Journal of general internal medicine
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Multicenter Study Comparative Study Clinical Trial
Clinic HIV-focused features and prevention of Pneumocystis carinii pneumonia.
To examine the association of clinic HIV-focused features and advanced HIV care experience with Pneumocystis carinii pneumonia (PCP) prophylaxis and development of PCP as the initial AIDS diagnosis. ⋯ PCP prevention in our study cohort appears to be more successful in clinics offering an array of HIV-focused features.
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Multicenter Study Comparative Study
Patient and physician roles in end-of-life decision making. End-of-Life Study Group.
This study is a cross-sectional descriptive survey of randomly selected primary care patients and physicians regarding patient, physician, and family roles in end-of-life decision making. The subjects included 329 adult outpatients and 272 practicing physicians. ⋯ Patients were more likely than physicians to believe the physician should provide a recommendation in addition to facts to help the patient make end-of-life decisions. We conclude that patients prefer a more active role for physicians in both decision making and discussion of end-of-life care than do physicians themselves.