The Journal of family practice
-
Randomized Controlled Trial Clinical Trial
The impact of patient-centered care on outcomes.
We designed this observational cohort study to assess the association between patient-centered communication in primary care visits and subsequent health and medical care utilization. ⋯ Patient-centered communication influences patients' health through perceptions that their visit was patient centered, and especially through perceptions that common ground was achieved with the physician. Patient-centered practice improved health status and increased the efficiency of care by reducing diagnostic tests and referrals.
-
Randomized Controlled Trial Clinical Trial
Training in back care to improve outcome and patient satisfaction. Teaching old docs new tricks.
We examined clinical outcomes and patient perceptions of back care given by physicians before and after an intensive course of training in back care and limited manual therapy techniques. ⋯ A structured clinical approach to low back care may bring modestly improved clinical outcomes and patient satisfaction.
-
Randomized Controlled Trial Clinical Trial
The effect of an illustrated pamphlet decision-aid on the use of prostate cancer screening tests.
Prostate cancer screening with serum prostate-specific antigen (PSA) and digital rectal examination (DRE) continues to increase. Our goal was to test the effect of a prostate cancer screening decision-aid on patients' knowledge, beliefs, and use of prostate cancer screening tests. ⋯ When used in a primary care setting, an illustrated pamphlet decision-aid was effective in increasing knowledge of prostate cancer screening tests but did not change the use of these tests.
-
Randomized Controlled Trial Clinical Trial
Cutaneous injections of sterile water for the relief of labor pain.
-
Randomized Controlled Trial Clinical Trial
A randomized controlled trial of nonpharmacologic approaches for relief of low back pain during labor.
Low back pain is common during labor. Our randomized controlled trial compared the effectiveness of 3 nonpharmacologic approaches for relief of back pain. ⋯ Intracutaneous sterile water injections are more effective than standard care (back massage, bath, and mobilization) or transcutaneous electrical nerve stimulation for relieving low back pain during labor.