The evolution of patient engagement in patient-centered care has led to the development of online personal health record (PHR) systems, which are accessed through use of a patient portal. Researchers have found that older adults are among those yet to adopt its use. The UTAUT2 factors are used to help understand an individual's intention to use…

Hospitalization of nursing home residents can be futile as well as costly, and now evidence indicates that treating nursing home residents in place produces better outcomes for some conditions. We examined facility organizational characteristics that previous research showed are associated with potentially avoidable hospital transfers and with…

Context: Scope of practice is an important factor in both training and recruiting rural family physicians. Purpose: To assess rural Idaho family physicians' scope of practice and to examine variations in scope of practice across variables such as gender, age and employment status. Methods: A survey instrument was developed based on a literature…

Medical care in nursing homes is not provided by board-licensed geriatricians; it mainly comes from physicians in need of educational programs in the field of geriatrics. Such programs, based on curriculum guidelines, should be developed. The purpose of this study was to seek input from nursing home physicians on their perceived needs for training…

Purpose: We investigated the role of race in predicting the likelihood of using hospice and dying in a hospital among dual-eligible (Medicare and Medicaid) nursing home residents. Design and Methods: This follow-back cohort study examined factors associated with hospice use and in-hospital death among non-Hispanic Black and non-Hispanic White…

Managed care organizations rely on incentives that encourage physicians to limit medical expenditures, but little is known about how physicians respond to these incentives. We address this issue by analyzing the physician incentive contracts in use at a health maintenance organization. By combining knowledge of the incentive contracts with…

Chronic hepatitis C infection (CHCI) is an increasingly common problem, affecting about 2% of the US population. The cost and complexity of treatment and difficulties in communicating with the infected population are of concern to insurers and health planners. Purpose: To describe the clinical features of patients with CHCI in a rural…

The health maintenance organization (HMO) could deliver comprehensive health care, provide for training of primary care physicians and also research in health care. (Author/PG)

This article describes the history and structure of a sports medicine facility, the patient care services it offers, and the types of injuries treated at the center. Opportunities and potentials for physicians who wish to enter the field of sports medicine on a full-time basis are described, as are steps to take to prepare to do so. (Author/JL)

This interlibrary loan study was done in 16 health care institutions during two weeks in November, 1967 and two weeks in March, 1968. Each interlibrary loan requester was asked to record what position he held (attending staff, resident, intern, other staff), and whether his request was related to patient care, teaching, continuing education, or…

The Working Together (WT) project involved the design and delivery of an online learning resource for healthcare teams in long-term care (LTC) so that knowledge regarding interprofessional collaborative patient-centred practice (ICPCP) could be readily accessed and then transferred to the workplace. The purpose of this paper is to better…

Indices for quality of health care were developed for management of selected patient problems in a hospital setting. Analysis of physician staff members' patterns of patient management with respect to these indices led to individualized educational effort for each physician staff member. One year later, physicians' patterns of patient management…

This document describes new health programs with the purpose of strengthening the ways in which health care is organized and delivered in communities. These programs include the National Center for Health Services Research & Development, Community Health Service, National Health Service Corps, National Institute of Occupational Safety and Health,…