The 1991 National Health Provider Inventory (NHPI) was a survey of nursing homes, board and care homes, hospices,and home health agencies. This report deals primarily with nursing homes and board and care homes but includes some discussion of home health care. The NHPI was previously known as he Inventory of Long-Term Care Places (ETCP), which was conducted in 1986 (1). Before that, it was know...

or over 20 years, the composition, delivery and importance of primary care have been the subject F of quickening international reform. In 1993, the United Kingdom government announced a “primary care-led” National Health Service, underpinned by primary care commissioning and general practitioner fundholding, both vehicles to allow local primary care clinicians to influence government purchasing...

Carl van Walraven and colleagues recently presented a timely article about the information gaps that impede continuity of care for Canadian patients. Both the article and the accompanying commentary discussed the potential of electronic health records for facilitating provider-to-provider information sharing. This possibility is becoming a reality as the Canada Health Infoway works to establish...

This article identifies the impact of managed-care reforms on the utilization of medical services within the military health-services system. The data come from a recent demonstration project that substituted an HMO and PPO for traditional FFS arrangements. Results from a semiparametric model indicate that the generosity of benefits in the HMO increased demand for ambulatory services. Unlike...

BACKGROUND AND OBJECTIVES A commonly cited explanation of how racial discrimination impacts health is the biopsychosocial model. However, the biopsychosocial model does not allow for the effects of perceived provider discrimination on health behavior and utilization. In fact, researchers have directed relatively little attention toward the direct and indirect effects of perceived provider discr...

INTRODUCTION Routine screening for intimate partner violence (IPV) is endorsed by numerous health professional organizations. Screening rates in health care settings, however, remain low. In this article, we present a review of studies focusing on provider-specific barriers to screening for IPV and interventions designed to increase IPV screening in clinical settings. METHODS A review of publ...

OBJECTIVE The way that health care providers feel, both within themselves and toward their patients, may influence their clinical performance and impact patient safety, yet this aspect of provider behavior has received relatively little attention. How providers feel, their emotional or affective state, may exert a significant, unintended influence on their patients, and may compromise safety. ...

BACKGROUND Although clinical trials have shown that proper management of diabetes can improve outcomes, and treatment guidelines are widespread, glycated hemoglobin (HbA1c) levels in the United States are rising. Since process measures are improving, poor glycemic control may reflect the failure of health care providers to intensify diabetes therapy when indicated--clinical inertia. We asked wh...

OBJECTIVE To assess the impact of health coaching on patients' in their primary care provider. METHODS Randomized controlled trial comparing health coaching with usual care. PARTICIPANTS Low-income English or Spanish speaking patients age 18-75 with poorly controlled type 2 diabetes, hypertension and/or hyperlipidemia. MAIN OUTCOME MEASURE Patient trust in their primary care provider meas...