James Rohrer

..To assess avoidability in after-hours telephone calls. Identification of predictors of avoidable calls is necessary so that system changes can be implemented in the interest of efficiency in patient care...

..00). The odds of a return visit within 2 weeks were not different by clinic type after adjusting for propensity to use services (OR=1.17, P=0.28). After adjusting for case mix differences, return visit rates did not differ by clinic type...

..05). White students had lower odds of reporting good self-rated health compared to African-American students (OR = 0.35, P < 0.05). Health education, screening and health promotion programs should be developed for online students...

..To compare outpatient return visits within 2 weeks experienced by pediatric patients diagnosed with otitis media using retail nurse practitioner clinics to similar patients using standard medical office clinics...

..Recent reports suggest that alcohol use may have a protective effect on obesity. This study explores association between obesity and alcohol consumption in the non-smoking U.S. adult population...

..The current study was conducted to evaluate the effects of overweight, hyperglycemia symptoms, Hispanic ethnicity, and language barriers on health-related quality of life (HRQoL) among children and adolescents...

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..The preference for aggressive cancer treatment is related to medical condition...

..Accredited medical care organizations are expected to assess pain levels in their patients. Appropriate responses to high pain levels have not been specified...

..The objective of this study was to investigate the importance of family history of mental illness as a risk factor for self-reported frequent mental distress among patients who use community-based clinics...

..However, these effects do not occur in all clinics, suggesting that other clinic characteristics may overcome the effects of open-access scheduling...

..The purpose of this study was to develop a decision rule for referral to a weight-loss program on the basis of the relationship between body mass index (BMI) and self-rated overall health...

..The purpose of this study was to investigate the relationship between a direct measure of patient empowerment, feeling that one is in control of one's own health and patient satisfaction with communication...

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..Some differences in efficiency may occur in some clinics, but these appear to be idiosyncratic rather than due to clinic size or distance from central control...

..To assess how physical limitations relate to self-rated health among family medicine patients after adjustment for severity of illness...

..The purpose of this study was to investigate the feasibility of using a measure normally employed in community health surveys as a quality indicator in primary care clinics...

..To determine whether marital status and self-assessed mental health are independent risk factors for poor self-rated overall health among female primary care patients...

..The purpose of this study was to assess the risk of early return visits for pediatric patients using a retail clinic...

..To assess the association between self-assessed stair-climbing limitation and weight control among family medicine patients, after adjustment for age, gender, marital status, body mass index (BMI), and co-morbidity...

..Comorbidity is strongly related to visit frequency among both older and younger adult patients...

..The advantages and disadvantages of making review of self-rated health-impact studies an important element in community health needs assessment are discussed...

..More modest goals are more acceptable but may not improve overall self-rated health (SRH) in primary care patients. Furthermore, whether exercise should be measured in minutes per week, times per week, or both is unclear...

..A single-item measure of overall self-rated health (SRH) commonly is used in population surveys, but has not been used in small pilot projects. The purpose of this study was to assess the validity of SRH in small samples...

..Outpatient visits in the previous 6 months were positively related to outlier status (OR 1.23, 95% CI 1.17-1.29). Online visits appeared to reduce medical costs for patients during a 6-month period after the visit...

..This essay argues that natural experiments involving comparison groups are within reach of public health program managers. Methods for analyzing natural experiments are discussed...

..However, few studies have been published reporting on the outcomes of care from these clinics. The purpose of this study was to assess the risk of early return visits for patients using a retail walk-in clinic...

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..Risks for poor self-rated overall health in rural areas of developing nations have not been thoroughly investigated...

..The objective of this study was to assess the degree to which obesity independently is associated with risk for pre-hypertension in family medicine patients...

..To assess how physical limitations relate to patient satisfaction with the quality of medical care among family medicine patients, after adjustment for self-rated overall health and other patient characteristics...

..We established an occupational and environmental medicine (OEM) curriculum for our residents. We hypothesized that greater OEM knowledge would decrease the number of lost workdays for injured patients...

..Future research is needed to identify the confounding variables that may be amenable to targeted interventions aimed at ameliorating these health disparities...

..Access to psychiatric services, particularly inpatient psychiatric care, is limited and lacks comprehensiveness in rural areas...

..88; confidence interval, 1.33-2.66; P < .01). E-consults by referral specialists were associated with increased odds of early return visits for primary care patients with a primary care provider...

..Perhaps not. Less frequent measurements may be appropriate for some patients. Our study reveals when you may be able to safely extend the monitoring cycle...

..Specialists providing VCs tended to be supportive. This illustrates both the difficulty of incorporating e-health innovations in primary care practice and the potential for increased efficiency...

..g. intact cervix) and subjective factors (e.g. patients' Pap-smear related beliefs/attitudes) as correlates of elderly women's intention to have a Pap smear...

..Health care services use by children varies tremendously. Because of the increasing prevalence of diabetes in children and adolscents, one of the major concerns is access to physician care among children with diabetes and diabetes symptoms...

..This study examines these relationships in a low-income female population of patients attending a family planning clinic...

..Public health agencies may need to collaborate with other governmental agencies in order to craft effective policies...

..Self-rated mental health has been the focus of attention less often. The purpose of this project was to investigate the relationship between use of medical care and poor mental health in an elderly population...

..Alternatively, they may need to target skeptical consumers with educational efforts explaining the benefits of medical care...

..82) and a usual provider (OR = .629, CI = .45-.88). Rural residence was not associated with either measure. Efforts to promote usual source-of-care should be targeted at Hispanic seniors in this region of the southwestern United States...

..The advantages of these changes include increased relevance to the concerns of patients and increased relevance to the real world of clinical practice...

..Despite the availability of Medicare coverage, several subgroups of the elderly population have impaired access to medical care in this sparsely populated region. Intensified outreach efforts are indicated...

..The collection and reporting of more specific measures of interpersonal and technical quality would further enable policy-makers, managers, and clinicians to better serve their patient populations...

..This study contributes to filling this gap by investigating the relationship between obesity and different sources of personal stress, mental health, exercise, and demographic characteristics...

..To examine the relationship between healthy lifestyles and self-rated mental health...

..To investigate the relationship between medical skepticism and overall self-rated health and to identify disparities in health for vulnerable subgroups among the elderly...

..To quantify preferences for female providers among obstetric-gynecology patients in a large military teaching hospital in California...

..However, the effects of alcohol use on the risk for obesity have not been thoroughly explored. This study focuses on how frequency of alcohol use is related to the risk of obesity in a community medicine clinic population...

..The purpose of this study was to examine the relationship between residing in a rural area and frequent mental distress, which is one indicator of poor mental health...

..The U.S. population is aging and is expected to double by the year 2030. The current study evaluated the prevalence of asthma and its correlates in the elderly Hispanic and non-Hispanic white population...

..Other initiatives should focus on particular groups of women, including those who are Hispanic or black/African American and have low household income...

..66, 95% confidence intervals = 0.57-0.76). For patients attending community clinics, environmental strategies to encourage walking may include mixed-land-use neighborhoods and construction of trails...

..The aim of this investigation was to evaluate the theoretical framework of regionalized trauma care that places highest expertise at Level I and II Trauma Centers...

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..32-0.86) (p=0.01) after adjusting for both age and treatment group. These results suggest that physicians should be open to the possibility that patients may not always understand what DNR means, and they may be placed on DNR by mistake...

..Research has not established (1) if breast cancer screening varies by county-level proportion of uninsured or (2) whether county-level-proportion of uninsured correlates with county-level early-stage and late-stage breast cancer incidence...