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Peer Reviewed Scientific Research Reports.
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1. What jobs will there be in the future?
Match Strength: 5.785
Physicians often ask what kinds of jobs there will be for physician executives in the future. Learn what two futurists and four recruiters think about this issue in this excerpt from ACPE's recent book: A Career Guide for Physician Executives ... Read More »
» Published in Physician Exec. 2006 Sep-Oct;32(5):48-53.
2. US men discussing prostate-specific antigen tests with a physician.
Match Strength: 5.031
PURPOSE: Informed decision making is recommended for prostate cancer screening. I wanted to examine demographic and screening-related factors associated with men's discussion of the advantages and disadvantages of prostate-specific antigen (PSA) tests with their physicians. METHODS: I used data from 2,184 men aged 50 years and older who reported a screening prostate-specific antigen (PSA) test in the 2000 National Health Interview Survey cancer control supplement. The dependent variable was discussion of the advantages and disadvantages of the test before it was conducted. RESULTS: Sixty-three ... Read More »
» Published in Ann Fam Med. 2006 Sep-Oct;4(5):433-6.
3. Parents of children with cancer: factors influencing their treatment decision making roles.
Match Strength: 4.975
This study examined the factors that parents identified as influencing their role in treatment decision making (TDM) for their child with cancer. Content analysis of qualitative data from semistructured interviews with 36 parents as part of a mixed-methods study revealed numerous themes related to parents' TDM roles. Factors that were frequently identified included: relationship with the physician, nature of communication, trust in the physician, parents' and physician's knowledge and experience, and importance of parental role. Parents acknowledged a strong sense of responsibility and feeling ... Read More »
» Published in J Pediatr Nurs. 2006 Oct;21(5):350-61.
4. Good documentation: what it means for your physicians--and your revenue cycle.
Match Strength: 4.941
To powerfully influence physician documentation behavior--and improve patient care, reduce claim denials, and increase revenues: Examine each physician's documentation and coding habits and history through audits and, if possible, by observing physicians during typical patient encounters. Show physicians how they can improve record-keeping using specific examples from their own practices. Design encounter templates, superbills, and other documentation tools that address individual practice needs ... Read More »
» Published in Healthc Financ Manage. 2006 Sep;60(9):68-72.
5. Cognitive and psychiatric predictors of medical treatment adherence among older adults in primary care clinics.
Match Strength: 4.898
OBJECTIVES: Medical treatment non-adherence among older adults is common and represents a significant public health care concern. Treatment non-adherence has been associated with a number of factors in older adults; however few studies have delineated the role of cognition and psychiatric status. PARTICIPANTS: Data were collected from 212 ethnically diverse older primary care patients as part of a larger study. MEASUREMENTS: Cognitive status was evaluated with the Mattis Dementia Rating scale (DRS). Psychiatric status was evaluated using the Geriatric Depression Scale (GDS) and the Beck ... Read More »
» Published in Int J Geriatr Psychiatry. 2007 Jan;22(1):55-60.
6. A workforce analysis informing medical school expansion, admissions, support for primary care, curriculum, and research.
Match Strength: 4.762
PURPOSE: This case study describes the findings of a physician workforce analysis and how an institution is using these findings to address the decreasing proportion of medical students choosing primary care careers. METHODS: A University of Washington School of Medicine committee commissioned an analysis of the American Medical Association Physician Masterfile. The analysis examined physician-to-population ratios, rural-urban geographic distribution, physician demographics, and physician graduation from the university or one of its affiliated residency programs for graduates of allopathic ... Read More »
» Published in Ann Fam Med. 2006 Sep-Oct;4 Suppl 1:S40-4; discussion S58-60. Erratum in: Ann Fam Med. 2006 Nov-Dec;4(6):563. Comment in: Ann Fam Med. 2006 Sep-Oct;4 Suppl 1:S45-8; discussion S58-60.
7. Job satisfaction among obstetrician-gynecologists: a comparison between private practice physicians and academic physicians.
Match Strength: 4.730
OBJECTIVE: Physician job satisfaction has been the subject of much research. However, no studies have been conducted comparing academic and private practice physician satisfaction in obstetrics and gynecology. This study was undertaken to measure satisfaction levels for academic and private practice obstetrician-gynecologists and compare different aspects of their practice that contributed to their satisfaction. STUDY DESIGN: A survey was mailed to randomly selected obstetrician-gynecologists in Memphis, TN; Birmingham, AL; Little Rock, AR; and Jackson, MS. Physicians were asked to respond to ... Read More »
» Published in Am J Obstet Gynecol. 2006 Nov;195(5):1474-8. Epub 2006 Sep 25.
8. Impact of physician performing embryo transfer on pregnancy rates in an assisted reproductive program.
Match Strength: 4.689
PURPOSE: To evaluate the effect of the individual physician performing embryo transfer, on clinical pregnancy rates. METHOD: Data from a total of 485 consecutive embryo transfers performed on 485 women aged 23-37 years were prospectively collected for this study. All patients underwent a standard downregulation long protocol for ovarian stimulation. Oocyte recovery was performed at 36 h after hCG administration. Embryo transfer took place at 48 h after insemination. The patients were matched in two groups that have been linked to two different ET providers (A and B). The same method of loading ... Read More »
» Published in J Assist Reprod Genet. 2006 Jul-Aug;23(7-8):329-32. Epub 2006 Sep 17.
9. Physician and patient barriers to adherence with cholesterol guidelines.
Match Strength: 4.498
Several national studies have shown poor compliance with National Cholesterol Education Program II (NCEP) goals. A study we conducted of patients in the General Internal Medicine Clinic at the Marshall University Joan C. Edwards School of Medicine in Huntington showed that 46% of them were not at NCEP goals. We hypothesized that both patient and physician barriers were responsible for these findings so we administered two surveys about barriers to cholesterol management to 261 random patients identified with hypercholesterolemia and to all 50 residents and faculty at the clinic. We identified ... Read More »
» Published in W V Med J. 2006 May-Jun;102(3):23-6.
10. Should I give you my smoking lecture now or later? Characterizing emergency physician smoking discussions and cessation counseling.
Match Strength: 4.185
STUDY OBJECTIVE: We determine frequency and manner in which emergency physicians address smoking with their patients. METHODS: This was a descriptive secondary analysis of 871 audiotapes of physician-patient interactions collected during a trial assessing the effect of computer-based health risk assessment on emergency physician-patient communication. Consenting nonemergency female patients, ages 18 to 65 years, were enrolled from 2 socioeconomically diverse academic emergency department (EDs) for audiotaping of the ED visit. All audio files with any mention of smoking were independently coded ... Read More »
» Published in Ann Emerg Med. 2006 Oct;48(4):406-14, 414.e1-7. Epub 2006 Jun 30. Comment in: Ann Emerg Med. 2006 Oct;48(4):415-6.
11. Cultural influences on the physician-patient encounter: The case of shared treatment decision-making.
Match Strength: 4.052
OBJECTIVE: In this paper we discuss the influence of culture on the process of treatment decision-making, and in particular, shared treatment decision-making in the physician-patient encounter. We explore two key issues: (1) the meaning of culture and the ways that it can affect treatment decision-making; (2) cultural issues and assumptions underlying the development and use of treatment decision aids. METHODS: This is a conceptual paper. Based on our knowledge and reading of the key literature in the treatment decision-making field, we looked for written examples where cultural influences ... Read More »
» Published in Patient Educ Couns. 2006 Nov;63(3):262-7. Epub 2006 Sep 26.
12. NIH funding in family medicine: an analysis of 2003 awards.
Match Strength: 3.990
PURPOSE: We wanted to analyze National Institutes of Health (NIH) awards to departments of family medicine. METHODS: We obtained the list of NIH awards to departments of family medicine in 2003, and collected additional information from the Internet regarding each principal investigator (PI), including whether he or she worked primarily in a core (central) organizational component within a family medicine department. RESULTS: One hundred forty-nine NIH awards were granted to 45 departments of family medicine, for a total of 60,085,000 dollars. Of 146 awards with a designated PI, approximately ... Read More »
» Published in Ann Fam Med. 2006 Sep-Oct;4(5):437-42.
13. Provider attitudes toward pay-for-performance programs: development and validation of a measurement instrument.
Match Strength: 3.786
OBJECTIVE: To develop an instrument for assessing physician attitudes toward quality incentive programs, and to assess its reliability and validity. DATA SOURCES: Study involved primary data collection. A 40-item paper and pencil survey of primary care physicians in Rochester, New York, and Massachusetts was conducted between May 2004 and December 2004. Seven-hundred and ninety-eight completed questionnaires were received, representing a response rate of 32 percent (798/2,497). STUDY DESIGN: Based on an extensive review of the literature and discussions with experts in the field, we developed ... Read More »
» Published in Health Serv Res. 2006 Oct;41(5):1959-78.
14. Mandatory reporting of elder abuse: between a rock and a hard place.
Match Strength: 3.700
PURPOSE: Despite mandated reporting laws that require physicians to report elder abuse, physicians have low rates of reporting. The purpose of this study was to identify physician's perspectives on mandated reporting of elder abuse. METHODS: Individual, semistructured interviews were conducted with 20 primary care physicians practicing in a variety of settings and caring for a diverse patient population in the Los Angeles area. Interviewers collected information on physicians' perspectives about factors that may influence physicians' likelihood to report elder abuse. The interviews were ... Read More »
» Published in Ann Fam Med. 2006 Sep-Oct;4(5):403-9.
15. Asking the questions and offering solutions: the ongoing dialogue between the primary care physician and the patient with erectile dysfunction.
Match Strength: 3.559
Primary care physicians are becoming more involved in inquiry about and management of erectile dysfunction (ED). This relatively new occurrence is appropriate considering that the presence of ED may signal potentially serious medical conditions and that ED is a condition with true morbidity. Addressing sexual issues in the office setting requires a comforting and secure atmosphere in which patients can easily discuss their problems. Because many men are hesitant to approach physicians with their sexual problems, clinicians need to be proactive by asking direct questions, either verbally or in ... Read More »
» Published in Rev Urol. 2003;5 Suppl 7:S35-48.
16. Arkansas special populations access network perception versus reality-cancer screening in primary care clinics.
Match Strength: 3.496
The origin of cancer health disparities and mortality in Arkansas is multifactorial. In response to a cooperative agreement with the National Cancer Institute's Center to Reduce Cancer Health Disparities, the Arkansas Special Populations Access Network (ASPAN) was developed to reduce these disparities. ASPAN's partnership with local primary care physicians of the Arkansas Medical, Dental, and Pharmaceutical Association through the Cancer Education Awareness Program is the focus of this article. A quasi-experimental intervention, the Community Cancer Education Awareness Program, was employed ... Read More »
» Published in Cancer. 2006 Oct 15;107(8 Suppl):2052-60.
17. Patient characteristics and patterns of drug use for sleep complaints in the United States: analysis of National Ambulatory Medical Survey data, 1997-2002.
Match Strength: 3.337
OBJECTIVE: The aims of this work were to characterize ambulatory patients in the United States presenting with primary or secondary insomnia complaints and resultant diagnoses, and to describe the characteristics of patients treated with medications commonly used for sleep complaints. METHODS: Data from the National Ambulatory Medical Care Survey for the years 1997 through 2002 were analyzed. Data were stratified by patient characteristics, physician specialty, resulting diagnosis, and medications prescribed or provided. The unit of analysis was the individual patient visit; statistical ... Read More »
» Published in Clin Ther. 2006 Jul;28(7):1044-53.
18. Physician-attributable differences in intensive care unit costs: a single-center study.
Match Strength: 3.283
RATIONALE: Variation in practice and outcomes, not explained by patient or illness characteristics, is common in health care, including in intensive care units (ICUs). OBJECTIVE: To quantify within-ICU, between-physician variation in resource use in a single medical ICU. METHODS: This was a prospective, noninterventional study in a medical ICU where nine intensivists provide care in 14-d rotations. Consecutive sample consisted of 1,184 initial patient admissions whose care was provided by a single intensivist. Multivariate models were constructed for average daily discretionary costs, ICU ... Read More »
» Published in Am J Respir Crit Care Med. 2006 Dec 1;174(11):1206-10. Epub 2006 Sep 14. Comment in: Am J Respir Crit Care Med. 2006 Dec 1;174(11):1167-8.
19. Competence and cognitive difficulty in physicians: a follow-up study.
Match Strength: 3.282
PURPOSE: Remediation of incompetent physicians has proven difficult and sometimes impossible. The authors wished to determine whether such physicians had neuropsychological impairment sufficient to explain their incompetence and their failure to improve after remedial continuing medical education (CME). METHOD: Between 1997 and 2001, the authors undertook neuropsychological screening of 45 participants of a physician competency assessment program. For those physicians reassessed after a period of remediation, the authors relate the findings of the physicians' competence reassessments to their ... Read More »
» Published in Acad Med. 2006 Oct;81(10):915-8.
20. The alchemists: a case study of a failed merger in academic medicine.
Match Strength: 3.149
The changing environment in health care delivery and reimbursement in the United States in the late 1980s and 1990s caused a massive overhaul in the organizational structure of health care institutions. Hospital mergers were commonplace. Physician practices were bought and sold. Once stand-alone institutions developed integrated delivery systems. The academic medical community investigated and pursued a number of strategies to address changes in the marketplace, including streamlining and reengineering business practices; centralizing and integrating operations and decision making; creating ... Read More »
» Published in Acad Med. 2006;81 Suppl:26-37.
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