in any clinical encounter, an effective physician-patient relationship is necessary for achieving the desired outcome. this outcome is successful treatment, and therefore, the relationship should be a healing one. in addition, in the islamic view, the physician is a manifestation of god’s healing attribute, which is usually undermined in everyday therapeutic communications. yet there are few em...

background we aimed to identify the indicators of healthcare fraud and abuse in general physicians’ drug prescription claims, and to identify a subset of general physicians that were more likely to have committed fraud and abuse.   methods we applied data mining approach to a major health insurance organization dataset of private sector general physicians’ prescription claims. it involved 5 ste...

background and aims: visit quality is a crucial component of patient-physician interaction that its inadequacy can negatively influence the diagnosis and treatment efficiency. the waiting time and visit length are important determinants of quality in the outpatient care setting. thus, the aim of this study was to determine waiting time and visit length and to compare them before implementation ...

introduction: despite potential benefits of cpoe (computerized physician order entry) systems, recent studies have cast some doubts on their role in reducing errors. cpoe systems with poorly designed interfaces have proven to cause dissatisfaction and introduce new kinds of errors in the ordering process. the main objective of this study is to identify problems related to a cpoe medication syst...

An enduring problem in electoral systems is that of "disproportionality," i.e., the mismatch between a party's percentage of the popular vote and its percentage of legislative seats. Such disproportionality is quite common and extreme cases are easy to find in the real word. To give just one example, the Liberal Party in Britain polled 13.8% of the national vote in 1979 but was rewarded with on...

-The kinematics of the Eocene episode of compression between the Iberian and European plates is examined. It is p r o p d that the boundary between the two plates extended West of the Pyrenees, dong the Spanish marginal trench to end West of King's trough at a triple point junction. The pole of relative rotation computed within this hypothesis lies near5g0N; 62"W and the resulting shortening al...

In the wake of meltdowns at WorldCom, Tyco, and Enron, enormous attention has been focused on the companies' boards. It seems inconceivable that business disasters of such magnitude could happen without gross or even criminal negligence on the part of board members. And yet a close examination of those boards reveals no broad pattern of incompetence or corruption. In fact, they followed most of...

In 2006, the Synthesis Project published a research synthesis on the impact of hospital mergers on prices, costs and quality of care (38). Since that time, the literature has expanded a great deal. We review those subsequent findings in this Synthesis Update. In particular, we focus on the impact of hospital mergers on prices and quality, and introduce a review of the evidence on physician-hosp...

As family physicians, we often strive to provide patient-centered care and place great value on communicating effectively with patients. We get to know our patients, their families and their concerns over time, and very often patients appreciate the care they receive. Despite our efforts, however, between 30 percent and 80 percent of patients’ expectations are not met in routine primary care vi...

background and objectives: effective nurse-physician communication is essential for provision of high quality clinical care. research into nurse-physician communication is a new field in iran, and the importance of the issue calls for further investigation. in response to this necessity, this study aimed to assess nurses’ perception of nurse-physician communication in teaching hospitals affilia...