• Nurses are at the forefront of patient outcomes, and experts say a workforce that better reflects the population it serves can help reduce healthcare disparities. (publicnewsservice.org)
  • Beard explained that unconscious attitudes among medical professionals can impact patient outcomes. (publicnewsservice.org)
  • When you bring people into a learning environment that have different experiences," said Beard, "not just based on race but based on socioeconomic factors as well, these different experiences create a rich, robust dialogue that helps everyone understand how these social determinants of health impact patient outcomes. (publicnewsservice.org)
  • 2-4 Moreover, higher patient satisfaction has been shown to be associated with improved outcomes. (bmj.com)
  • 5 Meeting patient expectations correlates with higher satisfaction and results in better health outcomes. (bmj.com)
  • The aim of this study is to understand the relationship between the postadoptive use of patient portals and patient satisfaction outcomes. (jmir.org)
  • To measure patients' perceptions of patient centredness and the relation of these perceptions to outcomes. (bmj.com)
  • Components of patients' perceptions can be measured reliably and predict different outcomes. (bmj.com)
  • A systematic review of 21 studies found that better communication improved outcomes, although most studies didn't specifically assess the patient centred model and a minority were from general practice. (bmj.com)
  • Up to one-fifth of patients with chronic low back pain may be prescribed opioids in a manner that is not adherent to CPGs, thereby placing them at risk for poor outcomes. (jabfm.org)
  • Additionally, the study will provide information on long-term adherence, changes in motor symptoms, cognitive functions and patient-reported outcomes after the rehabilitation program. (frontiersin.org)
  • Patients' satisfaction with their care is known to influence health-related behaviors, 3 such as compliance, maintenance of patient-health care provider relationships, 4 , 5 and communication of important information, 4 as well as treatment outcomes. (dovepress.com)
  • By enhancing patient outcomes, boosting efficiency, improving patient communication and happiness, encouraging teamwork among dental professionals, and improving record keeping, digital dentistry may help both private practice and dental hospitals. (thieme-connect.com)
  • Five-year STAR trial outcomes show patients using Inspire experience significant reductions in sleep apnea events and significant improvements in quality-of-life measures. (christieclinic.com)
  • This results in greater client satisfaction and healthier outcomes. (snagajob.com)
  • One in four physicians has implemented at least one of the following virtual health modalities: remote patient monitoring at home, data from wearables that is incorporated into electronic health records (EHRs), patient-reported outcomes through a digital application, or chatbots or virtual assistants that answer common patient questions. (deloitte.com)
  • Primary patient and partner outcomes were proactive coping and participation restrictions. (medicaljournals.se)
  • In 2005, patient satisfaction was considered one of the National Cancer Institute's (NCI) sponsored Patient Navigation Research Program's four core outcomes to reduce disparities in cancer care. (hindawi.com)
  • With these outcomes, existent data are beginning to confirm the influence social and behavioral determinants have on how satisfied (or not) patients are with their pain treatment [ 6 ]. (hindawi.com)
  • Most considered the components of Triple Aim to be patient care, cost, and outcomes. (physicianspractice.com)
  • The published 24-month data evaluated outcomes for NSRBP patients treated with Nevro's high-frequency (10 kHz) spinal cord stimulation (SCS) system plus conventional medical management (CMM) versus CMM alone. (mywabashvalley.com)
  • ABSTRACT To complement standard measures of maternity care outcomes, an assessment of women's satisfaction with care is needed. (who.int)
  • Although there are few high-quality prospective studies of long-term outcomes, complications, or stability for refractive surgery procedures, there is at least general agreement that more than 90% of appropriately selected patients achieve excellent uncorrected distance vision. (aafp.org)
  • In the Patient-Reported Outcomes with LASIK (PROWL) studies, excellent visual acuity was routinely achieved, with few highly bothersome, persistent symptoms and very rare vision-threatening complications. (aafp.org)
  • Although most patients are satisfied with the outcomes following LASIK surgery, a small number are not. (aafp.org)
  • BACKGROUND: Pharmaceutical care is an essential component of healthcare services, and patient satisfaction with these services is crucial for improving overall health outcomes. (bvsalud.org)
  • Evidence shows that when patients are treated as partners in their care, significant gains are made in safety, patient satisfaction and health outcomes. (bvsalud.org)
  • Necas et al evaluated the midterm clinical and radiologic outcomes of "shortening" scarf osteotomy of the fifth MT in 27 patients (34 feet) with bunionette deformity. (medscape.com)
  • This study in Qatar compared patient outcomes at a primary-care facility with a dedicated diabetes clinic and one without. (who.int)
  • Using a cross-sectional method, data on demographics, diabetes status and 6 clinical outcomes of diabetes care were collected from the records of patients who visited the clinics during 2012. (who.int)
  • Pratt-Chapman et al proposed measures for survivorship patient navigation related to health care utilization (access to clinical care, awareness of late and long-term effects, and access to supportive care) and patient-reported outcomes (quality of life, self-efficacy and activation, satisfaction with care and navigation, health knowledge and literacy and healthy behaviors). (medscape.com)
  • 9-14 Although failure to identify patient expectations can lead to dissatisfaction, physicians and nurses often neglect to solicit patients' expectations, 9 15 16 and consequently may not be able to fulfil them. (bmj.com)
  • Be sure the patient has the written names of all the physicians who are taking care of him/her. (trafford.com)
  • 3 The American College of Physicians Clinical Practice Guideline, which addresses low back pain, also recommends nonpharmacological treatments and nonsteroidal anti-inflammatory drugs (NSAIDs) before considering opioids in patients with chronic low back pain. (jabfm.org)
  • They are the ones who are there to support the physicians, and ultimately the patients, who we want to have the best outcome. (medscape.com)
  • The 14-location FQHC's steady efforts to ensure physicians had complete patient information on day one of Epic proved to be a smart decision and wise investment. (healthdatamanagement.com)
  • The star rating displayed on our physicians' main biography page represents the average of the three measures for that particular physician. (southcoast.org)
  • Physicians' job satisfaction and personal well-being are at an all-time low. (deloitte.com)
  • As health care systems ride out the pandemic, they should thoughtfully consider ways to transform workflows, so physicians have more time and cognitive capacity to focus on what's most important: the patient. (deloitte.com)
  • In contrast to administrative activities, direct patient care activities are the least likely to already be automated and are less conducive to automation, according to physicians. (deloitte.com)
  • If, however, as the literature suggests, physicians seek out the arduous field of medicine, and primary care in particular, as a calling because of their desire to create healing relationships with patients, then interventions must go far deeper. (annfammed.org)
  • Joy in practice implies a fundamental redesign of the medical encounter to restore the healing relationship of patients with their physicians and health care systems. (annfammed.org)
  • Therefore, it is likely that privately-owned primary care physicians represent a significant portion of better performers in lowering preventable patient costs. (physicianspractice.com)
  • In an era marked by heightened burnout in the health care industry, it's crucial to prioritize the satisfaction of physicians. (physicianspractice.com)
  • Patients' trust in physicians and in the medical profession is vital for a successful patient-physician relationship. (biomedcentral.com)
  • A random national telephone survey was conducted using validated multi-item questionnaire measuring trust and satisfaction with physicians and with the medical profession. (biomedcentral.com)
  • Hospitalization, perceived seriousness of condition, and concerns about the risks of medications were found to be associated with patient trust in physicians or the medical profession. (biomedcentral.com)
  • Trust in physicians is a positive acceptance of a vulnerable situation in which patients believe that physicians will care for their interests [ 7 ]. (biomedcentral.com)
  • The AMA Update covers a range of health care topics affecting the lives of physicians and patients. (ama-assn.org)
  • Stay on top of issues that matter to physicians and patients with the latest news impacting health care and medicine. (ama-assn.org)
  • Family physicians can help patients make informed decisions by exploring their values, preferences, expectations, and tolerance of uncertainty and risk. (aafp.org)
  • This comprehensive report, with new questions and insights this year, represents data from more than 24,000 US physicians and reveals rarely shared information on personal income, patient load, time spent per patient, and much more. (medscape.com)
  • However, this leads to the key research question: does a patient's use of a portal lead to increased patient satisfaction? (jmir.org)
  • This physician will try again to reach the patient or take the patient's return call right away. (trafford.com)
  • When a patient's visual acuity is 20/20-or close-it's tempting to assume that his or her vision is satisfactory, said Mahmood El-Gasim, MD. After finding that many patients had excellent visual acuity in the clinic but still complained of poor vision, he and colleagues at Johns Hopkins University decided to study whether other variables might affect a patient's self-rated vision status. (aao.org)
  • Chronic healthcare makes increasing demands on the patient's abilities to manage the consequences, given a shifting perspective from paternalistic to patient-centred care (4). (medicaljournals.se)
  • While the relationship between cancer pain treatment and patient satisfaction has gained considerable attention, there remains a paucity of empirical evidence documenting the influence a patient's age has on satisfaction with pain treatment. (hindawi.com)
  • The admitting physician (or designee) is responsible for ongoing care of the patient after accepting responsibility for the patient's care whether verbally, by policy, or by writing admission orders, regardless of the patient's physical location within the hospital. (acep.org)
  • The questionnaire was administered after the patient's care, as follows: first, the student explained the study purposes and methodology to the patient, the option of not participating and the full confidentiality of the information obtained. (bvsalud.org)
  • Patient-centred care and patient satisfaction are considered key dimensions of healthcare quality by the Institute of Medicine. (bmj.com)
  • 1 Achieving a high level of patient satisfaction is important to the quality of care. (bmj.com)
  • Despite interest in patient satisfaction and widespread use of patient satisfaction surveys to assess quality of care, 2 relatively little research has focused on clinicians' attention to addressing patient expectations. (bmj.com)
  • With digital delivery of health care services gaining prominence, patient portals have become a mainstay of many health care organizations. (jmir.org)
  • Patient satisfaction was captured using three dimensions: care team interaction, atmosphere, and instruction effectiveness. (jmir.org)
  • Each of the 3 patient perceptions had significant positive influence on all 3 dimensions of patient satisfaction: care team interaction, atmosphere, and instruction effectiveness. (jmir.org)
  • Patient satisfaction is an important outcome for health care organizations. (jmir.org)
  • Therefore, by promoting effective patient portal use and fostering patient perceptions, health care organizations can improve patient satisfaction. (jmir.org)
  • As a performance metric, patient satisfaction scores are extremely important for health care organizations. (jmir.org)
  • Although satisfied patients gain these significant benefits, dissatisfied patients can ignore-or worse, completely abandon-the care provided. (jmir.org)
  • I am passionate about the intersection between clinical care and clinical research, and committed to understanding the long-term effects of childhood cancer therapies over the course of our patients' lifetimes. (stanford.edu)
  • As a collaboration with the Stanford Adolescent/Young Adult Cancer (SAYAC) program, I see patients in a pilot clinic for young adult survivors of childhood leukemia and bone marrow transplant, with a focus on cancer survivorship and transitioning to adult-focused care and from active cancer treatment to long-term follow-up care. (stanford.edu)
  • You must be sure that the patient is getting the best possible care. (trafford.com)
  • Healthy practices means healthy patients, so we want to be there to help them, but it really depends on the way that we provide the care and the way that we are being paid for the care. (medscape.com)
  • It can be used to streamline the process of care, allowing better access for patients, whether it is through some electronic communication or the ability to schedule appointments online to see the physician or other provider. (medscape.com)
  • The study involved 47 uveitis patients who became pregnant while receiving care. (aao.org)
  • To assess patient satisfaction with the arthritis care services provided by graduates of the Advanced Clinician Practitioner in Arthritis Care (ACPAC) program. (dovepress.com)
  • Participants completed selected items from the Group Health Association of America's Consumer Satisfaction Survey, and items capturing quality of care, appropriateness of wait times, and a comparison of extended-role practitioner (ERP) services with previously received arthritis care. (dovepress.com)
  • Patients were very satisfied with and amenable to arthritis care provided by graduates of the ACPAC program. (dovepress.com)
  • Our findings provide early support for the deployment and integration of ACPAC ERPs into the Ontario health care system and should inform future evaluation at the patient level. (dovepress.com)
  • 1 , 2 With the introduction of novel roles, it is important to capture the patients' perspective on the care they are receiving. (dovepress.com)
  • In addition, patients are valued members of circles of care, and it is critical to integrate their voices into decision-making processes where possible. (dovepress.com)
  • Another limitation is the reliance on technology, as technical malfunctions or system failures could disrupt dental workflows and potentially compromise patient care. (thieme-connect.com)
  • Hospices did experience comparatively lower scoresâ although still strongâ for categories about helping patients with symptoms and training families to care for loved ones, with 75% of respondents saying they were satisfied. (modernhealthcare.com)
  • Harm Caused by Delays in Transferring Patients to the Right Place of Care. (ahrq.gov)
  • This piece discusses virtual nursing, an approach to care that incorporates an advanced practice nurse into hospital-based patient care through telehealth. (ahrq.gov)
  • Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. (ahrq.gov)
  • Medication reconciliation is used when a patient moves from one level or location of care to another, to ensure they are receiving the appropriate medications. (ahrq.gov)
  • This retrospective study reviewed completed medication reconciliations of adult patients transferring from the intensive care unit to the ward. (ahrq.gov)
  • At Southcoast Health, we strive to deliver exceptional patient care along with an exceptional patient experience. (southcoast.org)
  • These components represent our strong value alignment, positively impacting patient care, infection prevention, and throughput. (snagajob.com)
  • The survey found that automation of administrative tasks like billing and documentation has nearly doubled since 2020, but that direct patient care activities like communicating test results and answering patient questions continue to be less conducive to automation. (deloitte.com)
  • Our observations suggest that a shift from a physician-centric model of work distribution and responsibility to a shared-care model, with a higher level of clinical support staff per physician and frequent forums for communication, can result in high-functioning teams, improved professional satisfaction, and greater joy in practice. (annfammed.org)
  • 11 - 17 Physician fulfillment in daily work is tightly related to the organization of the practice environment, including relief from paperwork and administrative hassles, 18 , 19 the opportunity to form meaningful relationships with patients, 20 , 21 and the ability to provide high-quality care to patients. (annfammed.org)
  • Patient satisfaction is a core dimension of healthcare quality and patient-centered care. (hindawi.com)
  • There has never been a more challenging time to practice primary care: long hours, more metrics, increasingly sicker patients and low financial incentive compared to other specialties. (physicianspractice.com)
  • Nonetheless, independent primary care doctors continue to be an integral component of the health care system.Staying independent allows us to improve even further on what we do best by enabling us to be nimble and innovative while focusing on satisfaction of patients and staff. (physicianspractice.com)
  • For instance, I was part of an early effort in Pennsylvania to transform primary care using the Patient Centered Medical Home (PCMH) model. (physicianspractice.com)
  • Independent primary care doctors are innovating and adapting to ever-changing demands of patient needs, technological advancements, and the greater health care landscape. (physicianspractice.com)
  • One study published in The American Journal of Managed Care showed small practices reduced patient spend greater than large practices. (physicianspractice.com)
  • In a primary care ACO of independent practices that I co-founded, practices innovated around open scheduling, pre-session huddles, care management outreach, and adjusting visit frequency for high-risk patients. (physicianspractice.com)
  • We compared pre-COVID-19 CG-CAHPS scores from patients who received in-person care at the PRBTC between April 2019 and March 2020 to COVID-19 pandemic CG-CAHPS scores (i.e. those who received either telemedicine or in-person care at the PRTBTC) from April 2020 to March 2021. (duke.edu)
  • It is associated with increased risks of patient anxiety and depression, reduced physical activity, disrupted sleep and social relationships, and reduced patient satisfaction with health care and quality of life. (oncologynurseadvisor.com)
  • and poor satisfaction with the childbirth and postnatal care services in terms of meeting traditional cultural practices. (who.int)
  • According to The Beryl Institute (http://www.theberylinstitute.org/), patient experience is defined as "The sum of all interactions, shaped by an organization's culture, that influence patient perceptions across the continuum of care. (beckershospitalreview.com)
  • Our priority is to provide a bespoke service and the very best in patient care. (mulberrydental.co.uk)
  • Once admitted, patient care is most effectively and safely delivered on inpatient units. (acep.org)
  • Boarding of admitted patients in the ED represents a hospital-wide failure and contributes to lower quality of care, decreased patient safety, reduced timeliness of care, reduced patient satisfaction, an increased number of patients leaving without being seen, and increased mortality. (acep.org)
  • ED crowding and its negative impacts on patients are due to misaligned health care economics and financial pressures on hospitals. (acep.org)
  • If transfer of admitted patients to inpatient units is delayed, the hospital must provide the supplemental nursing staff necessary to care for the patients boarded in the ED. (acep.org)
  • Admitted patients should receive the same level and quality of care regardless of location. (acep.org)
  • Hospitals should have staffing plans in place that can mobilize sufficient health care and support personnel to meet increased patient needs. (acep.org)
  • Nurse staffing patterns applicable to other specialized areas/units of the hospital should apply equally to the boarded ED patients to assure that there is a consistent standard of care within the organization. (acep.org)
  • Hospitals should have established protocols and procedures related to the expeditious transfer of boarded patients to in-network facilities, outside hospitals, or alternative care settings with appropriate inpatient beds when none are available at the hospital of origin. (acep.org)
  • If psychiatric patients are boarded in the ED, either admitted for a psychiatric purpose or pending admission, the hospital must assure the same level of oversight and psychiatric care afforded to inpatient psychiatric patients. (acep.org)
  • However, sometimes they are so focussed on the technical aspects of the medical care they provide, that they forget that a pat on the shoulder and a reassuring smile can make a world of a difference to the patient. (thebestmedicalcare.com)
  • As a patient-advocate, you can help doctors and nurses deliver humane, compassionate and empathetic care to their patients. (thebestmedicalcare.com)
  • You can tap into your skills to ensure that patients are treated with love and care by the medical staff. (thebestmedicalcare.com)
  • Every day, our talented doctors and co-workers dedicate themselves to providing the very best care and service to patients and their loved ones. (mercy.net)
  • We are so thrilled to know that patients recognize and value that high level of service and care. (mercy.net)
  • This year's winners have done an exceptional job of representing their organizations in terms of high-quality care, improvement initiatives, and positive consumer perceptions and experiences. (mercy.net)
  • For more than 30 years, National Research Corporation (NASDAQ: NRCIA and NRCIB) has been at the forefront of patient-centered care. (mercy.net)
  • Today, the company's focus on empowering customer-centric healthcare across the continuum extends patient-centered care to incorporate families, communities, employees, senior housing residents, and other stakeholders. (mercy.net)
  • We aimed to evaluate patient satisfaction and perception with pharmaceutical care services provided at public and private hospitals for outpatient pharmacies. (bvsalud.org)
  • CONCLUSIONS: Patient satisfaction with pharmaceutical care services could be enhanced by involving pharmacists in patient-oriented training and informing patients about the role of pharmacists. (bvsalud.org)
  • Patient satisfaction in the evening shift might be improved by establishing a system for continuous evaluation and improvement of pharmaceutical care services in hospitals to ensure the highest quality of care for patients in addition to implementing technology such as electronic prescribing and medication management systems that can improve the accuracy and efficiency of pharmaceutical services in hospitals. (bvsalud.org)
  • The care given to patients by FOUPF students is done well, not requiring significant changes. (bvsalud.org)
  • W orld Patient Safety Day 2023 will be observed on 17 September under the theme "Engaging patients for patient safety", in recognition of the crucial role patients, families and caregivers play in the safety of health care. (bvsalud.org)
  • By becoming active members of the health care team, patients can contribute to the safety of their care and that of the health care system as a whole. (bvsalud.org)
  • WHO calls on all stakeholders to take necessary action to ensure that patients are involved in policy formulation, are represented in governance structures, are engaged in co-designing safety strategies, and are active partners in their own care. (bvsalud.org)
  • The LDL cholesterol of patients receiving standard care ( n = 108) reduced significantly from 3.41 to 3.22 mmol/dL and HDL cholesterol increased from 0.83 to 0.87 mmol/dL. (who.int)
  • Although most of these self-care activities for outpatients are taught in primary health care, their actual practice occurs at home where patients stay. (bvsalud.org)
  • Family dynamics or established cultures impact the management of the disease, hence a need for primary health care-family partnership to empower both families and patients with ways to manage the disease. (bvsalud.org)
  • We have long studied communication between patient, family, and provider (the decision-making triad), associations with quality of life, and resulting satisfaction with care. (cdc.gov)
  • Risk factors for bacteriuria in patients who are catheterized include longer duration of catheterization, colonization of the drainage bag, diarrhea, diabetes, absence of antibiotics, female gender, renal insufficiency, errors in catheter care, catheterization late in the hospital course, and immunocompromised or debilitated states. (medscape.com)
  • The long-term care of these patients poses a significant challenge for the practicing hematologist/oncologist. (medscape.com)
  • The Commission on Cancer (CoC) of the American College of Surgeons, which sets standards for cancer care and provides accreditation for institutions that care for the majority of cancer patients, announced a new patient-centered Survivorship Care Planning standard in 2012, and updated it in 2016. (medscape.com)
  • Methods The authors developed a survey to assess clinicians' awareness, attitudes, competence and performance with respect to patient expectations. (bmj.com)
  • Methods: The authors performed a systematic review of primary literature from 1999 to 2020 reporting on NHIS patient satisfaction in eight databases (including PubMed, Embase, and Africa-wide Information). (bvsalud.org)
  • Review patient evaluation methods that can be used to identify the most appropriate treatment options for chronic pain. (cdc.gov)
  • Therefore, we undertook a study to examine clinician attitudes, performance and major determinants of their behaviour with respect to managing patient expectations, and did so in multiple countries to determine whether approaches differ across cultures. (bmj.com)
  • 3 , 4 The determinants of both satisfaction and dissatisfaction are highly subjective and unpredictable. (aafp.org)
  • Keystone Health's successful data transfer project involved four essential patient information documents and has returned countless dividends since it converted from NextGen to Epic in October 2020. (healthdatamanagement.com)
  • Twelve per cent (vs. 8% in 2020) say they use automation to answer patient questions, communicate test results and relay discharge instructions. (deloitte.com)
  • During the pandemic, 48.6% of surveys represented telemedicine, with monthly variations from 84.6% (April 2020) to 21.4% (March 2021). (duke.edu)
  • Satisfaction, assessed by the User Satisfaction Evaluation Questionnaire (USEQ), at 6 months of the VRR program initiation will be the primary outcome. (frontiersin.org)
  • 1 Rating their vision status from 0 to 10 (with 0 being blindness and 10 being excellent vision), the patients also completed the Activities of Daily Vision Scale (ADVS) questionnaire-including night driving, near vision, and distance vision subscales-and underwent testing of visual acuity, contrast sensitivity, stereoacuity, and visual fields. (aao.org)
  • A total of 325 patients seen by 27 ERPs from 15 institutions completed the questionnaire. (dovepress.com)
  • A seven item questionnaire measured the patient-physician encounters in critical medical situations. (biomedcentral.com)
  • The objective of this questionnaire-based research was to evaluate the level of satisfaction of students and patients at the School of Dentistry of the University of Passo Fundo (FOUPF). (bvsalud.org)
  • Patients' enablement, satisfaction, and burden of symptoms. (bmj.com)
  • Masks are required for patients and visitors experiencing COVID-19 and other respiratory symptoms and optional for all others. (southcoast.org)
  • 6,7 Breakthrough cancer pain is one of the most prevalent and formidable symptoms cancer patients face. (oncologynurseadvisor.com)
  • Caution individuals considering LASIK that dry eye symptoms affect up to 40% of patients following surgery. (aafp.org)
  • Only 2% to 3% of patients consider dry eye symptoms to be bothersome. (aafp.org)
  • Caution individuals with chronic pain syndromes (e.g., fibromyalgia, irritable bowel syndrome, migraine) or contact lens intolerance that patients with these conditions report more dry eye symptoms following LASIK. (aafp.org)
  • Caution individuals considering LASIK that visual symptoms, such as a glare, halos, starbursts, and reduced contrast sensitivity, affect up to 20% of patients following surgery. (aafp.org)
  • When cosmesis is the only reason for surgery, satisfaction is less likely because minor symptoms may persist for some months following surgery. (medscape.com)
  • The 2009 Infectious Diseases Society of America (IDSA) guidelines define catheter-related UTI in patients whose urinary (urethral, suprapubic, or condom) catheter has been removed within the previous 48 hours by the presence of symptoms or signs compatible with UTI with no other identified source of infection along with 1000 or more colony-forming units (CFU)/mL of 1 or more bacterial species. (medscape.com)
  • Given that information on patient satisfaction with VRR is scarce, the primary objective of this study is to assess long-term patient satisfaction with a novel VRR program. (frontiersin.org)
  • Objectives To assess if continuous topical glyceryl trinitrate (GTN) treatment improves outcome in patients with chronic patellar tendinopathy when compared with eccentric training alone. (bmj.com)
  • Our vendor sends surveys via SMS or email to all patients seen in our outpatient physician practices who have a valid smart phone number or email address on file with Southcoast Health. (southcoast.org)
  • This quality improvement project compares outpatient satisfaction before and during the COVID-19 pandemic as well as in-person versus telemedicine platforms during the pandemic. (duke.edu)
  • We performed an IRB-exempt retrospective analysis of aggregate de-identified outpatient satisfaction scores among Neuro-oncology patients seen at The Preston Robert Tisch Brain Tumor Center (PRTBTC) at Duke University. (duke.edu)
  • Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) is a survey developed and distributed by Press Ganey Associates, and is the most widely used outpatient satisfaction survey in the United States. (duke.edu)
  • Outpatient satisfaction prior to and during the COVID-19 pandemic was similar. (duke.edu)
  • Background To achieve a high level of patient satisfaction, providers need to identify and address patients' expectations. (bmj.com)
  • Only 19.6% of respondents felt they had adequate training to handle patients' expectations. (bmj.com)
  • In multivariate analyses, clinicians with greater awareness and adequate training were more likely to ask patients about their expectations. (bmj.com)
  • Conclusion While clinicians think it is important to ask patients about their expectations, they often fail to do so and consequently may not respond adequately. (bmj.com)
  • These results identify a 'blind spot' in clinicians' approach when attempting to address patient expectations and improve patient satisfaction, suggesting that healthcare organisations should take a more active role in increasing clinicians' awareness and initiating structured training programmes to cope with patient expectations. (bmj.com)
  • Expectations represent an important part of satisfaction. (bmj.com)
  • 6-8 Consistent with this notion, studies have shown the importance of both identifying and addressing patient expectations. (bmj.com)
  • The model encompasses five principal domains-exploring the illness experience or expectations, the whole person, finding common ground, health promotion, and enhancing the doctor-patient relationship. (bmj.com)
  • Measures of satisfaction are prescribed at examining the extent to which patients' healthcare experiences complement their expectations of healthcare delivery [ 3 ]. (hindawi.com)
  • And describe the role of patient beliefs and expectations and value of exercise, education, and non-opioid drug treatments and the management of muscular skeletal pain complaints. (cdc.gov)
  • Although the patient centred model of doctor consultation is widely advocated, its use in practice is probably rather limited. (bmj.com)
  • 5 - 6 The few studies in general practice that specifically assessed patient centredness suggest it is related to satisfaction and use of resources. (bmj.com)
  • This study measured the prevalence and impact of nonadherence to clinical practice guidelines (CPGs) that recommend using nonpharmacological and nonopioid treatments such as nonsteroidal anti-inflammatory drugs (NSAIDs) before considering opioids in patients with chronic low back pain. (jabfm.org)
  • 1 The clinical practice guidelines (CPGs) developed to address this issue often promote a biopsychosocial approach to pain management, including patient self-management, nonpharmacological treatments, and avoiding opioids as first-line pharmacological treatment. (jabfm.org)
  • One of the key features for rehabilitation adherence is patient satisfaction with the VR rehabilitation (VRR) program, and information on user satisfaction and not only effectiveness is required to systematically include VRR in routine clinical practice. (frontiersin.org)
  • A big part of the role, certainly of the practice administrator, is managing the events that occur in the clinical environment from the time the patient makes an appointment to the time of zero balance. (medscape.com)
  • The practice manager has responsibility for everything in between, other than actually seeing the patient. (medscape.com)
  • There has been a lot of advice to add technology to a practice, with email, patient portals, videos, and home monitoring. (medscape.com)
  • Joy in practice includes a high level of physician work life satisfaction, a low level of burnout, and a feeling that medical practice is fulfilling. (annfammed.org)
  • As such, the curriculum should promote integration between basic scientific concepts and clinical practice - with the latter valuing the human relationship between the dental surgeon and patient, within a realistic perspective. (bvsalud.org)
  • World Patient Safety Day 2023 will be observed on. (bvsalud.org)
  • Objective: Men represent more than two-thirds of septoplasty patients in many studies, but differences between men and women in terms of patient selection or outcome are seldom reported. (lu.se)
  • The objective of this exploratory study is to examine the possible associations between patients' experiences in critical medical situations and their trust in their physician and in the medical profession in general. (biomedcentral.com)
  • Virtual reality (VR) has emerged as a promising treatment approach in rehabilitation for patients with multiple sclerosis (MS) due to its potential to increase patient motivation and rehabilitation adherence. (frontiersin.org)
  • Secondarily, discomfort with VRR will be evaluated, and therapy adherence and changes in a variety of domains typically affected by MS will be compared between patients receiving VRR and patients receiving CR. (frontiersin.org)
  • It is clinically proven to reduce sleep apnea events, has a high level of patient satisfaction and a high therapy adherence. (christieclinic.com)
  • Participants completed the Patient-Doctor Interaction Scale, modified to capture patient-practitioner interactions. (dovepress.com)
  • A total of 653 patients were identified as potential participants and subsequently registered in the study database (Fig. 1 ). (springer.com)
  • Participants: The study includes 2,532 patients from the National Swedish Septoplasty Register undergoing septoplasty with or without additional turbinoplasty on the indication of nasal obstruction in 2014-2019. (lu.se)
  • Inspire represents a significant advancement in treating sleep apnea. (christieclinic.com)
  • Despite significant advancements in pain treatment therapies, nearly one in two cancer patients report their pain being undertreated [ 5 ]. (hindawi.com)
  • Patients often turn to unproven treatments - some with potentially significant harms, like opioids - when they feel they've run out of options to reduce their pain. (mywabashvalley.com)
  • Patient satisfaction showed no difference between GTN and placebo groups (p=0.25) after 24 weeks, but did show a significant difference over time (p=0.01). (bmj.com)
  • There was a statistically significant difference in patient satisfaction with pharmaceutical services regarding working time between the morning and evening shifts (p value = 0.009) in favor of morning shift. (bvsalud.org)
  • Chi-square test was conducted and showed no statistically significant relationship between the classification of BDI and the variables tested (characteristics related to patient and cancer-specific). (bvsalud.org)
  • Significant pyuria is generally represented by more than 50 white blood cells (WBCs) per high-power field (HPF). (medscape.com)
  • Postadoptive use of patient portals has a positive relationship with the 3 dimensions of patient satisfaction, mediated by gratification, health self-awareness, and health perceptions. (jmir.org)
  • The results show that postadoptive use of patient portals has a positive influence on all 3 dimensions of patient satisfaction through the mediating variables of gratification, health self-awareness, and health perceptions. (jmir.org)
  • They also found it may be as important to measure patients' perceptions than what doctors say in a consultation. (bmj.com)
  • Surveys are sent to patients within a few days of their appointment. (southcoast.org)
  • The appointment of Mr. Floyd and Mr. Ritchie represents a further step in the development of the corporate's vision. (permira.com)
  • With regard to aspects that could be improved, 36.7% (n = 18) of interviewed patients mentioned the need to schedule appointments more than once a week, 12.2% (n = 6) felt the need to reduce waiting times for consultations, and 10.2% (n = 5) wanted to reduce appointment duration. (bvsalud.org)
  • Small media such as patient education materials inform and educate people about cancer screening and motivate them to seek information, talk to a doctor, make an appointment and get screened. (cdc.gov)
  • Conclusion It seems that continuous topical GTN treatment in addition to an eccentric exercise programme does not improve clinical outcome compared to placebo patches and an eccentric exercise programme in patients with chronic patellar tendinopathy. (bmj.com)
  • To meet go-live deadlines and ensure physician satisfaction, the FQHC opted to outsource the initiative to Intellis, which had prior experience serving Keystone's partner organization, WellSpan Health . (healthdatamanagement.com)
  • The concept of physician satisfaction suggests innovations that are limited to tweaking compensation or panel size. (annfammed.org)
  • Today, most experts have shifted to the Quadruple Aim which also includes physician satisfaction. (physicianspractice.com)
  • Re-excision and postoperative infection were associated with lower rates of satisfaction regarding both overall aesthetic outcome and symmetry, as well as with skin sensitivity. (springer.com)
  • Mean postoperative nasal obstruction 12 months after surgery and overall satisfaction with the result were similar. (lu.se)
  • Conclusion: In this large national patient cohort undergoing septoplasty, we found no differences in preoperative nasal obstruction or postoperative patient-rated outcome in men and women undergoing septoplasty, despite the fact that 72% of the patients were men. (lu.se)
  • Postoperative dry eye, which may in part represent a corneal neuropathy, usually resolves after six to 12 months but persists in up to 20% of patients. (aafp.org)
  • Sir William Osler ♦ Keeps a tickler file of patients with undiagnosed problems or who are due back at a definitive time while awaiting test results. (trafford.com)
  • The ideal physician never leaves a voice mail or sends an email when he/she has to tell a patient about abnormal test results. (trafford.com)
  • The results from this study will help to gather valuable knowledge on the use of rehabilitation with a new VR tool in MS patients. (frontiersin.org)
  • It can also be used to report results and to allow patients to check their children's immunizations -- whether they have received them and when their next immunization might be due. (medscape.com)
  • Results: Men accounted for 1,829 (72%) of the patients. (lu.se)
  • Most patients report satisfaction with the results. (aafp.org)
  • RESULTS: A total of 90 patients were recruited. (bvsalud.org)
  • Main patient inclusion criteria were symptomatic stroke (≥ 6 weeks previously) and reporting ≥ 2 restrictions on the Restriction subscale of the Utrecht Scale for Evaluation of Rehabilitation Participation. (medicaljournals.se)
  • Females represent up to 90% of symptomatic patients in some series. (medscape.com)
  • For example, because of their own life experience, a nurse might assume incorrectly that a patient has the resources to drive to a pharmacy and purchase a medication when they leave a hospital. (publicnewsservice.org)
  • Chief patient experience officers, or CXOs, are an uncommon but valuable addition to hospital executive suites. (informationweek.com)
  • As consumer satisfaction begins to have a bigger impact on the bottom line, more hospitals are hiring a chief patient experience officer (CXO) to treat patients like valued customers. (informationweek.com)
  • After searching the literature and not finding much there, I decided to review the experience of our patients. (aao.org)
  • Interim HealthCare has a hard time getting the family members of its hospice patients to complete the CMS' experience survey. (modernhealthcare.com)
  • For example, patients who describe a positive communicative relationship with their healthcare provider [ 6 , 7 ] are more likely to follow treatment recommendations, report greater pain relief, and experience less pain-related anxiety [ 7 ]. (hindawi.com)
  • The company's integrated solutions are rooted in the patient experience and span all stages of the product life cycle to deliver long-term, sustainable value for patients, prescribers, channel partners and payers. (massbio.org)
  • It's logical that patients have a more positive experience when employees are engaged in their work. (beckershospitalreview.com)
  • Today, I write about a key strategy that you can implement as a healthcare leader to impact engagement and the patient experience. (beckershospitalreview.com)
  • This negatively impacts engagement and ultimately the patient experience. (beckershospitalreview.com)
  • At the next meeting about patient experience, when action plans are created, stop and ask this question. (beckershospitalreview.com)
  • If you want to impact the patient experience, start by learning more about employees' beliefs and mindsets. (beckershospitalreview.com)
  • Better understanding beliefs helps everyone improve their own work experience and the patient experience as well. (beckershospitalreview.com)
  • Studies on patient satisfaction have served as a useful strategy to further understand the patient experience and the efficacy of health systems. (bvsalud.org)
  • Beneficial trends were found for the self-manage-ment intervention in partners' self-efficacy and patients' health-related quality of life, mood complaints and participation restriction. (medicaljournals.se)
  • As patient portals continue to gain prominence, improved patient satisfaction can enable organizations to provide effective health services through patient portals. (jmir.org)
  • Never has patient satisfaction been more important to healthcare organizations: the Hospital Consumer Assessment of Healthcare Providers and Systems Survey of consumer satisfaction, population health initiatives, and value-based purchasing all show that revenue now depends on patients' satisfaction with providers. (informationweek.com)
  • This suggests that satisfaction with pain treatment may depend less on symptom relief, but more on social and provider level factors that impact the degree of satisfaction [ 8 , 9 ]. (hindawi.com)
  • The rationale behind the procedure was that it would be a bone-conserving alternative to THR for patients with higher activity demands i.e. young patients with severe hip arthritis who are otherwise in good health. (wikipedia.org)
  • It was therefore always attractive to surgeons to employ a bone conserving procedure in young patients initially. (wikipedia.org)
  • However, little is known regarding the prevalence and severity of procedure-related pain in this patient population. (jnccn.org)
  • During a 6-week period, 102 cancer patients were interviewed immediately after undergoing an invasive procedure. (jnccn.org)
  • Twenty-four percent of patients surveyed received conscious sedation for their procedure. (jnccn.org)
  • As more than 50% of these patients experienced moderate to severe pain during procedures, further studies are needed to improve the control of procedure-related pain in patients with cancer. (jnccn.org)
  • No single, universally acceptable procedure exists for all patients. (medscape.com)
  • A high BMI (≥30 kg/m 2 ) seemed to affect satisfaction with symmetry negatively. (springer.com)
  • In addition, visual function-as represented by ADVS-was an important factor when patients rated the quality of their vision. (aao.org)
  • For Keystone Health, important patient information related to problems lists, allergies, medications and immunizations did not automatically convert. (healthdatamanagement.com)
  • Hence, it is important to identify factors associated with a poor aesthetic outcome after conventional BCS, in order to determine which patients would benefit the most from oncoplastic breast surgery. (springer.com)
  • This score represents ≥2.5 times the minimal clinically important improvement. (mywabashvalley.com)
  • It is also important to evaluate the social-economic-cultural level of students and patients, as well as the reason for choosing the school for learning/undergoing dental treatment. (bvsalud.org)
  • Therefore, constant investigations are necessary to identify the factors that promote the satisfaction of patients assisted by healthcare services. (bvsalud.org)
  • Hip resurfacing is a bone-conserving, less invasive alternative to total hip replacement (THR) for young patients, markedly improves the health-related quality of life measures and currently makes up around a twentieth of all hip arthroplasty (artificial joint) procedures performed in the United Kingdom. (wikipedia.org)
  • Secondary outcome measures were patient satisfaction and pain scores during sports. (bmj.com)
  • Studies on patient satisfaction at healthcare teaching facilities can contribute to the creation of planning measures to improve the quality of service. (bvsalud.org)
  • Handoffs between prehospital emergency medical services (EMS) providers and hospital emergency departments (EDs) can be suboptimal, which increases patient harm potential. (ahrq.gov)
  • Virtual nursing increases patient safety and may enable expert nurses to continue to meet patient needs in future staffing shortages. (ahrq.gov)
  • Long-term catheterization increases patient satisfaction but also increases mechanical complications. (medscape.com)
  • THRs use small diameter metal-on-polyethylene bearings which have a high rate of dislocation and revision in this group of patients. (wikipedia.org)
  • He warned against the use of a THR in any young patient unless there were other physical restraining factors which would stop the patient from getting back to high activity levels. (wikipedia.org)
  • The disease is associated with a high economic burden for society, and Spain is the European country with the highest total annual cost per patient ( 3 , 4 ). (frontiersin.org)
  • By ensuring providers have easy and timely access to patient problem, allergy, medication and immunization (PAMI) data, it has received consistently positive physician feedback and high user satisfaction scores. (healthdatamanagement.com)
  • Hospice providers get high marks on CMS satisfaction surveys, but do they reflect reality? (modernhealthcare.com)
  • The data show that patients in the high-frequency SCS arm experienced profound improvements in pain, function, and quality of life, plus reduced opioid use compared to the CMM arm at 24 months. (mywabashvalley.com)
  • The long-term data provides further evidence of the benefits of high-frequency SCS in managing patients with NSRBP. (mywabashvalley.com)
  • We can see through these data that high-frequency SCS is capable of giving patients the relief, function, and quality of life improvements that many are desperate to find. (mywabashvalley.com)
  • High levels of patient satisfaction were recorded at 24 months, with 76% of patients reporting their condition was "better" or "a great deal better" on Patient-Reported Global Impression of Change (PGIC). (mywabashvalley.com)
  • 3 , 4 In elite sports characterised by high demands on the knee extensors, such as volleyball, basketball and athletics, as many of 40-50% of patients are affected. (bmj.com)
  • The hospitals naming a top-level executive to design, oversee, and collaborate on patient-centric efforts expect to see a financial benefit, given that government and private payers are building patient satisfaction into reimbursement formulas and consumers are playing a larger role in making their own healthcare spending choices. (informationweek.com)
  • Although the overall dependence on corrective lenses is markedly reduced, many patients still require glasses or contact lenses after LASIK, particularly in low-light conditions and as they age. (aafp.org)
  • This unique information linked to a complete portfolio of clinically proven implants is designed to improve patient satisfaction and increase value. (permira.com)
  • Recognized by Modern Healthcare as the largest patient satisfaction firm in the U.S., National Research is dedicated to representing the true voice of patients and other healthcare stakeholders. (mercy.net)
  • Patient satisfaction represents valuable feedback that contributes to considerations on the continuous improvement of teamwork. (bvsalud.org)
  • With the development of new surgical techniques in breast cancer, such as oncoplastic breast surgery, increased knowledge of risk factors for poor satisfaction with conventional breast-conserving surgery (BCS) is needed in order to determine which patients to offer these techniques to. (springer.com)
  • Between February 1, 2008 and January 31, 2012, all patients offered BCS at Skåne University Hospital, Malmö, due to breast cancer or suspected malignancy, and able to comprehend information given in spoken and written Swedish were eligible for inclusion in the present study. (springer.com)
  • This prospective study was conducted to determine the frequency and types of invasive procedures performed in a large comprehensive cancer center, the intensity of pain associated with these procedures, the types of periprocedural analgesics administered, and how these patients would like their procedural pain to be managed in the future. (jnccn.org)
  • This study represents the largest descriptive study of procedural pain in adult cancer patients. (jnccn.org)
  • The domains of patient satisfaction have received much attention in the treatment of patients, particularly those with a cancer diagnosis. (hindawi.com)
  • As the baby-boomer generation ages and cancer survival times improve, increasing numbers of patients will be affected by cancer pain. (oncologynurseadvisor.com)
  • 4 Some authors have described pain as a neglected fifth vital sign for cancer patients. (oncologynurseadvisor.com)
  • Depression prevalence in patients with cancer varies from 3% to 55% among different studies. (bvsalud.org)
  • Data for patients included in the SCP for OG cancer at SUS Lund from 2015 to 2019 were collected from medical records. (cancercentrum.se)
  • I beskrivningen av förloppet står det att bland annat symtom som nytillkomna sväljsvårigheter ska väcka misstanke om cancer och då ska en snabb remiss skickas för gastroskopi (undersökning där en slang med kamera förs ner i magsäcken). (cancercentrum.se)
  • SVF startas då en välgrundad misstanke (VGM) uppstår, vilket innebär att det föreligger en betydande risk för cancer. (cancercentrum.se)
  • With the development of targeted and multi-modality treatments, and more effective treatments generally, prolonged survival or even cure has become commonplace for patients with certain cancers, such as testicular cancer, some lymphomas, breast cancer, colon cancer, and some leukemias, among others. (medscape.com)
  • The American Cancer Society identified cancer recurrence, financial issues, fatigue, sleep-related problems, and job-related issues as the principal concerns in these patients. (medscape.com)
  • [ 6 ] The Oncology Nursing Society, which is officially represented in both the CoC and the NAPBC, has developed a report to guide healthcare providers in managing patients throughout cancer survivorship, Red Flags in Caring for Cancer Survivors . (medscape.com)
  • Designed for comfort, seal and easy use, the F&P Pilairo Q represents a highly effective nasal pillows mask with just three key components including two minimalist headgear options. (fphcare.com)
  • Weighing in as one of the lightest CPAP nasal pillows masks (1.94 ounces / 55 grams), the F&P Pilairo Q is quieter for the patient and bigger on performance. (fphcare.com)
  • Because these documents are routinely updated during every patient visit, the FQHC's leadership was confident in the timeliness and accuracy of PAMI data. (healthdatamanagement.com)
  • If doctors don't provide a positive, patient centred approach patients will be less satisfied, less enabled, and may have greater symptom burden and higher rates of referral. (bmj.com)
  • Factors associated with less satisfied patients regarding skin sensitivity in the operated breast were an excision of ≥20% of preoperative breast volume, a BMI of 25-30 kg/m 2 , axillary clearance, and radiotherapy. (springer.com)
  • When these students graduate," said Beard, "they are better positioned to have a conversation with patients and their colleagues in a way that shows cultural humility and a greater degree of understanding the difficulties of navigating healthcare and achieving your best level of health. (publicnewsservice.org)
  • Higher precision and accuracy, shorter treatment durations, more patient comfort, more effective teamwork and communication, and greater patient education are a few of these benefits. (thieme-connect.com)
  • Descriptive data showed that middle-aged adults reported more pain locations, greater pain severity, and less satisfaction with pain treatment. (hindawi.com)
  • For the middle-aged adults, treatment satisfaction was generally lower with greater pain severity. (hindawi.com)
  • 5 Patients with advanced or metastatic colorectal, gynecologic, prostate, and head and neck cancers tend to report greater pain severity than patients with other cancers. (oncologynurseadvisor.com)
  • The technologies represent a vast leap forward in dentistry and can offer patients a greater degree of satisfaction with their dental repairs. (mulberrydental.co.uk)
  • Research studies on the quality of dental services at integrated clinics and patient satisfaction with them start from the premise that there are certain needs established for users. (bvsalud.org)
  • Seeing patients may be your primary interest, but there's no reason why you also can't write papers and teach to work toward qualifying for academic promotion. (trafford.com)
  • In this prospective single-center 6-months follow-up study, 32 and 16 MS patients will receive VRR or CR, respectively. (frontiersin.org)
  • The study is intended to provide a better understanding of long-term patient satisfaction with a VRR program specifically designed for MS patients. (frontiersin.org)
  • The impetus for the study was an encounter Dr. Lim had with a chronic uveitis patient who wanted to know how pregnancy might affect her disease. (aao.org)
  • The aim of this study was to investigate patient satisfaction regarding aesthetic result and skin sensitivity in relation to patient, tumour, and treatment factors, in a consecutive sample of patients undergoing conventional BCS. (springer.com)
  • A major determinant of poor satisfaction in this study was a large excision of breast volume. (springer.com)
  • The aims of this prospective study were to examine patient satisfaction concerning aesthetic result, including symmetry, and skin sensitivity in the breast, in a consecutive sample of patients undergoing conventional BCS at a single institution, and to investigate potential risk factors for low satisfaction. (springer.com)
  • This study examines the association between patient-physician encounters in such critical medical situations and patients' trust in their physician and in the medical profession in general. (biomedcentral.com)
  • According to the CMS, the 2,795 hospices considered in the analysis were on average strong performers in the categories that involved giving patients and family members emotional and religious support, with about 90% of respondents indicating that they got the right kind of support, and 91% of respondents saying that the hospice team always treated the patient with respect. (modernhealthcare.com)
  • Increasing numbers of patients survive a stroke and face long-term impairments in physical, cognitive, emotional and/or social functioning (2, 3). (medicaljournals.se)
  • However, while self-management tasks for these conditions mainly concern adequate symptom monitoring, medical treatment, and lifestyle changes, stroke patients must mainly learn strategies to deal with cognitive, emotional and behavioural stroke consequences (7). (medicaljournals.se)
  • The diagnosis of breast neoplasms usually represents an emotional burden, and it may lead to adjustment reactions and even be the trigger for affective disorders (mainly depression), anxiety or psychosis. (bvsalud.org)
  • Often the patient only has mild emotional lability or mood changes. (bvsalud.org)
  • Over time, patients were prioritized according to the upcoming visit schedule and patients with the most medications. (healthdatamanagement.com)
  • Time constraints and administrative demands that prevent them from spending quality time with patients. (deloitte.com)
  • Each diabetic patient in the blood due to the impaired ability consultations, routine diabetic profile is allocated a 30-minute consultation of the body to produce or respond to examinations, dedicated health educa- and during this time patients receive a insulin. (who.int)
  • Importantly, time trends indicate satisfaction with the NHIS is increasing - although to differing degrees depending on the domain. (bvsalud.org)
  • The proportions of patients within target time were low. (cancercentrum.se)
  • When payor and Medicare incentive programs change, we can modify our approach quickly to focus on the new metrics.While we may not have as much input directly with Medicare into these changes as large corporate practices do, our advantage is the ability to adjust quickly and start initiatives early to meet annual patient goals. (physicianspractice.com)
  • Patients were surveyed on questions assessing pain treatment satisfaction, pain severity, and additional social characteristics. (hindawi.com)
  • In addition, good contrast sensitivity was critical to patients' visual satisfaction, said Dr. El-Gasim, now a resident at the New York Eye and Ear Infirmary in New York City. (aao.org)