OBJECTIVE This study investigates the relationship of 'online commentary' (contemporaneous physician comments about physical examination [PE] findings) with (i) parent questioning of the treatment recommendation and (ii) inappropriate antibiotic prescribing. METHODS A nested cross-sectional study of 522 encounters motivated by upper respiratory symptoms in 27 California pediatric practices (3...

This commentary addresses Bowen et al’s empirical study of perspectives of Canadian healthcare staff towards research and their call for multi-faceted action to improve misalignments in the system. This commentary argues that tensions and misalignments between research and service are inherent and can never be eradicated. Building on previous work by Lanham et al, I pro...

this commentary considers the vexed question of whether or not we should be spending time and resources on using multifaceted interventions to undertake implementation of evidence in healthcare. a review of systematic reviews has suggested that simple interventions may be just as effective as those taking a multifaceted approach. taking cognisance of the promoting action on research implementat...

in arabic grammar, adjective is one of the five syntactic appositives and thus follows the features and rules of syntactic apposition. usually, there is a main principle on which a consensus of the authentic references is recorded, while the minor rules and secondary regulations might vary in different grammar books. this paper aims at representing ibn ya’ish ‘s viewpoints on adjective and subs...

This commentary on the recent think piece by Mannion and Exworthy reviews their core arguments, highlighting their suggestion that recent forces for personalization have emerged which may counterbalance the strong standardization wave which has been evident in many healthcare settings and systems over the last two decades. These forces for personalization can take very different forms. The comm...

We define collaborative commentary as the involvement of a research community in the interpretive annotation of electronic records. The goal of this process is the evaluation of competing theoretical claims. The process requires commentators to link their comments and related evidentiary materials to specific segments of either transcripts or electronic media. Here, we examine current work in t...

Gorik Ooms recently made a strong case for considering the centrality of normative premises to analyzing and understanding the underappreciated importance of the nexus of politics, power and process in global health. This critical commentary raises serious questions for the practice and study of global health and global health governance. First and foremost, this commentary underlines the impor...

This commentary provides an overview of the organizational readiness for change (ORC) literature over the last decade, with respect to prevailing definitions, theories, and tools to guide assessment of ORC in preparation for implementation. The development of the OR4KT by Gagnon et al is an important contribution to this body of work. This commentary highlights the strengths of the OR4KT includ...