OBJECTIVES To examine the relationships of parental and family pain history on the pain experience of children with chronic rheumatic disease. The aims of the study were as follows: 1) to describe the pain history of parents and families of children with rheumatic disease, 2) to examine relationships between parental and family pain history and the pain report and physician-rated health status ...

OBJECTIVE Glycemic variability (GV) is an important component of overall glycemic control for patients with diabetes mellitus. Physicians are able to recognize excessive GV from continuous glucose monitoring (CGM) plots; however, there is currently no universally agreed upon GV metric. The objective of this study was to develop a consensus perceived glycemic variability (CPGV) metric that could...

BACKGROUND The online health care community is not just a place for the public to share physician reviews or medical knowledge, but also a physician-patient communication platform. The medical resources of developing countries are relatively inadequate, and the online health care community is a potential solution to alleviate the phenomenon of long hospital queues and the lack of medical resour...

OBJECTIVES To develop and conduct a preliminary validation of selected subscales of an elder-friendly emergency department (ED) assessment tool. DESIGN Content validation of tool by an international panel. Construct validation using care ratings of ED lead physicians and nurses. SETTING Quebec, Canada. PARTICIPANTS The international panel comprised 34 clinicians, administrators, and resea...

RESEARCH OBJECTIVE To assess the extent to which the organizational culture of physician group practices is associated with individual physician satisfaction with the managerial and organizational capabilities of the groups. STUDY DESIGN AND METHODS Physician surveys from 1997 to 1998 assessing the culture of their medical groups and their satisfaction with six aspects of group practice. Orga...

BACKGROUND On February 6th, 2015, the Supreme Court of Canada ruled that competent adults suffering intolerably from a grievous and irremediable medical condition have the right to the assistance of a physician in ending their own lives, an act known as physician-assisted death, and later defined as medical assistance in dying, allowing for provision by a physician or a nurse practitioner. As o...

BACKGROUND Awareness of chronic kidney disease (CKD) is suboptimal among patients with CKD, perhaps due to poor readability of patient education materials (PEMs). We reviewed the suitability and readability of common PEMs that focused on 5 content areas: basics of CKD, risk factors for CKD development, risk factors for CKD progression, complications of CKD and self-management strategies to impr...

BACKGROUND Prior studies show significant gaps in the informed decision-making process, a central goal of surgical care. These studies have been limited by their focus on low-risk decisions, single visits rather than entire consultations, or both. Our objectives were, first, to rate informed decision-making for major elective vascular surgery based on audiotapes of actual physician-patient conv...

A typical joint venture is structured as a limited liability company (LLC). Under this nontaxable structure, income passes directly through to the owners, which benefits both physicians and hospitals. For taxable owners, such as physicians, the income is not subject to “double taxation” (where earnings are taxable both to the corporation and to the individual investor). And for a nonprofit enti...