BACKGROUND The purpose of this study was to measure the impact of an educational intervention on parents of children taking methotrexate (MTX) for juvenile idiopathic arthritis (JIA). METHODS This study was conducted using a pre- and postsurvey design. The parents of 100 children with JIA taking MTX for at least 2 months were surveyed during a routine office visit. The parents completed an in...

Most research on adults with chronic conditions focuses on a single disease or condition, such as hypertension or diabetes, rather than on multiple chronic conditions (MCC). Our study's objective was to compare physician office visits by adults with MCC with visits by adults without MCC, by selected patient demographic characteristics. We also identified the most prevalent dyads and triads of c...

AIMS (1) To determine the proportion of children evaluated for musculoskeletal pain in a paediatric primary care clinic over a three year period; (2) to describe the number of office visits due to musculoskeletal pain; (3) to categorise the more common presenting complaints; and (4) to characterise the aetiology of musculoskeletal pain in a paediatric primary care clinic. METHODS Retrospectiv...

CONTEXT National physician practices related to the clinical recognition and management of obesity are unknown. OBJECTIVES To estimate national patterns of office-based, obesity-related practices and to determine the independent predictors of these practices. DESIGN Serial cross-sectional surveys of physician office visits. SETTING Ambulatory medical care in the United States. PATIENTS ...

BACKGROUND Although pediatricians and family physicians are trained in the care of children, previous studies have revealed significant differences in the medical care and specialty referral patterns each provides. During the 1990s, several developments in the population and the health care system (eg, aging of the population and increases in Medicaid managed care) may have resulted in changes ...

OBJECTIVE To determine whether newly developed anticipatory guidance materials designed to teach the use of time-outs and the importance of reductions in childhood television viewing would be recalled by parents and if their use would result in changes in self-reported parental behavior. SUBJECTS AND SETTING A total of 559 parents of children aged 14 months to 6 years recruited at the time of...

Reliably determining levels of pain in this population is difficult and there are more than 50 currently used pain scales [1]. Neonates and infants form a unique group. Members of this group are valued very high in society and are precious for family. Parents are willing to spend, all health care providers are very keen to treat this group; with more office visits more frequent hospitalizations...

OBJECTIVES The purpose of this study was to determine the relation among multiple morbidities and the prevalence of colorectal cancer (CRC) screening among older adult Appalachian residents of Kentucky. This is the first known study to address multiple morbidities exclusively with a health-disparities population. METHODS This was a cross-sectional study of 1153 subjects, aged 50 to 76 years, ...

DURING THE 1980S, RENEWED interest in the patientphysician relationship and the availability of more sophisticated audio and video technology allowed investigators to explore medical discourse in unprecedented detail. One of the most frequently quoted studies from this period (Beckman and Frankel) suggested that patients, asked to describe their concerns by a physician, were most often redirect...

STUDY OBJECTIVES To assess the roles of poor access to care, psychological risk factors, and asthma severity in frequent emergency department (ED) use. DESIGN A cross-sectional survey. SETTING Harlem Hospital Center ED and outpatient chest clinic. PARTICIPANTS Three hundred seventy-five adult residents of Harlem, a predominantly African-American community in New York City. MEASUREMENTS ...