Family practice research journal最新文献_第7页

Resource use by younger versus older patients. 年轻患者和老年患者的资源使用情况。

Family practice research journal Pub Date : 1993-09-01

G N Fox

{"title":"Resource use by younger versus older patients.","authors":"G N Fox","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Compared to younger persons, the elderly use disproportionately greater health care resources. We wondered if this difference persisted when care of both older and younger patients was managed by physicians of a single specialty, family practice.Methods: The design was a retrospective analysis of a family practice clinical database. The setting was a 622-bed suburban teaching hospital. The subjects were all acute-care patients (112 short-stay unit and 232 hospitalized patients) cared for by a family practice residency service during a one-year period. The main outcome measures were site of care (inpatient versus short-stay unit), hospital length of stay, and in-hospital consultant use.Results: When cared for by the same physicians, the elderly are more likely to be admitted to the hospital rather than be successfully cared for in a short-stay unit (p = 0.001), to stay in the hospital longer (mean days: less than age 20 years, 5.1; age 80 and older, 8.5; p = 0.004), and to have a greater number of consultants (mean number of consultants: less than age 60 years, 0.80; age 60 and older, 1.16; p = 0.001).Conclusions: Our study, in which patient care for patients of all ages was provided by one group of family practice residency physicians, indicated greater relative health care resource consumption by the elderly. We cannot exclude the possibility that age was simply a surrogate for unexplored factors, such as insurance status. The generalizability of a study from one group in one institution is limited.","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 3","pages":"283-90"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19284539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CQI as a research focus. CQI作为研究重点。

Family practice research journal Pub Date : 1993-09-01

L I Solberg

引用次数: 0

Predicting atypical Pap smear progression: a case-control study. 预测非典型巴氏涂片进展:一项病例对照研究。

Family practice research journal Pub Date : 1993-09-01

D Murphree, M J DeHaven

{"title":"Predicting atypical Pap smear progression: a case-control study.","authors":"D Murphree, M J DeHaven","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This case-control study proposed to define risk factors for progression of cervical disease beyond an atypical level, and to explore the possibility of a clinical tool that would aid the clinician in deciding on the need for colposcopy.Methods: Twenty-three hundred (2,300) abnormal Papanicolaou smears were reviewed to identify documented cases of class II Papanicolaou smears that had progressed. Controls were randomly chosen for each case from the remaining pool of available class II Papanicolaou smears that did not progress. Data analyses were conducted to determine the predictive value of information that would be in a patient's chart with respect to progression from class II Papanicolaou smear to a higher level of disease.Results: A univariate analysis revealed several significant variables, including age, education, attendance at a public clinic, marital status, notification of Papanicolaou results, and a history of sexually transmitted disease. Next, a multivariate analysis demonstrated that a group of significant variables could not be defined, and only notification of an atypical Papanicolaou smear was significant.Conclusions: The study's findings suggest that the data available in a patient's medical record are not sufficient to develop a risk assessment scale and provide evidence of the need for continued study in this area.","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 3","pages":"233-47"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19284534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychosocial performance of family physicians. 家庭医生的心理社会表现。

Family practice research journal Pub Date : 1993-09-01

J Shapiro, P Lenahan, M Masters

引用次数: 0

Physician attitudes toward the Bethesda System of reporting cervical cytology. 医师对Bethesda系统报告子宫颈细胞学的态度。

Family practice research journal Pub Date : 1993-09-01

D G Ferris, M D Miller, P Wagner, E Walaitis

{"title":"Physician attitudes toward the Bethesda System of reporting cervical cytology.","authors":"D G Ferris, M D Miller, P Wagner, E Walaitis","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The purpose of this investigation was to determine family physicians' and gynecologists' attitudes toward and understanding of the Bethesda System, a new cervical cytology classification and reporting system.Methods: A convenience sample of 159 family physicians and gynecologists completed a questionnaire that assessed attitudes, knowledge, and opinions about the Bethesda System.Results: Compared with family physicians, gynecologists thought the Bethesda System was more likely to cause patient management problems (p < 0.001) and preferred not to combine viral cytologic effects with mild dysplasia when reporting a low-grade squamous intraepithelial lesion (p < 0.004). However, increased understanding of the system by physicians correlated with greater preference for the Bethesda System (p < 0.02). In this exploratory study, family physicians, rather than gynecologists, were more inclined to use the Bethesda System and perceived it as a means to reduce clinical evaluation and patient management problems. Gynecologists reported a fuller understanding of the Bethesda System, yet they were more critical of the cytology categorizations. Within each specialty, greater understanding of the Bethesda System led to its wider acceptance.","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 3","pages":"267-73"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19284537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A comparison of physician-patient interaction at fee-for-service and HMO sites. 收费服务和HMO网站的医患互动比较。

Family practice research journal Pub Date : 1993-06-01

E J Callahan, K D Bertakis

引用次数: 0

Why do patients decline screening mammography? 为什么患者拒绝筛查乳房x光检查?

Family practice research journal Pub Date : 1993-06-01

M Swinker, J G Arbogast, S Murray

引用次数: 0

Continuing education in the physician's office: a pilot study for breast exams. 医生办公室的继续教育:乳房检查的试点研究。

Family practice research journal Pub Date : 1993-06-01

S L Warner, L J Solomon, R S Foster, J K Worden, E Atkins