Journal of general internal medicine
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Patient agency in contraceptive decision-making is an essential component of reproductive autonomy. ⋯ The Contraceptive Agency Scale can be used in research and clinical care to reinforce non-coercive service provision as a standard of care.
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Obesity (body mass index [BMI]≥30kg/m2) among US adults has tripled over the past 45 years, but it is unclear how this population-level weight change has occurred. ⋯ BMI in the 10 years following VA enrollment increased modestly. VA should continue prioritizing weight management interventions to the large number of veterans with obesity upon VA enrollment, because the majority remain with obesity.
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Observational Study
Inappropriate Hospital Admission According to Patient Intrinsic Risk Factors: an Epidemiological Approach.
Inappropriate hospital admissions compromise the efficiency of the health care system. This work analyzes, for the first time, the prevalence of inappropriate admission and its association with clinical and epidemiological patient characteristics. ⋯ The prevalence of inappropriate admissions is similar to the incidence found in previous studies and is a useful indicator in monitoring this kind of overuse. Patients with a moderate number of comorbidities were subject to a higher level of inappropriateness. Inappropriate admission had a substantial and avoidable financial impact.