title：Journal of general internal medicine

authors： Patenaude J,Grant AM,Xhignesse M,Leblanc F,Courteau J

更新日期：2008-01-01 00:00:00

abstract：:The study of expressed proteins in neoplasia is undergoing a revolution with the advent of proteomic analysis. Unlike genomic studies where individual changes may have no functional significance, protein expression is closely aligned with cellular activity. This perspective will review proteomics as a method of detect...

journal_title：Journal of general internal medicine

authors： Conrad DH,Goyette J,Thomas PS

更新日期：2008-01-01 00:00:00