CONTEXT Sufficient numbers of patients are necessary to generate statistically reliable measurements of physicians' quality and cost performance. OBJECTIVE To determine whether primary care physicians in the same physician practice collectively see enough Medicare patients annually to detect meaningful differences between practices in ambulatory quality and cost measures. DESIGN, SETTING, A...

From the earliest definitions of the term primary care to the most recent, all have stressed that primary care is predicated on a sustained relationship between patients and the clinicians who care for them. Primary care differentiates itself from other areas of medicine by attending to the whole person, in the context of the patient’s personal and medical history and life circumstances, rather...

Congestive heart failure is a clinical condition in which the cannot send enough blood to meet body's metabolic needs due pathological cardiac changes. In recent decades, progressive increase patients affected by this disease has been observed; could be population age throughout world, as it that mainly affects elderly individuals, higher rate of general healing decrease mortality results more ...