Journal ArticleDOI
Guide to clinical preventive services: a challenge to physician resourcefulness
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TLDR
The physician's degree of resourcefulness, i.e., the ability to deal skillfully and promptly with new situations, is important for changing the health behaviors of patients within the constraints of a brief office visit, was in short supply among primary care physicians selected for their interest in preventive medicine.Abstract:
The physician's degree of resourcefulness, i.e., the ability to deal skillfully and promptly with new situations, is important for changing the health behaviors of patients within the constraints of a brief office visit. This quality, however, was in short supply among 15 primary care physicians selected for their interest in preventive medicine. The physicians tended to rely on a single approach for changing specific health behaviors of patients, restricted referrals to community services and other health specialists, relied almost exclusively on fear for motivating patients and expressed considerable pessimism about changing the health behaviors of older patients. The physicians uniformly reported that their inadequate education and the lack of reimbursement influenced how they counseled their patients. A good place to begin to rectify this situation is the required reading of the Guide to Clinical Preventive Services for medical students and residents, and continuing education opportunities for practic...read more
Citations
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Journal ArticleDOI
Grading quality of evidence and strength of recommendations.
David C. Atkins,Dana Best,Peter A. Briss,Martin P Eccles,Yngve Falck-Ytter,Signe Flottorp,Gordon H. Guyatt,Robin Harbour,Margaret C Haugh,David Henry,Suzanne Hill,Roman Jaeschke,Gillian Leng,Alessandro Liberati,Nicola Magrini,James Mason,Philippa Middleton,Jacek Mrukowicz,Dianne L. O'Connell,Andrew D Oxman,Bob Phillips,Holger J. Schünemann,Tessa Tan-Torres Edejer,H. Varonen,Gunn Elisabeth Vist,John W Williams,Stephanie Zaza +26 more
TL;DR: A system for grading the quality of evidence and the strength of recommendations that can be applied across a wide range of interventions and contexts is developed, and a summary of the approach from the perspective of a guideline user is presented.
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Why Don't Physicians Follow Clinical Practice Guidelines?: A Framework for Improvement
Michael D. Cabana,Cynthia S. Rand,Neil R. Powe,Albert W. Wu,Modena E. H. Wilson,Paul Andre C. Abboud,Haya R. Rubin +6 more
TL;DR: A differential diagnosis for why physicians do not follow practice guidelines is offered, as well as a rational approach toward improving guideline adherence and a framework for future research are offered.
Journal ArticleDOI
Constructions of masculinity and their influence on men's well-being: a theory of gender and health.
TL;DR: How factors such as ethnicity, economic status, educational level, sexual orientation and social context influence the kind of masculinity that men construct and contribute to differential health risks among men in the United States is explored.
Journal ArticleDOI
Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology.
Bernard Levin,David A. Lieberman,Beth McFarland,Kimberly S. Andrews,Durado Brooks,John H. Bond,Chiranjeev Dash,Francis M. Giardiello,Seth N. Glick,David W. Johnson,C. Daniel Johnson,Theodore R. Levin,Perry J. Pickhardt,Douglas K. Rex,Robert A. Smith,Alan G. Thorson,Sidney J. Winawer +16 more
TL;DR: Clinicians should be prepared to offer patients a choice between a screening test that is effective at both early cancer detection and cancer prevention through the detection and removal of polyps and those that can detect cancer early and also can detect adenomatous polyps.
Journal ArticleDOI
Evaluating non-randomised intervention studies.
Jonathan J Deeks,Jacqueline Dinnes,Roberto D'Amico,Amanda Sowden,C Sakarovitch,Fujian Song,Mark Petticrew,Douglas G. Altman +7 more
TL;DR: The inability of case-mix adjustment methods to compensate for selection bias and the inability to identify non- randomised studies that are free of selection bias indicate that non-randomised studies should only be undertaken when RCTs are infeasible or unethical.
References
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Journal ArticleDOI
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