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Old Joe and the Marlboro man versus the Surgeon General. 老乔和万宝路男对卫生局局长。
Family practice research journal Pub Date : 1993-06-01
P M Fischer
{"title":"Old Joe and the Marlboro man versus the Surgeon General.","authors":"P M Fischer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 2","pages":"97-9"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19497572","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
Do tobacco companies avoid proper use of warnings in magazine ads? 烟草公司是否避免在杂志广告中正确使用警告语?
Family practice research journal Pub Date : 1993-06-01
R E Ricer, J S Ricer, N J Montalto
{"title":"Do tobacco companies avoid proper use of warnings in magazine ads?","authors":"R E Ricer,&nbsp;J S Ricer,&nbsp;N J Montalto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>By law, cigarette advertisements in magazines must contain one of four surgeon general's warnings and these warnings must be rotated quarterly. This study surveyed the top 13 magazines by paid subscription in the United States that accept cigarette advertising to determine if cigarette companies are compliant with this law. All issues of these magazines published during 1990 were surveyed yielding 1329 ads. Goodness of fit chi-square was used to compare observed distributions of each warning with the expected distribution. There were no significant differences in the number of times each warning appeared over the year or in each magazine. The tobacco industry as a whole appears to follow the guidelines of the Comprehensive Smoking Education Act, though 2 of 6 companies and 8 of 32 brands appear to advertise more heavily when using certain warnings and less heavily when other warnings are utilized.</p>","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 2","pages":"113-20"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19499123","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
Patient and physician characteristics associated with perceived quality of care. 与感知护理质量相关的病人和医生特征。
Family practice research journal Pub Date : 1993-06-01
J G Bertolino, A G Mainous
{"title":"Patient and physician characteristics associated with perceived quality of care.","authors":"J G Bertolino,&nbsp;A G Mainous","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study was undertaken to describe patient and physician sociodemographic characteristics that might be associated with the patient's perception of the quality of care rendered by his or her physician. A random telephone survey of 685 adult Kentucky residents showed that self-health assessment correlated positively, while patient education correlated negatively, with perceived quality of care. Perceived physician origin was related to the respondent's perceptions of quality of care, with native-born physicians perceived as supplying higher quality of care than their foreign-born counterparts. Cultural and communication issues might explain differences in perceived quality of care.</p>","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 2","pages":"157-64"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19499126","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
The statistical power of family practice research. 家庭实践研究的统计效力。
Family practice research journal Pub Date : 1993-06-01
M B Mengel, A B Davis
{"title":"The statistical power of family practice research.","authors":"M B Mengel,&nbsp;A B Davis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To determine the statistical power of family practice research, we conducted a survey of all family practice studies published in 3 major family practice journals in 1988. Only 5 of 86 studies calculated statistical power, although 67 (78%) reported statistically nonsignificant results. Calculations of statistical power revealed that more than 80% of family practice studies had sufficient statistical power to detect medium to large effect sizes, but not small effect sizes, which some readers might deem clinically important. We conclude that the authors of family practice research studies do not pay enough attention to the issue of statistical power when reporting statistically nonsignificant results, leaving their readers in doubt as to whether a clinically significant effect could have been detected.</p>","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 2","pages":"105-11"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19499122","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
Why do patients continue to see the same physician? 为什么病人总是看同一个医生?
Family practice research journal Pub Date : 1993-06-01
L L Gabel, J B Lucas, R C Westbury
{"title":"Why do patients continue to see the same physician?","authors":"L L Gabel,&nbsp;J B Lucas,&nbsp;R C Westbury","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this study we examined the meaning that patients attach to continuity of care, an important construct of family practice and primary care. Structured oral interviews were conducted with 60 patients who were 35 years of age or older and who had sought health care from a single family physician for at least 15 years. The data included 10 domains that characterize patients' perceptions regarding long-term continuous care. The interview data were analyzed using ethnographic techniques. The main factors contributing to the maintenance of a continuous care relationship seemed to be patient familiarity with the physician, physician knowledge of the patient, patient satisfaction with care received, and patient confidence in the physician. Other factors were personal attributes of the physician, friendship with the physician, ease of communication with the physician, and professional growth of the physician. The availability of the physician and the location of the practice appeared to be reasons to start consulting a physician rather than to continue the relationship with a physician.</p>","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 2","pages":"133-47"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19499125","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
The relationship of family structure and perceived family support to length of hospital stay. 家庭结构、感知家庭支持与住院时间的关系。
Family practice research journal Pub Date : 1993-06-01
R Williams, W T Boyce, A L Wright
{"title":"The relationship of family structure and perceived family support to length of hospital stay.","authors":"R Williams,&nbsp;W T Boyce,&nbsp;A L Wright","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Membership in an extended family has been viewed as beneficial, particularly in time of crisis, because of the support and resources that can be provided a member. In an attempt to confirm this view of the family, a study was conducted among Navajo Indians at the time of hospitalization. Instruments assessed family characteristics regarding extended or nuclear structure and the amount of family support the patient perceived. Scores obtained were correlated with the patient's subsequent length of hospital stay. Perceived support was related to length of stay (r = .28, p < .001), while family structure was not (r = .10, p = .10). As hypothesized, greater perceived support was associated with longer length of stay. The results are consistent with other findings suggesting social systems gain importance from function, not structure. If these results are confirmed in other groups, use of a simple tool for assessing support may assist in predicting length of hospital stay.</p>","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 2","pages":"185-93"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19497571","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
Esophagogastroduodenoscopy by family physicians phase II: a national multisite study of 2,500 procedures. 由家庭医生进行的食管胃十二指肠镜检查II期:一项涉及2500例手术的全国性多地点研究。
Family practice research journal Pub Date : 1993-06-01
W M Rodney, J R Weber, J A Swedberg, D M Gelb, W H Coleman, J E Hocutt, T Huston, C R Bradford, C Cronin
{"title":"Esophagogastroduodenoscopy by family physicians phase II: a national multisite study of 2,500 procedures.","authors":"W M Rodney,&nbsp;J R Weber,&nbsp;J A Swedberg,&nbsp;D M Gelb,&nbsp;W H Coleman,&nbsp;J E Hocutt,&nbsp;T Huston,&nbsp;C R Bradford,&nbsp;C Cronin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We have prospectively studied 1,783 upper gastrointestinal tract endoscopy procedures as performed by family physicians from thirteen separate office practices. Phase I of the study previously reported on 717 procedures in which patient management was enhanced, diagnostic yields were high, and biopsies were performed where appropriate. In Phase II, the data totaled 2,500 procedures representing 51.1 years of cumulative practice experience by the entire group. All cases were gathered prospectively and biopsies were confirmed by a pathologist's independent tissue analysis. In this series, family physicians were asked to record all complications, and to specify the exact manner in which performance of the procedure enhanced patient management. There have been biopsies in 1,230 (69% biopsy rate) Phase II cases with biopsy reports available in 1,194 (97% reporting rate) cases. There is pathological confirmation of the family physicians' visual diagnosis in 1,104 of 1,194 (93%) available biopsy reports for a 92% accuracy rate. There have been no complications, and the complication rate for the total series (1/2, 500) is now 0.0004.</p>","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 2","pages":"121-31"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19499124","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
Public perceptions of radon risk. 公众对氡风险的认知。
Family practice research journal Pub Date : 1993-03-01
A G Mainous, M D Hagen
{"title":"Public perceptions of radon risk.","authors":"A G Mainous,&nbsp;M D Hagen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since 1984, a significant amount of media attention has focused on health threats from radon gas exposure. Using a probability telephone survey of adults (n = 685), we studied public perceptions of risk from radon exposure versus other environmental health risks. The results indicated that 92% of those individuals who had heard of radon believe radon to be a health risk, although only 4% believe they are currently exposed to high levels of radon gas. Perception of risk from radon was positively related to other perceptions of environmental risks. Younger and less educated individuals were more likely to perceive radon as a health risk. Women were three-and-one-half times as likely as men to perceive risk from radon. However, there was no significant relationship between perceived risk from radon and cigarette smoking. Media attention has apparently led to public awareness of radon hazards, but further attention is needed to improve smokers' awareness of their special risks from radon.</p>","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 1","pages":"63-9"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19466723","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 pilot study of white-coat and labile hypertension: associations with diagnoses of psychosocial dysfunction. 白大褂和不稳定高血压的初步研究:与社会心理功能障碍诊断的关系。
Family practice research journal Pub Date : 1993-03-01
A R Fark
{"title":"A pilot study of white-coat and labile hypertension: associations with diagnoses of psychosocial dysfunction.","authors":"A R Fark","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Variable blood pressure responses, manifesting either as a \"white-coat\" phenomenon or lability between office visits, confound hypertension management decisions. An attempt was made to determine whether these phenomena are associated with concurrent diagnoses of psychosocial dysfunction, therefore mitigating against antihypertensive medical therapy. Forty-seven patients with such variable blood pressure responses were identified in a rural family practice over a three-year period and compared to randomly selected age- and sex-matched controls for the following concurrent diagnoses: generalized anxiety, psychogenic spastic bladder, panic disorder, depression, alcohol use, chronic headache, fibromyalgia, temporomandibular joint syndrome, irritable bowel syndrome, and premenstrual syndrome. No statistical associations between white-coat hypertension and these diagnoses were demonstrated although a small sample size tempers conclusions. However, chi-square analysis (P < 0.01) of the phenomenon characterized by lability of blood pressure between different office visits demonstrated a statistical association with alcoholic hepatitis in men. White-coat hypertension is a diagnosis that may warrant disassociation from other psychosocial disorders, although further study is indicated. Physicians should remain attuned to the presence of lability of blood pressure in males and consider possible associations with alcoholism.</p>","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 1","pages":"71-80"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19466725","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
Are all outcomes created equal? 所有的结果都是平等的吗?
Family practice research journal Pub Date : 1993-03-01
T G Ganiats
{"title":"Are all outcomes created equal?","authors":"T G Ganiats","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18687791","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
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