Journal of general internal medicine
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Multicenter Study
Cross-cultural similarities and differences in attitudes about advance care planning.
Culture may have an important impact on a patient's decision whether to perform advance care planning. But the cultural attitudes influencing such decisions are poorly defined. This hypothesis-generating study begins to characterize those attitudes in 3 American ethnic cultures. ⋯ While grounded in values that may compose part of American core culture, advance care planning may need tailoring to a patient's specific ethnic views.
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Multicenter Study
Quality of life is impaired in men with chronic prostatitis: the Chronic Prostatitis Collaborative Research Network.
Health-related quality of life (HRQOL) impairment may be a central component of chronic prostatitis for men afflicted with this condition. Our objective was to examine HRQOL, and factors associated with HRQOL, using both general and condition-specific instruments. ⋯ Men with chronic prostatitis experience impairment in the mental and physical domains of general HRQOL, as well as condition-specific HRQOL. To optimize the care of men with this condition, clinicians should consider administering HRQOL instruments to their patients to better understand the impact of the condition on patients' lives.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Does physician education on depression management improve treatment in primary care?
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Randomized Controlled Trial Multicenter Study Clinical Trial
Effectiveness of a focused educational intervention on resident evaluations from faculty a randomized controlled trial.
To improve the quality and specificity of written evaluations by faculty attendings of internal medicine residents during inpatient rotations. ⋯ A brief, focused educational intervention delivered to faculty prior to the start of a ward rotation appears to have a modest effect on faculty behavior for written evaluations and promoted higher quality feedback given to house staff.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Effect of computer support on younger women with breast cancer.
Assess impact of a computer-based patient support system on quality of life in younger women with breast cancer, with particular emphasis on assisting the underserved. ⋯ Computer-based patient support systems such as CHESS may benefit patients by providing information and social support, and increasing their participation in health care. These benefits may be largest for currently underserved populations.