K Fiscella

..There is limited high-quality evidence about the impact of patient navigation (PN) on outcomes for patients with diagnosed cancer...

..More than 30% of the pregnancies in women aged 35 and over are unintended. This paper compares perceptions about contraceptive methods and use among women with and without an unintended pregnancy after turning age 35...

..Many physicians do not routinely inquire about intimate partner violence...

..We examined socio-demographic factors associated with a) eligibility for statin therapy among those not on statins, and b) achievement of statin therapy goals...

..We examined this question given its relevance to risk assessment in clinical decision making...

..The purpose of this clinical trial is to test the effectiveness of an intervention combining patient navigation and activation to improve cancer treatment...

..Consider the following scenario...

..We assessed differences in systolic blood pressure (SBP) control among white and black adults with a diagnosis of hypertension, and measured the impact of that difference on cardiovascular and cerebrovascular mortality among blacks...

..This will ensure that schools, particularly those serving large numbers of poor and minority children, have the resources necessary to promote optimal learning...

..Despite the potential importance of trust, there are few studies of its correlates using objective measures of physician behavior during encounters with patients...

....

..The purpose of the study was to examine the potential of adding socioeconomic status (SES) to Framingham Risk Scoring (FRS) to improve coronary heart disease (CHD) prediction by SES...

..These results show that many jails fail use recommended opiate detoxification procedures and highlight the need for uniform national standards for jail management of opiate dependence...

..The causes of racial and ethnic disparities in preventive care are not fully understood. We examined the hypothesis that fewer primary care visits by minority patients contribute to these disparities...

..Racial/ethnic disparities are assessed using either self-report or claims data. We compared these two data sources and examined contributors to discrepancies in estimates of disparities...

..The study compared the content of primary care visits between physicians with larger and smaller African American practices...

..HHS should actively support HIT to improve quality in CHCs. This will maximize HIT benefits, minimize costs, and ensure that CHCs have the tools to address the needs of vulnerable populations...

..Given the complexity of polygenic conditions such as PTD, the possibility of any single gene contributing substantially to racial disparity in PTD seems remote...

..To assess the effect of low-dose mifepristone on quality of life, pain, bleeding, and uterine size among women with symptomatic leiomyomata...

..To examine risk factors and sequela for post partum discharge against medical advice...

....

..Approximately 1% of patients leave hospitals against medical advice, but the clinical significance of premature hospital discharge is unknown, particularly after admission for acute myocardial infarction (AMI)...

..We wanted to compare ratings by real patients with ratings by standardized patients of physician communication...

..Racial and ethnic disparities in influenza vaccination among the elderly are well documented, but their impact on minority mortality is unknown...

..To examine the relationship between race and surgical complications...

..We wanted to compare the risk of death from coronary heart disease (CHD) for patients of low socioeconomic status, measured by educational level, with established risk factors...

..The study assessed racial differences in vaginal pH among women without bacterial vaginosis...

..Racial and ethnic disparities in health care have been well documented, but poorly explained...

..The relative ease of using zip codes compared with geocoded addresses and loss of information associated with incomplete matching during geocoding suggest that zip code-derived SES may be preferable...

..jama. 2000;283:2579-2584..

..National data show unexplained racial disparity in albuminuria. We assessed whether low serum vitamin D status contributes to racial disparity in albuminuria...

..Little is known about the quality of Papanicolaou (Pap) smears performed by family physicians and obstetrician-gynecologists...

....

..Perceived family criticism has also been linked to primary health care use. In our study, we examined the association between perceived family criticism and health behaviors, as well as the potential mediating role of negative affect...

..There are limited data regarding interventions designed to improve cancer screening rates in safety-net practices with "real world" patients...

..Explanations for the difference in prevalence are incomplete. Emerging data suggest that low vitamin D levels may contribute...

....

..Key health care reforms offer promise for doing so...

..Findings are conflicting about the relationship between vitamin D levels and cardiovascular mortality. We wanted to determine the contribution of vitamin D levels to black-white disparities in cardiovascular mortality...

..Inadequately treated drug and alcohol withdrawal in US jails appears widespread. Our data raise important ethical and constitutional questions...

..Estimates of racial disparity in mammography appear to differ depending on the data source. This study examined the impact of different survey methodology on estimates of racial disparity in mammography...

..Relatively little is known about the benefits of these interventions among unselected patients...

..This paper reviews the literature related to potential causes of racial disparities in infant and maternal mortality...

..We wanted to examine how membership in a health maintenance organization (HMO) is related to delivery of preventive clinical services to patients with different educational levels...

..With effective implementation, improved alignment of resources with patient needs, and most importantly, revitalization of primary care, these reforms could measurably improve equity...

..We assessed whether a single concurrent peer review visit reduced clinical inertia and improved control of hypertension, hyperlipidemia, and diabetes control among underserved patients...

..These practices jeopardize the health and well-being of persons enrolled in methadone programs and underscore the need for uniform national policies within jails...

..Greater use of hospital clinics and community health centers by minorities also contributes to this discontinuity...

..This study examines the impact of skepticism toward medical care on mortality using data from the 1987 National Medical Expenditure Survey (NMES)...

..The impact of skepticism toward health care providers on health behavior and health care utilization was assessed using a cross-sectional analysis of data from the 1987 National Medical Expenditure Survey (NMES)...

..These show that patients' education has relatively small, but potentially important, effects on the outpatient delivery of primary care...

..Our goal was to examine the relationships between the proportion of mental health diagnoses by primary care physicians and both health care expenditures and the risk of avoidable hospitalizations...

..While pervasive racial and ethnic inequalities in access to care and health status have been documented, potential underlying causes, such as patients' perceptions of their physicians, have not been explored as thoroughly...

..To examine mediators of mifepristone treatment on improvements in health-related quality of life (HRQOL) among women with symptomatic fibroids...

..To assess the effect of ultra low-dose mifepristone on uterine size, pain, bleeding and quality of life among women with symptomatic leiomyomata...

..This study was conducted to assess risk factors for contraceptive nonuse among a nationally representative sample of US women and explored the influence of future pregnancy intentions on contraceptive nonuse...

..We sought to quantify the potential health impact of selected medical and nonmedical policy changes within the United States...

..The purpose of this study was to assess the behavior and preferences of patients regarding family involvement in their routine health care visits...

..To understand factors associated with primary care physician research participation in a practice-based research network (PBRN) and to compare perspectives by specialty...

..We wanted develop a reliable and valid objective measure of patient-physician collaborative decision making, the Rochester Participatory Decision-Making Scale (RPAD)...

..To examine the relationship between racial disparities in common primary care procedures and patient HMO membership and physician level of HMO participation...

..Aside from patient presentation, little is known about other influences on PCC. We investigated whether PCC is influenced by personality dispositions of primary care providers, independent of patient presentation...

..To develop a reliable and valid computer coded measure to assess emotional expression from transcripts of physician-patient interactions...

..To compare the effect of 5 and 10 mg of mifepristone on uterine leiomyoma size and symptoms, and to measure side effects...

....

..Future research and prevention aimed at ameliorating SES health disparities may benefit from considering the risk clustering of social disadvantage and dispositional factors...

..Little is known about whether educational gradients in smoking patterns can be explained by financial measures of socioeconomic status (SES) and/or personality traits...

....

..Strategies to facilitate reliable assessment of CRF are also discussed. Disclosure of potential conflicts of interest is found at the end of this article...

..There is considerable interest in the influences on patients' ratings of physicians...

..The increasing influence of the PCC literature to guide medical education, licensure of clinicians, and assessments of quality provides a strong rationale for further clarification of these measurement issues...

..To understand the role of trust of medical institutions in the decision by elderly black Americans to receive pneumococcal and influenza vaccinations...

..We studied the relationship between patient-centered communication and diagnostic testing expenditures...

..Little is known regarding the reliability of hospital coding for race and ethnicity particularly for Hispanics, Asians, and American Indians. We assessed these questions using hospital and mortality data from a large, diverse state...

..All participants were familiar with the process and rationale for immunizations and routine medical examinations; few understood cancer screening services...

..To understand how physicians communicate may contribute to the mistrust and poor clinical outcomes observed in patients who present with medically unexplained symptoms (MUS)...

..Our goal was to assess primary care physicians' use of the 5A model in discussions with underserved populations about physical activity...

..To conduct a pilot study to examine physician patient interaction when elderly patients are accompanied during a medical visit...

..We sought to identify characteristics associated with favorable treatment in receipt of preventive healthcare services, from the perspective of resettled African refugee women...

..An understanding of relevant mechanisms may offer potential routes for its prevention and treatment in patients with cancer.Disclosure of potential conflicts of interest is found at the end of this article...

..We explored the strengths, limitations, and our own lessons learned about adopting the novel methodology of multiperspective analysis...

..To examine the impact of provider continuity on preventive care among adults who have a regular site of care...

..National self-report surveys show minimal racial disparity in mammography, whereas analyses of administrative data show large disparity...

..physical activity itself, and whether IL-6 levels may be reduced by boosting regular activity levels in demographic segments such as women and minorities who appear susceptible to greater inflammation...

..Telephone reminders provide substantial net revenue, but the results may be population specific...

..Monitoring patient SES using patient zip codes could be used to target resources to improve outcomes for higher risk patients...

..Because of these differential sociodemographic relationships caution is urged when using self-rated health measures in research, clinical, and policy settings...

..Using unannounced standardized patients (SPs) may overcome some of these limitations because their experience and training make them able judges of physician behavior...

..Prior literature suggests that blacks are more likely to be discharged against medical advice (DAMA)...

..Previous research shows that patient socioeconomic status (SES) affects health care, but little is known about the relative effects of patient and physician practice SES among privately insured patients...

..Although cancer-related patient navigation interventions are being adopted increasingly across the United States and Canada, further research will be necessary to evaluate their efficacy and cost-effectiveness in improving cancer care...

..Multi-level modeling may contribute to better understanding of the relationships between physician style and patient outcomes...

..The primary aim was to assess long-term effects of low-dose mifepristone on myoma regression, symptoms, and endometrial pathology. The secondary aim was to assess regrowth of myomas after cessation of mifepristone...

....

..1-3.2) was associated with preterm birth. CONCLUSION: Vaginal douching does not appear to be a strong risk factor for preterm birth. Further study is needed to confirm the risk that is associated with frequent or long-term douching...

..These data can be used to assess disparities in care, pending availability of self-reported race/ethnicity data...

..Little is known about racial disparities in primary care at the level of the office visit...

..Implementation of such a global risk tool could ultimately help justify implementation of more intensive behavioral interventions focusing on diet, exercise, smoking cessation and medication adherence for those at highest social risk. ..

..Implementation of such a global risk tool could ultimately help justify implementation of more intensive behavioral interventions focusing on diet, exercise, smoking cessation and medication adherence for those at highest social risk. ..

..Findings from this project have implications for national policy related to the design and implementation of patient navigation programs for cancer and interventions designed to eliminate disparities in cancer treatment. ..

..Findings from this project have implications for national policy related to the design and implementation of patient navigation programs for cancer and interventions designed to eliminate disparities in cancer treatment ..

..If the study hypotheses are confirmed, the findings will underscore the need for HMOs to track and address disparities among their members if the Healthy People 2010 for the elimination of disparities is to be achieved. ..

..abstract_text> ..

..The study may also offer valuable insight into a mechanism by which mifepristone reduces fibroid size. ..