This study examines frequent attenders of a pediatric primary care clinic at a large urban children's hospital--who they are and their reasons for frequent attendance to the clinic. The literature suggests that some visits by frequent attenders may not be medically necessary, and these additional appointments may impair others' access to medical care within the same system. The key to eliminati...

This is a prospective study of clinical questions generated in primary care consultations and a comparison of two approaches to answering those clinical questions. Twenty-one doctors in a university-based primary care clinic submitted 78 clinical questions arising from patient consultations during 24 clinic days (0.01 question per patient encounter). These doctors subsequently found answers to ...

The description of the Swedish system still needs to be improved. On page 10 it should be said that the Swedish health system has three administrative levels: The national level which has responsibility for law, regulations, monitoring, evaluation and some national state obligations like national disease control and drug registration and drug control; The county council level which has responsi...

BACKGROUND AND OBJECTIVES Infants who live in households experiencing food insecurity are at risk for negative health and developmental outcomes. Despite large numbers of households within our population experiencing food insecurity, identification of household food insecurity during standard clinical care is rare. The objective of this study was to use quality-improvement methods to increase i...

OBJECTIVE To survey parents bringing children to an urban pediatric primary care clinic about (1) how they learned parenting skills, (2) role of the clinic in teaching parenting, (3) helpfulness of information sources, and (4) preferred modalities for teaching. METHODS A total of 108 adults completed an oral survey in clinic, consisting of open-ended questions, yes/no endorsements, Likert rat...

BACKGROUND Consumer e-Health is a potential solution to the problems of accessibility, quality and costs of delivering public healthcare services to patients. Although consumer e-Health has proliferated in recent years, it remains unclear if patients are willing and able to accept and use this new and rapidly developing technology. Therefore, the aim of this research is to study the factors inf...

1Swedish National Competence Center Musculoskeletal Disorders, Skåne University Hospital, Lund, The Swedish Knee Arthroplasty Register, and Lund University; 2The Swedish Hip Arthroplasty Register, Sahlgrenska University Hospital and Göteborg University, Göteborg, Sweden; 3The Finnish Arthroplasty Register and Department of Public Health, University of Helsinki; 4The Finnish Arthroplasty Registe...

(1) Department of Neurology, Oregon Health & Science University, Portland, OR (2) MS Center of Excellence – East, VA Maryland Health Care System and Department of Neurology, University of Maryland School of Maryland, Baltimore, MD (3) Multiple Sclerosis Center, Swedish Neuroscience Institute, Seattle, WA (4) Multiple Sclerosis Service and Complementary and Alternative Medicine Service, Colorado...

BACKGROUND The organisation of Swedish primary health care has changed following introduction of free choice of provider for the population in combination with freedom of establishment for private primary care providers. Our aim was to investigate changes in individual health care utilisation following choice and privatisation in Swedish primary care from an equity perspective, in subgroups def...