Journal of general internal medicine
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To understand patient factors that may affect the probability of receiving appropriate depression treatment, we examined treatment preferences and their predictors among depressed primary care patients. ⋯ Despite low rates of treatment for depression, most depressed primary care patients desire treatment, especially counseling. Preferences for depression treatment vary by ethnicity, gender, income, and knowledge about treatments.
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Review
Detection, evaluation, and treatment of eating disorders the role of the primary care physician.
To describe how primary care clinicians can detect an eating disorder and identify and manage the associated medical complications. ⋯ Primary care providers have an important role in detecting and managing eating disorders.
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To qualitatively determine factors that are associated with higher participation rates in community-based health services research requiring significant physician participation burden. ⋯ Physician personal contact and friendship networks are powerful tools for recruitment. Participation rates might improve by including HMO and minority physicians in the recruitment process. Investigators should transfer as much of the study burden from participating physicians to project staff as possible.
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To ascertain the extent of, and risk factors for, physical abuse among older urban American Indian/Alaska Natives (AI/ANs), we conducted a chart review of 550 urban AI/AN primary care patients >/=50 years old seen during 1 year. Mistreatment was documented in 10%. ⋯ We conclude that providers should be alert to the possibility of physical mistreatment among older urban AI/ANs. Improvements in detection and management are sorely needed.