background equity of access to health and provider payment mechanism in healthcare is a worldwide debated. healthcare reforms are primarily designed to improve productivity, economic efficiency and quality of care; however, an appropriate reimbursement of healthcare providers for services offered to patients and marinating a robust payment mechanism are not elucidated yet. conclusions no single...

Sylvan L. Weinberg, MD, MACC Educational Objectives The goals of this activity are to improve the prevention and diagnosis of cardiovascular disease, as well as the management of patients with cardiovascular disease. After completing the activity, the clinician will be better able to: 1. Explain the benefits associated with continuation of intensive combination lipidlowering therapy after a rec...

this paper critically reviews studies that have interpretively invoked communication accommodation theory (cat) for the study of patient-provider interaction. cat’s sociolinguistic strategies—approximation, interpretability, interpersonal control, discourse management, and emotional expression—are succinctly introduced and their use in studies of patient-provider interaction discussed. the majo...

Patient-provider family planning discussions and preconception counseling can reduce maternal and neonatal risks by increasing adherence to provider recommendations and antiretroviral medication. However, HIV-infected women may not discuss reproductive intentions with providers due to anticipation of negative reactions and stigma. This study aimed to identify correlates of patient-provider fami...

INTRODUCTION Many providers report lack of confidence in managing patients with chronic pain. Thus, the primary aim of this study was to investigate the associations of provider confidence in managing chronic pain with their practice behaviors and demographics. MATERIALS AND METHODS The primary outcome measure was the results of the Opioid Therapy Provider Survey, which was administered to cl...

Objective. To examine the proportion of health care providers who counsel adolescent patients on sports and energy drink (SED) consumption and the association with provider characteristics. Methods. This is a cross-sectional analysis of a survey of providers who see patients ≤17 years old. The proportion providing regular counseling on sports drinks (SDs), energy drinks (EDs), or both was asses...

BACKGROUND Outcome disparities between urban and rural pediatric trauma patients persist, despite regionalization of trauma systems. Rural patients are initially transported to the nearest emergency department (ED), where pediatric care is infrequent. We aim to identify educational intervention targets and increase provider experience via pediatric trauma simulation. METHODS Prospective study...

INTRODUCTION Within China's multi-tiered medical system, many patients seek care in higher-tiered hospitals without a referral by a primary-care provider. This trend, generally referred to as patient self-referral behavior, may reduce the efficiency of the health care system. This study seeks to test the hypothesis that having a usual primary care provider could reduce patients' self-referral b...

IMPORTANCE Individuals with age-related eye disease (ARED) need to use eye care services for detection, assessment, and care at regular intervals. OBJECTIVE To explore the association between socioeconomic position (SEP) and use of eye care services among US adults with self-reported ARED during 2002 and 2008. DESIGN Data were from the National Health Interview Survey 2002 and 2008. We used...

This paper critically reviews studies that have interpretively invoked communication accommodation theory (CAT) for the study of patient-provider interaction. CAT’s sociolinguistic strategies—approximation, interpretability, interpersonal control, discourse management, and emotional expression—are succinctly introduced and their use in studies of patient-provider interaction discussed. The majo...