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...

OBJECTIVE To determine community support and identify appropriate learning methodologies, parameters of delivery, and intervention content. DESIGN Qualitative descriptive study in which participants were interviewed in a semistructured format. Data were analyzed thematically. SETTING An urban pediatric primary care clinic from which youths and parents were recruited. PARTICIPANTS Ten yout...

BACKGROUND Interventions to increase recommended cancer screening tests and discussions are needed. METHODS We developed PRE-VIEW (The PREventive VIdeo Education in Waiting Rooms Program), a multimedia cancer prevention intervention for primary care clinics based on the Transtheoretical Model of Behavior Change We pilot tested PRE-VIEW An Interactive Video Doctor plus Provider Alert for feasi...

BACKGROUND Health literacy screening is often not performed in clinical settings. One possible reason is the concern about the time involved in performing such assessments. Our objective was to measure the time required to administer the Newest Vital Sign (NVS) literacy assessment instrument to English-speaking primary care patients. METHODS The NVS was administered to 78 consecutive English-...

BACKGROUND It is important to know the current level of primary care performance in order to evaluate and plan for desirable health policy. We tried to compare patient's assessment of primary (family physician, general practitioner, internist, pediatrician, and general surgeon) and non-primary (the other specialties) care physicians. METHODS Study subjects were physicians of primary care clin...

Using data from a national survey of adult day care centers, it was found that a typical center had revenues of approximately $140,000 and expenses that were slightly higher. Most of the revenue was from Federal sources, with Medicaid being the largest single source. The median cost per participant day was $29.50, over one-half of which was attributable to labor expenses. To the extent that adu...

I met Diego (names in this article have been changed to protect patient privacy) for the first time in my primary care clinic at Boston Medical Center when he was 3 days old. When I entered the room, both he and his mother, Esmerelda, were crying. Esmerelda had fled an abusive relationship in the Dominican Republic and arrived in Boston alone, just in time to deliver her first son. She knew no ...

The United States is experiencing one of its largest migratory waves, so health providers are caring for many patients who do not speak English. Bilingual nurses who have not been trained as medical interpreters frequently translate for these patients. To examine the accuracy of medical interpretations provided by nurses untrained in medical interpreting, we conducted a qualitative, cross-secti...

S ince 1952, the US Army Institute of Surgical Research (USAISR) Burn Center has provided comprehensive care for patients who have sustained severe thermal trauma, inhalation injury, and other diseases related to burn trauma. The Army Burn Center serves the entire population encompassed by the military health care system as well as veterans and civilian emergency patients requiring burn center ...