Physicians: Individuals licensed to practice medicine.Physicians, Primary Care: Providers of initial care for patients. These PHYSICIANS refer patients when appropriate for secondary or specialist care.Physicians, Family: Those physicians who have completed the education requirements specified by the American Academy of Family Physicians.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Physician's Role: The expected function of a member of the medical profession.Physicians, Women: Women licensed to practice medicine.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Physician Assistants: Health professionals who practice medicine as members of a team with their supervising physicians. They deliver a broad range of medical and surgical services to diverse populations in rural and urban settings. Duties may include physical exams, diagnosis and treatment of disease, interpretation of tests, assist in surgery, and prescribe medications. (from http://www.aapa.orglabout-pas accessed 2114/2011)Physician-Patient Relations: The interactions between physician and patient.Physician Impairment: The physician's inability to practice medicine with reasonable skill and safety to the patient due to the physician's disability. Common causes include alcohol and drug abuse, mental illness, physical disability, and senility.Physicians' Offices: The room or rooms in which the physician and staff provide patient care. The offices include all rooms in the physician's office suite.Medicine: The art and science of studying, performing research on, preventing, diagnosing, and treating disease, as well as the maintenance of health.Specialization: An occupation limited in scope to a subsection of a broader field.Physician Incentive Plans: Compensatory plans designed to motivate physicians in relation to patient referral, physician recruitment, and efficient use of the health facility.United StatesQuestionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Insurance, Physician Services: Insurance providing benefits for the costs of care by a physician which can be comprehensive or limited to surgical expenses or for care provided only in the hospital. It is frequently called "regular medical expense" or "surgical expense".Internal Medicine: A medical specialty concerned with the diagnosis and treatment of diseases of the internal organ systems of adults.Ontario: A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)Office Visits: Visits made by patients to health service providers' offices for diagnosis, treatment, and follow-up.Education, Medical, Continuing: Educational programs designed to inform physicians of recent advances in their field.Professional Practice Location: Geographic area in which a professional person practices; includes primarily physicians and dentists.Group Practice: Any group of three or more full-time physicians organized in a legally recognized entity for the provision of health care services, sharing space, equipment, personnel and records for both patient care and business management, and who have a predetermined arrangement for the distribution of income.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Practice Management, Medical: The organization and operation of the business aspects of a physician's practice.Fees, Medical: Amounts charged to the patient as payer for medical services.Professional Practice: The use of one's knowledge in a particular profession. It includes, in the case of the field of biomedicine, professional activities related to health care and the actual performance of the duties related to the provision of health care.American Medical Association: Professional society representing the field of medicine.Canada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Medical Staff, Hospital: Professional medical personnel approved to provide care to patients in a hospital.Communication: The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Physician Executives: Physicians who serve in a medical and administrative capacity as head of an organized medical staff and who also may serve as liaison for the medical staff with the administration and governing board.Economics, Medical: Economic aspects of the field of medicine, the medical profession, and health care. It includes the economic and financial impact of disease in general on the patient, the physician, society, or government.Internship and Residency: Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Health Manpower: The availability of HEALTH PERSONNEL. It includes the demand and recruitment of both professional and allied health personnel, their present and future supply and distribution, and their assignment and utilization.Guideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.Malpractice: Failure of a professional person, a physician or lawyer, to render proper services through reprehensible ignorance or negligence or through criminal intent, especially when injury or loss follows. (Random House Unabridged Dictionary, 2d ed)Ethics, Medical: The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families.Medically Underserved Area: A geographic location which has insufficient health resources (manpower and/or facilities) to meet the medical needs of the resident population.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Obstetrics: A medical-surgical specialty concerned with management and care of women during pregnancy, parturition, and the puerperium.Pediatrics: A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.Job Satisfaction: Personal satisfaction relative to the work situation.Foreign Medical Graduates: Physicians who hold degrees from medical schools in countries other than the ones in which they practice.Interprofessional Relations: The reciprocal interaction of two or more professional individuals.Physician Self-Referral: Referral by physicians to testing or treatment facilities in which they have financial interest. The practice is regulated by the Ethics in Patient Referrals Act of 1989.Attitude to Computers: The attitude and behavior associated with an individual using the computer.Emergency Medicine: The branch of medicine concerned with the evaluation and initial treatment of urgent and emergent medical problems, such as those caused by accidents, trauma, sudden illness, poisoning, or disasters. Emergency medical care can be provided at the hospital or at sites outside the medical facility.Education, Medical: Use for general articles concerning medical education.Managed Care Programs: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.Medical Records Systems, Computerized: Computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record.Hospital-Physician Relations: Includes relationships between hospitals, their governing boards, and administrators in regard to physicians, whether or not the physicians are members of the medical staff or have medical staff privileges.Health Maintenance Organizations: Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)Occupational Health Physicians: Physicians employed in a company or corporate setting that is generally not in the health care industry.Reimbursement Mechanisms: Processes or methods of reimbursement for services rendered or equipment.Patient Education as Topic: The teaching or training of patients concerning their own health needs.Patients: Individuals participating in the health care system for the purpose of receiving therapeutic, diagnostic, or preventive procedures.Private Practice: Practice of a health profession by an individual, offering services on a person-to-person basis, as opposed to group or partnership practice.Professional Autonomy: The quality or state of being independent and self-directing, especially in making decisions, enabling professionals to exercise judgment as they see fit during the performance of their jobs.Hospitalists: Physicians who are employed to work exclusively in hospital settings, primarily for managed care organizations. They are the attending or primary responsible physician for the patient during hospitalization.Ambulatory Care: Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.Osteopathic Physicians: Licensed physicians trained in OSTEOPATHIC MEDICINE. An osteopathic physician, also known as D.O. (Doctor of Osteopathy), is able to perform surgery and prescribe medications.Alberta: A province of western Canada, lying between the provinces of British Columbia and Saskatchewan. Its capital is Edmonton. It was named in honor of Princess Louise Caroline Alberta, the fourth daughter of Queen Victoria. (From Webster's New Geographical Dictionary, 1988, p26 & Room, Brewer's Dictionary of Names, 1992, p12)Societies, Medical: Societies whose membership is limited to physicians.Certification: Compliance with a set of standards defined by non-governmental organizations. Certification is applied for by individuals on a voluntary basis and represents a professional status when achieved, e.g., certification for a medical specialty.Workload: The total amount of work to be performed by an individual, a department, or other group of workers in a period of time.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Patient Participation: Patient involvement in the decision-making process in matters pertaining to health.Rural Health Services: Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.Salaries and Fringe Benefits: The remuneration paid or benefits granted to an employee.Drug Prescriptions: Directions written for the obtaining and use of DRUGS.Suicide, Assisted: Provision (by a physician or other health professional, or by a family member or friend) of support and/or means that gives a patient the power to terminate his or her own life. (from APA, Thesaurus of Psychological Index Terms, 8th ed).Continuity of Patient Care: Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.CaliforniaTrust: Confidence in or reliance on a person or thing.Euthanasia: The act or practice of killing or allowing death from natural causes, for reasons of mercy, i.e., in order to release a person from incurable disease, intolerable suffering, or undignified death. (from Beauchamp and Walters, Contemporary Issues in Bioethics, 5th ed)Patient Care: The services rendered by members of the health profession and non-professionals under their supervision.Osteopathic Medicine: A medical discipline that is based on the philosophy that all body systems are interrelated and dependent upon one another for good health. This philosophy, developed in 1874 by Dr. Andrew Taylor Still, recognizes the concept of "wellness" and the importance of treating illness within the context of the whole body. Special attention is placed on the MUSCULOSKELETAL SYSTEM.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Quebec: A province of eastern Canada. Its capital is Quebec. The region belonged to France from 1627 to 1763 when it was lost to the British. The name is from the Algonquian quilibek meaning the place where waters narrow, referring to the gradually narrowing channel of the St. Lawrence or to the narrows of the river at Cape Diamond. (From Webster's New Geographical Dictionary, 1988, p993 & Room, Brewer's Dictionary of Names, 1992, p440)Capitation Fee: A method of payment for health services in which an individual or institutional provider is paid a fixed, per capita amount without regard to the actual number or nature of services provided to each patient.Occupational Medicine: Medical specialty concerned with the promotion and maintenance of the physical and mental health of employees in occupational settings.Withholding Treatment: Withholding or withdrawal of a particular treatment or treatments, often (but not necessarily) life-prolonging treatment, from a patient or from a research subject as part of a research protocol. The concept is differentiated from REFUSAL TO TREAT, where the emphasis is on the health professional's or health facility's refusal to treat a patient or group of patients when the patient or the patient's representative requests treatment. Withholding of life-prolonging treatment is usually indexed only with EUTHANASIA, PASSIVE, unless the distinction between withholding and withdrawing treatment, or the issue of withholding palliative rather than curative treatment, is discussed.Gift Giving: The bestowing of tangible or intangible benefits, voluntarily and usually without expectation of anything in return. However, gift giving may be motivated by feelings of ALTRUISM or gratitude, by a sense of obligation, or by the hope of receiving something in return.Refusal to Treat: Refusal of the health professional to initiate or continue treatment of a patient or group of patients. The refusal can be based on any reason. The concept is differentiated from PATIENT REFUSAL OF TREATMENT see TREATMENT REFUSAL which originates with the patient and not the health professional.Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Hospital-Physician Joint Ventures: A formal financial agreement made between one or more physicians and a hospital to provide ambulatory alternative services to those patients who do not require hospitalization.Medical Oncology: A subspecialty of internal medicine concerned with the study of neoplasms.Manitoba: A province of Canada, lying between the provinces of Saskatchewan and Ontario. Its capital is Winnipeg. Taking its name from Lake Manitoba, itself named for one of its islands, the name derived from Algonquian Manitou, great spirit. (From Webster's New Geographical Dictionary, 1988, p724 & Room, Brewer's Dictionary of Names, 1992, p332)Tape Recording: Recording of information on magnetic or punched paper tape.Academic Medical Centers: Medical complexes consisting of medical school, hospitals, clinics, libraries, administrative facilities, etc.Liability, Legal: Accountability and responsibility to another, enforceable by civil or criminal sanctions.Newfoundland and Labrador: Province of Canada consisting of the island of Newfoundland and an area of Labrador. Its capital is St. John's.Nurse Practitioners: Nurses who are specially trained to assume an expanded role in providing medical care under the supervision of a physician.Nurses: Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Medical Records: Recording of pertinent information concerning patient's illness or illnesses.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Mass Screening: Organized periodic procedures performed on large groups of people for the purpose of detecting disease.Insurance, Health, Reimbursement: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)Cost Control: The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)Independent Practice Associations: A partnership, corporation, association, or other legal entity that enters into an arrangement for the provision of services with persons who are licensed to practice medicine, osteopathy, and dentistry, and with other care personnel. Under an IPA arrangement, licensed professional persons provide services through the entity in accordance with a mutually accepted compensation arrangement, while retaining their private practices. Services under the IPA are marketed through a prepaid health plan. (From Facts on File Dictionary of Health Care Management, 1988)Medical Order Entry Systems: Information systems, usually computer-assisted, that enable providers to initiate medical procedures, prescribe medications, etc. These systems support medical decision-making and error-reduction during patient care.Cardiology: The study of the heart, its physiology, and its functions.Counseling: The giving of advice and assistance to individuals with educational or personal problems.Terminal Care: Medical and nursing care of patients in the terminal stage of an illness.Physician-Nurse Relations: The reciprocal interaction of physicians and nurses.Drug Utilization: The utilization of drugs as reported in individual hospital studies, FDA studies, marketing, or consumption, etc. This includes drug stockpiling, and patient drug profiles.Medicare: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)Nova Scotia: A province of eastern Canada, one of the Maritime Provinces with NEW BRUNSWICK; PRINCE EDWARD ISLAND; and sometimes NEWFOUNDLAND AND LABRADOR. Its capital is Halifax. The territory was granted in 1621 by James I to the Scotsman Sir William Alexander and was called Nova Scotia, the Latin for New Scotland. The territory had earlier belonged to the French, under the name of Acadia. (From Webster's New Geographical Dictionary, 1988, p871 & Room, Brewer's Dictionary of Names, 1992, p384)Fee-for-Service Plans: Method of charging whereby a physician or other practitioner bills for each encounter or service rendered. In addition to physicians, other health care professionals are reimbursed via this mechanism. Fee-for-service plans contrast with salary, per capita, and prepayment systems, where the payment does not change with the number of services actually used or if none are used. (From Discursive Dictionary of Health Care, 1976)GermanyProfessional-Family Relations: The interactions between the professional person and the family.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Institutional Practice: Professional practice as an employee or contractee of a health care institution.Medical History Taking: Acquiring information from a patient on past medical conditions and treatments.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Electronic Health Records: Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.Fee Schedules: A listing of established professional service charges, for specified dental and medical procedures.Life Support Care: Care provided patients requiring extraordinary therapeutic measures in order to sustain and prolong life.SwitzerlandFocus Groups: A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions.IsraelMedical Staff: Professional medical personnel who provide care to patients in an organized facility, institution or agency.Personnel Turnover: A change or shift in personnel due to reorganization, resignation, or discharge.Relative Value Scales: Coded listings of physician or other professional services using units that indicate the relative value of the various services they perform. They take into account time, skill, and overhead cost required for each service, but generally do not consider the relative cost-effectiveness. Appropriate conversion factors can be used to translate the abstract units of the relative value scales into dollar fees for each service based on work expended, practice costs, and training costs.Gatekeeping: The controlling of access to health services, usually by primary care providers; often used in managed care settings to reduce utilization of expensive services and reduce referrals. (From BIOETHICS Thesaurus, 1999)Evidence-Based Medicine: An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)Burnout, Professional: An excessive stress reaction to one's occupational or professional environment. It is manifested by feelings of emotional and physical exhaustion coupled with a sense of frustration and failure.Jurisprudence: The science or philosophy of law. Also, the application of the principles of law and justice to health and medicine.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Physical Examination: Systematic and thorough inspection of the patient for physical signs of disease or abnormality.Communication Barriers: Those factors, such as language or sociocultural relationships, which interfere in the meaningful interpretation and transmission of ideas between individuals or groups.Religion and Medicine: The interrelationship of medicine and religion.Patient Simulation: The use of persons coached to feign symptoms or conditions of real diseases in a life-like manner in order to teach or evaluate medical personnel.Urban Health Services: Health services, public or private, in urban areas. The services include the promotion of health and the delivery of health care.Truth Disclosure: Truthful revelation of information, specifically when the information disclosed is likely to be psychologically painful ("bad news") to the recipient (e.g., revelation to a patient or a patient's family of the patient's DIAGNOSIS or PROGNOSIS) or embarrassing to the teller (e.g., revelation of medical errors).Reimbursement, Incentive: A scheme which provides reimbursement for the health services rendered, generally by an institution, and which provides added financial rewards if certain conditions are met. Such a scheme is intended to promote and reward increased efficiency and cost containment, with better care, or at least without adverse effect on the quality of the care rendered.Hospitals, Teaching: Hospitals engaged in educational and research programs, as well as providing medical care to the patients.Decision Support Systems, Clinical: Computer-based information systems used to integrate clinical and patient information and provide support for decision-making in patient care.Licensure, Medical: The granting of a license to practice medicine.Professional Competence: The capability to perform the duties of one's profession generally, or to perform a particular professional task, with skill of an acceptable quality.Drug Industry: That segment of commercial enterprise devoted to the design, development, and manufacture of chemical products for use in the diagnosis and treatment of disease, disability, or other dysfunction, or to improve function.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Attitude to Health: Public attitudes toward health, disease, and the medical care system.Community Medicine: A branch of medicine concerned with the total health of the individual within the home environment and in the community, and with the application of comprehensive care to the prevention and treatment of illness in the entire community.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Medical Errors: Errors or mistakes committed by health professionals which result in harm to the patient. They include errors in diagnosis (DIAGNOSTIC ERRORS), errors in the administration of drugs and other medications (MEDICATION ERRORS), errors in the performance of surgical procedures, in the use of other types of therapy, in the use of equipment, and in the interpretation of laboratory findings. Medical errors are differentiated from MALPRACTICE in that the former are regarded as honest mistakes or accidents while the latter is the result of negligence, reprehensible ignorance, or criminal intent.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Ambulatory Care Information Systems: Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of ambulatory care services and facilities.Time and Motion Studies: The observation and analysis of movements in a task with an emphasis on the amount of time required to perform the task.MassachusettsReminder Systems: Systems used to prompt or aid the memory. The systems can be computerized reminders, color coding, telephone calls, or devices such as letters and postcards.WisconsinPersonnel Selection: The process of choosing employees for specific types of employment. The concept includes recruitment.Education, Medical, Graduate: Educational programs for medical graduates entering a specialty. They include formal specialty training as well as academic work in the clinical and basic medical sciences, and may lead to board certification or an advanced medical degree.Ambulatory Care Facilities: Those facilities which administer health services to individuals who do not require hospitalization or institutionalization.Insurance Claim Review: Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.Neurology: A medical specialty concerned with the study of the structures, functions, and diseases of the nervous system.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Personal Autonomy: Self-directing freedom and especially moral independence. An ethical principle holds that the autonomy of persons ought to be respected. (Bioethics Thesaurus)Diffusion of Innovation: The broad dissemination of new ideas, procedures, techniques, materials, and devices and the degree to which these are accepted and used.WashingtonPatient-Centered Care: Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)Saskatchewan: A province of Canada, lying between the provinces of Alberta and Manitoba. Its capital is Regina. It is entirely a plains region with prairie in the south and wooded country with many lakes and swamps in the north. The name was taken from the Saskatchewan River from the Cree name Kisiskatchewani Sipi, meaning rapid-flowing river. (From Webster's New Geographical Dictionary, 1988, p1083 & Room, Brewer's Dictionary of Names, 1992, p486)Social Responsibility: The obligations and accountability assumed in carrying out actions or ideas on behalf of others.Schools, Medical: Educational institutions for individuals specializing in the field of medicine.Role: The expected and characteristic pattern of behavior exhibited by an individual as a member of a particular social group.Internet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.Medical Audit: A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.Insurance, Liability: Insurance against loss resulting from liability for injury or damage to the persons or property of others.Hospitals, University: Hospitals maintained by a university for the teaching of medical students, postgraduate training programs, and clinical research.Students, Medical: Individuals enrolled in a school of medicine or a formal educational program in medicine.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Psychiatry: The medical science that deals with the origin, diagnosis, prevention, and treatment of mental disorders.Empathy: An individual's objective and insightful awareness of the feelings and behavior of another person. It should be distinguished from sympathy, which is usually nonobjective and noncritical. It includes caring, which is the demonstration of an awareness of and a concern for the good of others. (From Bioethics Thesaurus, 1992)British Columbia: A province of Canada on the Pacific coast. Its capital is Victoria. The name given in 1858 derives from the Columbia River which was named by the American captain Robert Gray for his ship Columbia which in turn was named for Columbus. (From Webster's New Geographical Dictionary, 1988, p178 & Room, Brewer's Dictionary of Names, 1992, p81-2)Patient Compliance: Voluntary cooperation of the patient in following a prescribed regimen.Faculty, Medical: The teaching staff and members of the administrative staff having academic rank in a medical school.Disclosure: Revealing of information, by oral or written communication.Medicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Documentation: Systematic organization, storage, retrieval, and dissemination of specialized information, especially of a scientific or technical nature (From ALA Glossary of Library and Information Science, 1983). It often involves authenticating or validating information.Efficiency, Organizational: The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.Cooperative Behavior: The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)Interdisciplinary Communication: Communication, in the sense of cross-fertilization of ideas, involving two or more academic disciplines (such as the disciplines that comprise the cross-disciplinary field of bioethics, including the health and biological sciences, the humanities, and the social sciences and law). Also includes problems in communication stemming from differences in patterns of language usage in different academic or medical disciplines.Dissent and Disputes: Differences of opinion or disagreements that may arise, for example, between health professionals and patients or their families, or against a political regime.Hospitals, Community: Institutions with permanent facilities and organized medical staff which provide the full range of hospital services primarily to a neighborhood area.
Can the Practice of Retainer Medicine Improve Primary Care? | Annals of Internal Medicine | American College of PhysiciansPrimary care physicians and patients both have the unique advantage of being supported in preventive health care by every ... The benefit to physicians is a rewarding practice environment, and patients receive perks similar to those that would otherwise ... Members of Kaiser Permanente can send secure e-mails to their primary and specialty care physicians, see specialists within ... However, given the current and projected shortages of primary care physicians, there are better alternatives to the concierge ...
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Clinic Summary ReportYour SART member physician is in the best position to assess the diagnosed infertility factors and estimate your success in the ... Please discuss this with your doctor. What is the difference between a Preliminary and Final CSR and why are some cycles ... Some well-intentioned physicians might strongly discourage or deny care to patients with a predicted low chance of pregnancy. ... Other physicians may feel ethically obligated to provide ART services to these same well informed "poor prognosis" patients. ...
Preventing Chronic Disease: October 2007: 06 0140Of these physicians, 54.4% recommended initiating screening at age 50. Overall, 37.4% of physicians correctly recommended both ... physicians may be unsure about how best to implement screening. Survey data show that primary care physicians commonly report ... Proportion of primary care physicians in HRRs recommending at least one CRC screening test at the recommended interval. ... Primary care physicians in HRRs recommending CRC screening beginning at age 50 y. ...
Study Examines Why Primary Care Physicians Leave Rural AreasResearchers tracked retention of primary care physicians in rural areas for a study that was published in the July/August issue ... Younger primary care physicians in rural areas have a higher turnover rate than their older peers, and physicians in the two ... Younger family physicians were less likely to leave rural areas compared with other primary care physicians, but researchers ... Using data from the AMA Physician Masterfile for clinically active physicians ages 65 and younger throughout the United States ...
Number of primary care doctors down in U.S. - Health - Health care | NBC News... but the decline is being covered by physicians from other countries, the government said. ... Fewer American doctors are focusing on primary care, ... Number of primary care doctors down More American physicians ... WASHINGTON - Fewer American doctors are focusing on primary care, but the decline is being covered by physicians from other ... But many doctors are puzzled because the operation doesn't carry a 100 percent guarantee, it's major surgery -- and women have ...
What procedures is enhanced external counter pulsation seen as an alternative to? - Answered by top doctors on HealthTapDr. Rubin responded: ECCP. Not as an alternative to any procedure but as a complementary procedure to medications for ,a href ...
Crawford Williamson Long | American physician | Britannica.comAmerican physician traditionally considered the first to have used ether as an anesthetic in surgery. After serving in ... 1, 1815, Danielsville, Ga., U.S.-died June 16, 1878, Athens, Ga.), American physician traditionally considered the first to ... 1815-78). On March 30, 1842, Dr. Crawford W. Long, a young surgeon of Jefferson, Ga., performed the first recorded operation on ...
Little Pills: Targeting Youth with 'Anti-Life' Drugs | Physicians for LifeDoctors fear the children's health could be put at risk. There may be no proper records of who is taking the powerful pill-it ... Despite reservations, many doctors went along with legal abortion in large part because groups like the AMA led them there.[41 ... Gina Kolata, 'Doctors Looking at Abortion Pill are Often Unaware of Obstacles,' The New York Times, September 30, 2000. Denise ... In the end, the FDA only required that RU 486 'be provided by or under the supervision of a physician,' who is able to assess ...
Physicians Charged with Opioid Analgesic-Prescribing Offenses - Goldenbaum - 2008 - Pain Medicine - Wiley Online LibraryTable 2. Demographic characteristics of study physicians compared with U.S. physician workface Physician Characteristic. Study ... for study physicians and patient care physicians in the 2003 workforce. Significantly more of the study physicians were male (P ... If a physician was involved in more than one case, this was the year of that physician's earliest case within the study time ... These 335 physicians represented 1.04% of the estimated 24,732 Ohio patient care physicians active in Ohio in 2003. Applying ...
AAFP Urges FDA to Revise Plans for Physician Opioid Education... July 12, 2017 01:09 pm News Staff - In a recent letter to the FDA ... as well as any actions that limit physicians' ability to prescribe these products based on the physician's medical specialty.' ... Family physicians may recall that in July 2012, the FDA responded to the burgeoning U.S. opioid abuse and misuse epidemic by ... Family physicians find themselves at the crux of the issue, balancing care for patients with chronic pain and the challenges of ...
Not Running a Hospital: Essays from Ernie's students - 2The AQC relies on physicians adjusting to new incentives that incorporate costs. Therefore it is essential that physicians who ... By aggregating this data through the insurance provider and distributing it to primary-care physicians, these physicians will ... If physicians are blinded from this cost data they cannot be expected to make rational decisions regarding the best locations ... Finally, to help doctors move toward more conservative practice patterns, patients are going to have to change their ...
Spleen - Splenic-gonadal fusionThis website should not be used as a substitute for the advice of a licensed physician.. All information on this website is ... This information is intended for physicians and related personnel, who understand that medical information is often imperfect, ...
I think that I may have been molested as a child. Not sure if I dreamed it up. How can I tell? - Answered by top doctors on...Dr. Ferguson responded: Difficult issue. I think all of us would like to understand why we react to life/situations the way we ... 6 doctors weighed in: I think that I may have been molested as a child. Not sure if I dreamed it up. How can I tell?. 6 doctors ...
Most Doctors Don't Think Patients Need Full Access To Med Records - SlashdotA survey released this week of 3,700 physicians in eight countries found that only 31% of them... ... most physicians think you should only be able to add information to them, not get access to all of the contents. ... I feel that if you don't like the relationship with your doctor, don't go back to that doctor again. Let that doctor keep the ... Disclosure: I'm married to a doctor. A pain doctor, no less.. Doctors go to jail for prescribing painkillers that are later ...
Parturition |Physiology| | Virtual MedicThe greatest mistake in the treatment of diseases is that there are physicians for the body and physicians for the soul, ...
Most Doctors Don't Think Patients Need Full Access To Med Records - SlashdotA survey released this week of 3,700 physicians in eight countries found that only 31% of them... ... most physicians think you should only be able to add information to them, not get access to all of the contents. ... But this is your DOCTOR we're talking about. They are in a position of trust. If you don't trust your doctor, you need to find ... Most Doctors Don't Think Patients Need Full Access To Med Records 659 Posted by samzenpus on Friday March 08, 2013 @09:03AM. ...
Page 98 & 99 of PA Law HB 1950 Gagging Physicians & No Penalty for Inaccurate Information (It's OK to Lie) (March 19, 2012)John Coleman , Railroading Dr. Jeffrey MacDonald , Henry Makow , Radio Interviews , Ten Best Sites , Metal Free Dentistry , Dr ... John Coleman , Railroading Dr. Jeffrey MacDonald , Henry Makow , Radio Interviews , Ten Best Sites , Metal Free Dentistry , Dr ... Dr. Robert Bitzer , T. Lobsang Rampa , Ruth Drown , ZS Livingstone , David Brandt , Gary Wade , The CIA , Veterans Awaken , ... Dr. Robert Bitzer , T. Lobsang Rampa , Ruth Drown , ZS Livingstone , David Brandt , Gary Wade , The CIA , Veterans Awaken , ...
Physicians are not overpaidMany people hear the word 'physician' and equate it with a mansion, BMW, and lavish vacation. But physicians don't make nearly ... Everyone likes to complain about how much money doctors make. ... some physicians risk going broke. Your primary care physician ... However, we cannot reduce physician salaries until we reduce the cost of physician training. We cannot expect physicians to ... So, you think doctors are in it for the money? If they once were, they aren't anymore. Nearly half of all physicians regret ...
The Physicians CommitteePhysicians Committee. 5100 Wisconsin Ave., N.W., Ste.400, Washington DC, 20016. Phone: 202-686-2210 Email: firstname.lastname@example.org ...
The Physicians CommitteePhysicians Address Food Myths. A review published in the Journal of the American College of Cardiology analyzed the evidence ... Doctors should consider meat-eating to be a risk factor for developing type 2 diabetes, according to an article published this ... In the Physicians' Health Study I, which included 21,327 participants with an average 20 year follow-up, researchers found that ... Physicians Committee. 5100 Wisconsin Ave., N.W., Ste.400, Washington DC, 20016. Phone: 202-686-2210 Email: email@example.com ...
Affiliated Physicians - PDoctors by their medical specialty:. Specialty name (e.g. 'orthopedic surgery') Group practice or hospital:. Practice or ... Doctors by their medical specialty:. Specialty name (e.g. 'orthopedic surgery') Group practice or hospital:. Practice or ... Doctors with experience in your treatment:. Health condition (e.g. 'rheumatoid arthritis') Medical procedure (e.g. 'total knee ... Doctors with experience in your treatment:. Health condition (e.g. 'rheumatoid arthritis') Medical procedure (e.g. 'total knee ...
Dr KalantarVerify Dr. Kalantar among America s Top Physicians ; BEST DOCTORS ; TOP DOCTORS ; by the CONSUMERS' RESEARCH COUNCIL OF AMERICA ... Dr. Kam Kalantar. Dr. Kalantar. Kamyar Kalantar-Zadeh, MD, MPH, PhD,. FAAP, FACP, FASN, FAHA, FNKF. Professor of Medicine and ... Click Here to see Dr. Kalantar's major publications. If you have a kidney disease, call. Dr. Kalantar (pronounced as Calendar) ... Click Here to see Dr. Kalantar's major publications. Dr. Kalantar. KAMYAR KALANTARZADEH, M.D., M.P.H., Ph.D.. F.A.C.P., F.A.A.P ...
Dr. GridlockThe doctor diagnoses problems and tries to bring relief. Dr. Gridlock appears in The Post's Metro section on Sunday and in the ... Dr. Gridlock: Thank you, and yes: The Dr. Gridlock column in The Post's Extras will return this Thursday. Please look for our ... Dr. Gridlock: I agree completely with you that use of turn signals has fallen into disuse. Ron Shaffer, my predecessor as Dr. ... Dr. Gridlock: Wouldn't help. The old bridge is in the way of the second span of the new bridge. It has to come down, or the ...
Samuel Bard (physician): Samuel Bard (April 1, 1742 – May 24, 1821) was an American physician. He founded the first medical school in New York.Mercuriade: Mercuriade was an Italian physician, surgeon and medical author in the 14th century. She is one of the few woman physicians known from the Middle Ages.OtenabantList of Parliamentary constituencies in Kent: The ceremonial county of Kent,Closed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Halfdan T. MahlerAmerican Osteopathic Board of Internal MedicineChronic disease in Northern OntarioCharles Alfred Tyrrell: Charles Alfred Tyrrell(1843–1918) was a promoter of medical devices, most notably an enema appliance. He was also author of tracts promoting the use of his device for colon cleansing as therapy for detoxification pursuant to a theory of auto-intoxication.Canadian Organ Replacement Registry: The Canadian Organ Replacement Registry CORR is a health organisation was started by Canadian nephrologists and kidney transplant surgeons in 1985 in order to develop the care of patients with renal failure. In the early 1990s data on liver and heart transplantation were added to the registry.History of communication studies: Various aspects of communication have been the subject of study since ancient times, and the approach eventually developed into the academic discipline known today as communication studies.Referral (medicine): In medicine, referral is the transfer of care for a patient from one clinician to another.García Olmos L, Gervas Camacho J, Otero A, Pérez Fernández M.The Final Decision: The Final Decision is an episode from season 1 of the animated TV series X-Men Animated Series.Minati SenNational Clinical Guideline CentreNon-economic damages capsMark Siegler: Mark Siegler (born June 20, 1941) is an American physician who specializes in internal medicine. He is the Lindy Bergman Distinguished Service Professor of Medicine and Surgery at the University of Chicago.Q Services Corps (South Africa): The establishment of the 'Q' Services Corps as part of the South African Permanent Force was promulgated in the Government Gazette dated 10 November 1939.Typed copy of Proclamation 276 of 1939Behavior change (public health): Behavior change is a central objective in public health interventions,WHO 2002: World Health Report 2002 - Reducing Risks, Promoting Healthy Life Accessed Feb 2015 http://www.who.Outline of obstetrics: The following outline is provided as an overview of and topical guide to obstetrics:British Pediatric Association Classification of Diseases: The British Pediatric Association Classification of Diseases is a system of diagnostic codes used for pediatrics.Job satisfaction: Job satisfaction or employee satisfaction has been defined in many different ways. Some believe it is simply how content an individual is with his or her job, in other words, whether or not they like the job or individual aspects or facets of jobs, such as nature of work or supervision.Ron WaksmanList of emergency medicine courses: This list of emergency medicine courses contains programs often required to be taken by emergency medical providers, including emergency medical technicians, paramedics, and emergency physicians.American Association of Public Health Physicians: The American Association of Public Health Physicians (AAPHP), is a professional association of public health physicians. Its motto is "the voice of Public Health Physicians / Guardians of the Public's Health".Online patient education: Online Patient Education also known as Online Patient Engagement is a method of providing medical information and education to patients using Learning Management Systems delivered through the Internet.Evaluation of bariatric Centers of Excellence Web sites for functionality and efficacy.Carteret General Hospital: Carteret General Hospital is a 135 bed, non-profit hospital in Morehead City, North Carolina. Carteret General was founded in 1967.Therapy cap: In 1997 the Balanced Budget Act established annual per-beneficiary Medicare spending limits, or therapy cap, for outpatient therapy services covered under Medicare Part B. Medicare Provisions in Balanced Budget Act of 1997.California Society of Addiction Medicine: California Society of Addiction Medicine (CSAM) is the California organization of physicians who specialize in treating addiction. Addiction medicine is the medical specialty that provides care and treatment for people with substance use disorder.Alberta Hospital EdmontonDonald Guthrie (physician)Oncology Nursing Certification Corporation: The Oncology Nursing Certification Corporation (ONCC) was established for the development, administration, and evaluation of a program for certification in oncology nursing. Incorporated in 1984 and governed by a board of directors, ONCC is the certifying body for oncology nursing and meets standards established by the Accreditation Board for Specialty Nursing Certification and the National Commission for Certifying Agencies.Patient participation: Patient participation, also called shared decision-making, is a process in which both the patient and physician contribute to the medical decision-making process. Under this operating system, health care providers explain treatments and alternatives to patients in order to provide the necessary resources for patients to choose the treatment option that most closely aligns with their unique cultural and personal beliefs.Society for Education Action and Research in Community Health: Searching}}Society for Old Age Rational Suicide: The Society for Old Age Rational Suicide (SOARS) is a group based in the United Kingdom concerned with choice at the end of life. It was established on December 10, 2009 (Human Rights Day) by Dr.Transitional care: Transitional care refers to the coordination and continuity of health care during a movement from one healthcare setting to either another or to home, called care transition, between health care practitioners and settings as their condition and care needs change during the course of a chronic or acute illness. Older adults who suffer from a variety of health conditions often need health care services in different settings to meet their many needs.San Diego County, California Probation: The San Diego County Probation Department is the body in San Diego County, California responsible for supervising convicted offenders in the community, either who are on probation, such as at the conclusion of their sentences, or while on community supervision orders.The Ayurvedic Trust: The Ayurvedic Trust (AVT), founded in 1950, is a health-related trust in India. It is headquartered at Coimbatore, the second largest city of Tamil Nadu in India.Voluntary euthanasia: Voluntary euthanasia is the practice of ending a life in a painless manner. Voluntary euthanasia (VE) and physician-assisted suicide (PAS) have been the focus of great controversy in recent years.American Osteopathic Board of Neurology and Psychiatry: United StatesList of subjects related to the Quebec independence movement: This is a list of subjects related to the Quebec independence movement.ULTRA (UK agency): ULTRA, the Unrelated Live Transplant Regulatory Authority, was a British agency that regulated organ transplants. According to the official website:Occupational Medicine (journal): Occupational Medicine is a peer-reviewed medical journal covering occupational medicine, including occupational health psychology and organizational psychology that is published eight times per year by Oxford University Press. It covers "work-related injury and illness, accident and illness prevention, health promotion, occupational disease, health education, the establishment and implementation of health and safety standards, monitoring of the work environment, and the management of recognized hazards".Gift registry: A gift registry is a particular type of wish list.Psychiatric interview: The psychiatric interview refers to the set of tools that a mental health worker (most times a psychiatrist or a psychologist but at times social workers or nurses) uses to complete a psychiatric assessment.Canadian Intermountain Joint Venture: The Canadian Intermountain Joint Venture (CIJV) is a partnership of "government agencies, Aboriginal groups, nongovernmental organizations, industry, universities and landowners" for the implementation of the North American Waterfowl Management Plan in the inter-mountain areas of south and central British Columbia in Canada, and the south-western mountain region of Alberta. Its region of operation includes "all the mountain national parks", with boundaries delineated by the border with the United States to the south, the eastern crest of the Rocky Mountains to the east, the crest of the Coast Mountains to the west, and the boreal forest to the north.European Society for Medical Oncology: ==About ESMO==Manitoba Chess Association: The Manitoba Chess Association, headquartered in Winnipeg, Manitoba, Canada is the official organization for rated chess tournaments in Manitoba.Preservation of magnetic audiotape: Preservation of magnetic audiotape involves techniques for handling, cleaning and storage of magnetic audiotapes in an archival repository. Multiple types of magnetic media exist but are mainly in the form of open reels or enclosed cassettes.
(1/3874) Physicians' response to abnormal results of routine urinalysis.
To determine the clinical usefulness of routine urinalysis, the records of 400 patients were examined for results of the first urinalysis following admission to hospital, and the attending physician's response to abnormal findings was evaluated. Results were abnormal for 116 patients (29.0%); there were 22 (5.5% of total urinalyses) abnormalities of chemical constituents (protein, glucose or bilirubin was present) only, 56 (14.0%) of sediment only and 38 (9.5%) of both chemical constituents and sediment. The attending physician did not respond to abnormal results in 50.9% of the 116 instances. (+info)
(2/3874) Legalized physician-assisted suicide in Oregon--the first year's experience.
BACKGROUND AND METHODS: On October 27, 1997, Oregon legalized physician-assisted suicide. We collected data on all terminally ill Oregon residents who received prescriptions for lethal medications under the Oregon Death with Dignity Act and who died in 1998. The data were obtained from physicians' reports, death certificates, and interviews with physicians. We compared persons who took lethal medications prescribed under the act with those who died from similar illnesses but did not receive prescriptions for lethal medications. RESULTS: Information on 23 persons who received prescriptions for lethal medications was reported to the Oregon Health Division; 15 died after taking the lethal medications, 6 died from underlying illnesses, and 2 were alive as of January 1, 1999. The median age of the 15 patients who died after taking lethal medications was 69 years; 8 were male, and all 15 were white. Thirteen of the 15 patients had cancer. The case patients and controls were similar with regard to sex, race, urban or rural residence, level of education, health insurance coverage, and hospice enrollment. No case patients or controls expressed concern about the financial impact of their illness. One case patient and 15 controls expressed concern about inadequate control of pain (P=0.10). The case patients were more likely than the controls to have never married (P=0.04) and were more likely to be concerned about loss of autonomy due to illness (P=0.01) and loss of control of bodily functions (P=0.02). At death, 21 percent of the case patients and 84 percent of the controls were completely disabled (P<0.001). CONCLUSIONS: During the first year of legalized physician-assisted suicide in Oregon, the decision to request and use a prescription for lethal medication was associated with concern about loss of autonomy or control of bodily functions, not with fear of intractable pain or concern about financial loss. In addition, we found that the choice of physician-assisted suicide was not associated with level of education or health insurance coverage. (+info)
(3/3874) The effect of race and sex on physicians' recommendations for cardiac catheterization.
BACKGROUND: Epidemiologic studies have reported differences in the use of cardiovascular procedures according to the race and sex of the patient. Whether the differences stem from differences in the recommendations of physicians remains uncertain. METHODS: We developed a computerized survey instrument to assess physicians' recommendations for managing chest pain. Actors portrayed patients with particular characteristics in scripted interviews about their symptoms. A total of 720 physicians at two national meetings of organizations of primary care physicians participated in the survey. Each physician viewed a recorded interview and was given other data about a hypothetical patient. He or she then made recommendations about that patient's care. We used multivariate logistic-regression analysis to assess the effects of the race and sex of the patients on treatment recommendations, while controlling for the physicians' assessment of the probability of coronary artery disease as well as for the age of the patient, the level of coronary risk, the type of chest pain, and the results of an exercise stress test. RESULTS: The physicians' mean (+/-SD) estimates of the probability of coronary artery disease were lower for women (probability, 64.1+/-19.3 percent, vs. 69.2+/-18.2 percent for men; P<0.001), younger patients (63.8+/-19.5 percent for patients who were 55 years old, vs. 69.5+/-17.9 percent for patients who were 70 years old; P<0.001), and patients with nonanginal pain (58.3+/-19.0 percent, vs. 64.4+/-18.3 percent for patients with possible angina and 77.1+/-14.0 percent for those with definite angina; P=0.001). Logistic-regression analysis indicated that women (odds ratio, 0.60; 95 percent confidence interval, 0.4 to 0.9; P=0.02) and blacks (odds ratio, 0.60; 95 percent confidence interval, 0.4 to 0.9; P=0.02) were less likely to be referred for cardiac catheterization than men and whites, respectively. Analysis of race-sex interactions showed that black women were significantly less likely to be referred for catheterization than white men (odds ratio, 0.4; 95 percent confidence interval, 0.2 to 0.7; P=0.004). CONCLUSIONS: Our findings suggest that the race and sex of a patient independently influence how physicians manage chest pain. (+info)
(4/3874) Reactions to medical abortion among providers of surgical abortion: an early snapshot.
(5/3874) Prospective cohort study of antioxidant vitamin supplement use and the risk of age-related maculopathy.
In a prospective cohort study, the authors examined whether self-selection for antioxidant vitamin supplement use affects the incidence of age-related maculopathy. The study population consisted of 21,120 US male physician participants in the Physicians' Health Study I who did not have a diagnosis of age-related maculopathy at baseline (1982). During an average of 12.5 person-years of follow-up, a total of 279 incident cases of age-related maculopathy with vision loss to 20/30 or worse were confirmed by medical record review. In multivariate analysis, as compared with nonusers of supplements, persons who used vitamin E supplements had a possible but nonsignificant 13% reduced risk of age-related maculopathy (relative risk = 0.87, 95 percent confidence interval (CI) 0.53-1.43), while users of multivitamins had a possible but nonsignificant 10% reduced risk (relative risk = 0.90, 95% CI 0.68-1.19). Users of vitamin C supplements had a relative risk of 1.03 (95% CI 0.71-1.50). These observational data suggest that among persons who self-select for supplemental use of antioxidant vitamin C or E or multivitamins, large reductions in the risk of age-related maculopathy are unlikely. Randomized trial data are accumulating to enable reliable detection of the existence of more plausible small-to-moderate benefits of these agents alone and in combination on age-related maculopathy. (+info)
(6/3874) Preventing zoonotic diseases in immunocompromised persons: the role of physicians and veterinarians.
We surveyed physicians and veterinarians in Wisconsin about the risk for and prevention of zoonotic diseases in immunocompromised persons. We found that physicians and veterinarians hold significantly different views about the risks posed by certain infectious agents and species of animals and communicate very little about zoonotic issues; moreover, physicians believe that veterinarians should be involved in many aspects of zoonotic disease prevention, including patient education. (+info)
(7/3874) Views of managed care--a survey of students, residents, faculty, and deans at medical schools in the United States.
BACKGROUND AND METHODS: Views of managed care among academic physicians and medical students in the United States are not well known. In 1997, we conducted a telephone survey of a national sample of medical students (506 respondents), residents (494), faculty members (728), department chairs (186), directors of residency training in internal medicine and pediatrics (143), and deans (105) at U.S. medical schools to determine their experiences in and perspectives on managed care. The overall rate of response was 80.1 percent. RESULTS: Respondents rated their attitudes toward managed care on a 0-to-10 scale, with 0 defined as "as negative as possible" and 10 as "as positive as possible." The expressed attitudes toward managed care were negative, ranging from a low mean (+/-SD) score of 3.9+/-1.7 for residents to a high of 5.0+/-1.3 for deans. When asked about specific aspects of care, fee-for-service medicine was rated better than managed care in terms of access (by 80.2 percent of respondents), minimizing ethical conflicts (74.8 percent), and the quality of the doctor-patient relationship (70.6 percent). With respect to the continuity of care, 52.0 percent of respondents preferred fee-for-service medicine, and 29.3 percent preferred managed care. For care at the end of life, 49.1 percent preferred fee-for-service medicine, and 20.5 percent preferred managed care. With respect to care for patients with chronic illness, 41.8 percent preferred fee-for-service care, and 30.8 percent preferred managed care. Faculty members, residency-training directors, and department chairs responded that managed care had reduced the time they had available for research (63.1 percent agreed) and teaching (58.9 percent) and had reduced their income (55.8 percent). Overall, 46.6 percent of faculty members, 26.7 percent of residency-training directors, and 42.7 percent of department chairs reported that the message they delivered to students about managed care was negative. CONCLUSIONS: Negative views of managed care are widespread among medical students, residents, faculty members, and medical school deans. (+info)
(8/3874) Mortality in relation to smoking: 20 years' observations on male British doctors.
In 1951 the British Medical Association forwarded to all British doctors a questionnaire about their smoking habits, and 34440 men replied. With few exceptions, all men who replied in 1951 have been followed for 20 years. The certified causes of all 10 072 deaths and subsequent changes in smoking habits were recorded. The ratio of the death rate among cigarette smokers to that among lifelong non-smokers of comparable age was, for men under 70 years, about 2:1, while for men over 70 years it was about 1-5:1. These ratios suggest that between a half and a third of all cigarette smokers will die because of their smoking, if the excess death rates are actually caused by smoking. To investigate whether this is the case, the relation of many different causes of death to age and tobacco consumption were examined, as were the effects of giving up smoking. Smoking caused death chiefly by heart disease among middle-aged men (and, with a less extreme relative risk, among old men,) lung cancer, chronic obstructive lung disease, and various vascular diseases. The distinctive features of this study were the completeness of follow-up, the accuracy of death certification, and the fact that the study population as a whole reduced its cigarette consumption substantially during the period of observation. As a result lung cancer grew relatively less common as the study progressed, but other cancers did not, thus illustrating in an unusual way the causal nature of the association between smoking and lung cancer. (+info)
- Central Application Service for Physician Assistants (CASPA) é um serviço de aplicação para assistente médico similar ao vestibular, utilizado nos Estados Unidos. (wikipedia.org)
- Our Master of Science Physician Assistant Program prepares physician assistants to meet the diverse needs of rural as well as urban populations. (une.edu)
- Demonstrate appropriate professional behavior by following the American Academy of Physician Assistants' Guidelines for Ethical Conduct for the Physician Assistant Profession. (une.edu)
- Physician assistants (PA) are health professionals who practice medicine as members of a team with their supervising physicians. (mc.edu)
- Because of their close working relationship with physicians, physician assistants are educated in the medical model designed to complement physician training. (mc.edu)
- Upon graduation, physician assistants take a national certification examination developed by the National Commission on Certification of Physician Assistants (NCCPA). (mc.edu)
- This is the basic professional degree required for physician assistants to practice medicine in the state of Mississippi. (mc.edu)
- The primary mission of the Mississippi College's Department of Physician Assistant Studies is to help students acquire core competencies, as well as specialized knowledge and skills necessary to perform effectively as physician assistants and to prepare them to provide primary health care services in medically underserved areas of Mississippi and surrounding states. (mc.edu)
- The first in a series, this report aims to set the stage and act as a backgrounder to better understand the role of physician assistants within health care systems. (conferenceboard.ca)
- Physician assistants (PAs) are academically prepared and highly skilled health care professionals who provide a broad range of medical services in different clinical settings, under the supervision of a physician. (conferenceboard.ca)
- The report is funded by the Canadian Association of Physician Assistants, the Royal College of Physicians and Surgeons of Canada, The College of Family Physicians of Canada, and Alberta Health Services. (conferenceboard.ca)
- After passing PANCE, physician assistants are issued National Commission on Certification of Physician Assistants (NCCPA) certification. (dbq.edu)
- Physician assistants will then pursue licensure for practice in their state. (dbq.edu)
- Completion of the program will assist graduates in successfully completing the Physician Assistant National Certification Exam (PANCE) making them eligible for licensure as a physician assistant in all 50 states. (mc.edu)
- Graduates of the program can take the Physician Assistant National Certifying Examination (PANCE). (dbq.edu)
- I really enjoyed it, but I wanted a larger scope of practice so I went on to complete my Master in Public Health (MPH) at the Dartmouth Institution of Health Policy and Clinical Practice in June 2010 and Northeastern's Physician Assistant program in August 2012. (blogspot.com)
- Physician behavior under the medicare assignment option ," Journal of Health Economics , Elsevier, vol. 1(3), pages 245-264, December. (repec.org)
- In 1997, Medicare consolidated the geographic regions across which is adjusts physician payments, generating area-specific price shocks. (repec.org)
- The Department of Physician Assistant Studies at Mississippi College is the state's only physician assistant program. (mc.edu)
- The Physician Assistant Program is a 30 month program of study leading to a Master of Science in Medicine degree. (mc.edu)
- The Physician Assistant Program admits a cohort of 30 students once each year, at the beginning of the summer semester. (mc.edu)
- Physician Assistant Program courses listed MUST be taken in sequence. (harding.edu)
- This is a 28 month graduate program leading to a Master of Science degree (M.S.) in Physician Assistant Studies. (harding.edu)
- Prerequisite: Acceptance into the Physician Assistant Program. (harding.edu)
- The Harding Physician Assistant Program highly values academic preparation and previous health care experience in its evaluation of applicants to the Program. (harding.edu)
- Harding's Physician Assistant program will not accept transfers from other PA programs. (harding.edu)
- 8. Are students allowed to work while in the Physician Assistant Program? (harding.edu)
- The Harding Physician Assistant Program curriculum is fast-paced and rigorous, with a heavy study load. (harding.edu)
- 11. If I am accepted into the Physician Assistant Program, may I defer my acceptance to the following year? (harding.edu)
- No. The Physician Assistant Program is unable to defer admissions. (harding.edu)
- We investigate whether physicians' financial incentives influence health care supply, technology diffusion, and resulting patient outcomes. (repec.org)
- The Department of Physician Assistant Studies is currently accepting applications for the May 2016 session. (mc.edu)
- Dr Katharine Boursicot is a Reader in Medical Education and Deputy Head of the Centre for Medical and Healthcare Education at St George's, University of London. (oup.com)
- Understand the historical and contemporary role of the physician assistant in the healthcare system. (une.edu)
- PAs are educated in the medical model designed to complement physician training. (mc.edu)
- Do Physicians' Financial Incentives Affect Medical Treatment and Patient Health? (repec.org)
- Written by practising clinicians and experts in medical assessment, this book is the ultimate revision resource for medical students in the fourth and fifth year, as well as any junior doctor looking to improve their knowledge of the core clinical specialties. (oup.com)
- He is regularly involved in the teaching of medical students, foundation doctors and anaesthetic trainees preparing for their FRCA examinations. (oup.com)
- 6. What is Harding's policy on transfer students from other Physician Assistant schools? (harding.edu)