OBJECTIVES Despite a strong link between antibiotic use and resistance, and highly variable antibiotic consumption rates across the USA, drivers of differences in consumption rates are not fully understood. The objective of this study was to examine how provider density affects antibiotic prescribing rates across socioeconomic groups in the USA. METHODS We aggregated data on all outpatient an...

Dizziness is a prevalent symptom in the general population, accounting for a considerable share of physician office visits, and most causes are clinically treatable. It is also a common indication for neuroimaging studies, in order to identify a specific etiology and exclude surgical causes. Here, we illustrate the main peripheral and central causes of dizziness, discussing their possible diffe...

OBJECT The primary objective of this study was to measure the incidence of concussion according to a relative number of athlete exposures among 25 male and 20 female varsity ice hockey players. The secondary objective was to present neuropsychological test results between preseason and postseason play and at 72 hours, 2 weeks, and 2 months after concussion. METHODS Every player underwent base...

The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters. Abstract: Background: Acute respiratory infections (ARIs) are the most common symptomatic reason to

Quality Partners of Rhode Island, the Medicare Quality Improvement Organization, was awarded a Medicare contract to implement a three-year care transitions program. The Safe Transitions Project aimed to improve the safety of patient care transitions by translating effective patient and provider interventions into sustainable systems change. After testing evidencebased interventions locally and ...

Interactions between the laboratory and outpatient physician are critical to ensure the appropriateness, accuracy, and utility of laboratory results. A recent Institute of Medicine report suggested that the consequences of medical errors in the outpatient setting-and the opportunities to improve-"may dwarf those in hospitals." This article focuses on the role of the physician's office in labora...

The main objective of this article is to analyze the vaccines market in Brazil, which is characterized as consisting of two segments with distinct practices and logics: the public segment, focused on supply within the Unified National Health System (SUS) and the private segment, organized around private clinics, physicians' offices, and similar private health facilities. The private vaccines ma...

Clinical research is increasingly conducted in settings that include private physicians' offices, clinics, community hospitals, local institutes, and independent research centers. The migration of such research into this new, non-academic environment has brought new cadres of researchers into the clinical research enterprise and also broadened the pool of potential research participants. Regula...

Patients prepare advance directives in an effort to maintain autonomy during periods of incapacity or at the end of life. Advance directive documents are specific to the state in which the patient lives, but an effective strategy in the family physician's office involves more than filling out a form. Physician barriers to completing an advance directive include lack of time and discomfort with ...

Retainer care arrangements allow patients to pay a retainer directly to a physician's office in order to obtain special access to care.' Practices usually convert to retainer status by focusing their attention on those willing to pay a retainer fee, and dropping the majority of their patients, who are left to be absorbed by other practices.2 Also known as "boutique medicine," "concierge care," ...