When the examination of Gordon began on January 17, 1929, I was far more interested in comparing his responses with those of his previous examination in July, 1928, than in observing the boy himself. This attitude may be explained by the fact that he is none too attractive a youngster either in appearance or in personality. Even a first impression of that protruding jaw and those thick shapeles...

BACKGROUND As healthcare services become progressively more stretched, there is increasing discussion of ways in which technological adjuncts may be used to deliver more cost-efficient services. Before widespread implementation, however, the use of these adjuncts requires proper scrutiny of their effects on psychological practice. AIMS This research examined the effectiveness of SMS reminders...

Screening clinics are held twice weekly, at times when all the examination rooms are available; one in the morning, the other in the afternoon. Two doctors consult at these clinics, which allows greater freedom of times, and some choice of doctor. Our own nurse attends the clinic, and the forms, partly prepared in advance, are completed by a receptionist on the patient's arrival. This helps to ...

Recommended clinical preventive services are not being delivered despite well-documented benefits. Here we show that transferring simple and repetitive preventive services to nurse-staffed retail clinics provides an opportunity for dramatically improving their delivery. For each of 35 highbenefit, cost-effective preventive services, we identify required training, number of repetitions, and time...

BACKGROUND Since 1995, states and jurisdictions receiving federal immunization funds have been required to perform annual measurements of vaccination coverage in their public clinics, based on data from Georgia where clinic coverage increased after the institution of a measurement and feedback intervention. OBJECTIVE To determine if clinic vaccination coverage improved in localities that used...

In a 12-month period, a gonorrhoea screening programme was carried out and 192,983 cultures were collected from various sources in Tennessee; 7% were positive for gonococci. The positivity rate varied from 31-7% in veneral disease clinics to 0-5% in military dependants. The low yield of positive results in certain population groups suggests that selective groups of persons at high risk of infec...

Anesthesiologists can use the science of clinic scheduling to design appointment systems for preanesthesia evaluation clinics. The principal reasons reported for inappropriately [or arguably unethically] long patient waiting times are provider tardiness, lack of patient punctuality, patient no-shows, and improperly designed appointment systems. However, the fundamental reason why anesthesia cli...

BACKGROUND In the United States, the social myth that abortion clinics are unsafe, lonely places is pervasive. Little research has investigated the extent to which women's negative experiences of clinic interactions and processes confirm or contest this myth. STUDY DESIGN Semistructured interviews with 41 women who received an abortion at a clinic were conducted and analyzed using qualitative...