R Balkrishnan

..This research was performed to better understand the physician and patient characteristics associated with the prescription of this combination medication in outpatient settings...

..Concerted efforts are now being made to understand the causes and true incidence of patient safety risk associated with office-based surgery and to find ways to minimize this risk...

..These parent caregiver factors may be important in identifying suitable audiences and areas for education for optimal management of children's AD...

..Topical retinoids are effective in the treatment of acne, yet no current guidelines existed in the literature until recently recommending their use as an integral part of mild to moderate acne treatment...

..To examine the association between childhood atopic dermatitis (AD) severity and family impact at baseline and after an intervention by a physician specialist, using validated measures of both severity and family impact...

..An exploratory analysis of change in impact on families dealing with AD before and after an episode of medical care in a physician office setting was conducted...

..However, little is known about how similar or different these types of trust are in reality and the relationship of trust with satisfaction...

....

..Traditional medication adherence monitoring for topical medication use in dermatology relies heavily on measures of self-reporting and ointment tube weight, which are susceptible to various biases...

..Because of recent press reports of adverse outcomes, office-based cosmetic surgery has come under intense scrutiny and associated legislative regulatory action...

..To examine the relationship between self-reported health status, prophylactic medication use, and healthcare service use in older adults with asthma...

..To test the hypothesis that capitation payment to physicians reduces the length of physician-patient encounters but increases use of preventive and health counseling services...

..It also examined the impact of medication adherence on health outcomes and on health care service utilization and costs...

..Patient's self-reported health status could be important in earlier detection of high-risk older adults with asthma, and targeting them for disease management interventions...

..The cross-sectional study showed risk odds reductions of nearly 20% in the partially adherent patient, and 40% in the adherent patient compared to the nonadherent patient, after controlling for potential group differences...

....

..Although long-term retrospective medication utilization poses many measurability issues, the use of multiple indices gives a more complete picture of usage behavior...

..This report summarizes the resulting discussions of global postmarketing surveillance initiatives and describes efforts to reduce medication errors, and improve global communication about drug safety...

..The benefit changes included moving to a drug benefit with increased total coverage and higher copayments in the first year (1998) and to one with brand name limit-of-coverage and unlimited generic availability in the second year (1999)...

....

..Moreover, this SA-EASI instrument may allow older children, over 12 years old, to assess the severity of their AD...

..Improved outcomes in psoriasis may be achievable through interventions that improve patients' adherence to treatment...

..Education efforts and novel preparations of Class I agents will help to ensure the best possible care for patients suffering from significant skin diseases like psoriasis...

....

..DISCUSSION: In our department, Class I topical steroids are commonly used in the treatment of psoriasis. The superpotent topicals are often used as an adjunct to systemic therapy and will likely remain a mainstay of psoriasis therapy...

..We sought to describe and find correlates of health-related quality of life among under-served low-income patients in North Carolina with diabetes mellitus...

..0% higher than average scores vs patients using no medications, P = .006). CONCLUSIONS: We observed an association with topical corticosteroids for treatment of psoriasis on health care outcomes and costs...

..There are socioeconomic, cognitive, and psychological factors that contribute to non-adherence among patients. Improving patient knowledge and the doctor-patient relationship are ways to improve patient adherence...

..CONCLUSION: Medication logs and weights do not ensure medication adherence to topical therapy. Electronic monitoring allows a more precise method of adherence measurement...

..These data suggest that BTX therapy does not significantly add to the costs of treating Medicaid-enrolled children with CP...

..Pharmacologic therapy for glaucoma consists mainly of topical eye drops containing beta-blockers or prostaglandin analogs...

..In addition differences among the TZDs with respect to these outcomes were examined...

..This study examines the association between patient-physician encounters in such critical medical situations and patients' trust in their physician and in the medical profession in general...

..Targeting parents and caregivers with education and psychosocial support can decrease family and personal burden, which in turn may decrease the cost of treating the condition because of better medical, psychosocial, and family outcomes...

..Collection of cost data needs to be incorporated into clinical trials to facilitate these decisions...

..Attendance at diabetes educational sessions in primary care settings coupled with maintenance of blood glucose control seem to be associated with greatest risk reduction...

....

..General physician trust potentially has a strong influence on important behaviors and attitudes, and on the formation of interpersonal physician trust...

..The decreasing role of dermatologists in the treatment of psoriasis is probably a complex issue, but may relate in part to the difficulty of obtaining access to dermatology care...

..Unfortunately, coverage policies for psoriasis therapies do not necessarily follow current treatment paradigms, such that more expensive second or third line treatments may be more easily obtained than first line treatments...

..An understanding of why certain patients or races present more frequently to physicians would help guide attempts for early interventions and education for these patients...

..Although the results reported herein are from a small exploratory study, the magnitude of the effect was sufficiently large as to be detectable with statistical significance (P<.05)...

..Pigmentary disorders are commonly seen in dermatology practice and can have a negative psychosocial impact on patients...

..It is possible that the prognostic significance of omission of RT in clinical trials underestimates the significance of risk in the community...

..This study examined which AK therapy was preferred among dermatologists and primary care physicians (PCPs), as well as potential determinants of therapeutic selection...

..We excluded studies conducted before 1980 and those that allowed concomitant treatments...

..Visible facial skin lesions are a common condition. Purpose This study assessed factors associated with health-related quality of life (HRQOL) in women with visible facial skin lesions...

..The efficacy of topical medications is limited by non-adherence. Interventions to improve adherence to topical treatments are not well characterized...

..This study examined the relationship between patient waiting time and willingness to return for care and patient satisfaction ratings with primary care physicians...

..The primary message of the campaign was "Talk to your kids about sex. Everyone else is."..

....

..CONCLUSION: Patients with palmoplantar psoriasis are affected to a greater degree by the physical aspects of the disease than patients without palmoplantar involvement...

..Developing rational, effective and acceptable strategies to manage psoriasis treatments would encourage cost-effective psoriasis management...

..We aimed to see whether ACE inhibitors also prevent reduction in physical performance and in muscle strength in older women who do not have CHF...

..Botulinum A toxin, when used in appropriate doses, is well tolerated...

..Programs are needed to enhance communication effectiveness with Latino patients. We examined the effect of language immersion training for pediatric faculty on their communication with Latino patients...

..Currently, there is a difference in reimbursement between excision of malignant and benign lesions. There is concern that there is not sufficient rationale for differential reimbursement for these two procedures...

..In a multivariate model, only perceived impact of the disability remained significant...

..Historically, daily insulin treatment has been viewed as burdensome to patients, prompting newer formulations and improved delivery methods...

..Routine monitoring of patient-centered self-care outcomes could help improve long-term outcomes of diabetes care in this population...

..Parents who believed that their children receive enough care may need to be targeted for care management and disease management programs to ensure the continuum of treatment and care for these children...

....

..In summary, alteration of phospholipids, particularly depletion of PG, in the LA of surfactant may be an important mechanism in asthma-associated surfactant dysfunction...

..It is the most common form of cancer in the United States, more common than all other cancers combined. To determine the contributors to the cost of NMSC care, an episode of care of NMSC needed to be defined...

..The treatment was safe and well tolerated. After 8 weeks of therapy, patients reported that FA+HQ+RA had provided a variety of benefits that had enhanced their quality of life...

..We conclude that adapting existing electronic monitors to medication tubes should facilitate a much better understanding of adherence to topical treatment...

..Adherence to topical treatment of atopic dermatitis has not been well characterized. Poor adherence to topical medication could account for failure of topical therapy...

..The purpose of this study is to analyze variables associated with consumer's satisfaction that they have enough choice when selecting their primary care provider (PCP), and to analyze the importance of these variables on provider trust...

..To assess which measures are utilized to quantify lesions, disease severity, and quality of life in the current literature on psoriasis vulgaris...

..Few controlled trials directly comparing use to non-use of a WAP were found. WAPs show promise in improving adherence in pediatric asthma, and their effect on adherence in pediatric atopic dermatitis is worthy of further investigation...

..These findings raise the concern that incentive structures in the United States healthcare system do not adequately support delivery of dermatologic care for psoriasis. Efforts to promote psoriasis care should be encouraged...

..However, few data exist about adherence rates to home phototherapy, adding to concerns about the appropriateness of home phototherapy as a psoriasis treatment option...

..The purpose of this investigation was to examine whether prescribing patterns of a nationally representative sample of US physicians shed light on the incidence of use of topical retinoids for indications other than acne...

..001). These findings suggest that BTX injections may be associated with beneficial outcomes in childhood spasticity...

..The objective of this study was to test the hypothesis that poorer patients in outpatient clinics are more likely to see PAs than physicians...

..We performed additional analyses using nationally representative patient samples to confirm these trends...

..CONCLUSION: Metronidazole 0.75% gel is less irritating in sustained use than azelaic acid 15% gel...

..Further investigation is needed to determine whether PIT improves generic measures of HRQL...

..Biologics had a better adherence rate compared with other psoriasis medications...

..Thiazolidinediones (TZDs) are a newer class of agents used for the treatment of type 2 DM. No previous study has compared health care utilization associated with the 2 TZDs on the market...

..Outcomes in asthmatic patients may vary depending on the controller medication used. Observational studies of outcomes of asthma therapy are needed to understand the implications of choice of controller in different populations...

..The ability to change physicians seems to increase trust in the insurer...

..Clinical, health, and economic outcomes in patients with type 2 diabetes may be influenced by self-management behaviors and type of pharmacotherapy...

..Few studies document differences in patient satisfaction with physicians in the elderly (> or = 65 years) and compare it to non-elderly (<65 years) patients...

..In addition, there was a possible association between the age and ethnicity of patients with insomnia/sleep difficulties and the prescribing of expensive medications for sleep difficulties...

..Latanoprost, a prostaglandin inhibitor, is increasingly being used in the therapeutic management of glaucoma. However, there is scant literature examining the cost and outcome ramifications of latanoprost...

....

..01). Adherence to acne medications is an important component of better health status. Pharmacologic treatment of acne does not significantly add to acne-related annual healthcare costs...

..Factors associated with quality of life in psoriasis patients are described. It further describes physician's role in the psoriasis management to improve patients' overall well-being...

..Correlations are equivalent with lack of disputes, length of relationship, and number of visits [corrected]...

..Even though melasma is prevalent in Hispanic women, its impact on health-related quality of life (HRQOL) has been under-reported. The purpose of this review is to evaluate the impact of melasma on the HRQOL of Hispanic women...

..A higher adherence rate was associated with significantly lower diabetes-related and total health care costs in this population...

..This study examined association between depressive symptoms and Glaucoma medication-related persistence and predictors of associated healthcare charges in older adults with primary open angle Glaucoma...