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Thanks to Reviewersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Thanks to ReviewersDOI 10.1007/s11606-009-1172-9 Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Smoking Cessation Among Women with and at Risk for HIV: Are They Quitting?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  HIV-infected and at-risk women in this cohort have lower smoking cessation rates than the general population. Given the high prevalence of smoking, the high risk of adverse health events from smoking, and low rates of cessation, it is imperative that we increase efforts and overcome barriers to help these women quit smoking. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1150-2Authors David Goldberg, John H. Stroger, Jr Hospital of Cook County and Rush University Division of General Medicine 1901 W Harrison Street, 9th Floor, Administrative Building Chicago IL ...
Source: Journal of General Internal Medicine - November 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Erectile Dysfunction Drug Receipt, Risky Sexual Behavior and Sexually Transmitted Diseases in HIV-infected and HIV-uninfected Menemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION  EDD receipt was common but not associated with risky sexual behavior or STDs in this sample of HIV-infected and uninfected men. However, risky sexual behaviors persist in a minority of HIV-infected men, indicating ongoing need for prevention interventions. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1164-9Authors Robert L. Cook, University of Florida Departments of Epidemiology and Biostatistics and Medicine PO Box 100231 Gainesville FL 32610 USAKathleen A. McGinnis, Pittsburgh VA Healthcare System Pittsburgh PA USAJeffrey H. Samet, Boston University Boston M...
Source: Journal of General Internal Medicine - November 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Distinguished Reviewersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Distinguished ReviewersDOI 10.1007/s11606-009-1171-x Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 13, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Adult Cyclic Vomiting Syndrome Successfully Treated with Intranasal Sumatriptanemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report the case of a 47-year-old man with recurrent episodes of intractable nausea and vomiting for one year. His symptoms persisted for 4–7 days and then resolved spontaneously, only to return after periods of time ranging from one week up to a month. After an extensive workup, which failed to determine any causative explanation for his symptoms, he was diagnosed with cyclic vomiting syndrome. His episodes of vomiting were successfully terminated with the use of intranasal sumatriptan. In this case, we highlight that sumatriptan effectively aborted symptoms in an adult patient with cyclic vomiting syndrome....
Source: Journal of General Internal Medicine - November 12, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

The Day-to-Day Impact of Urogenital Aging: Perspectives from Racially/Ethnically Diverse Womenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  Urogenital symptoms can have a marked impact on sexual functioning, everyday activities, emotional wellbeing, body image, and interpersonal relations after menopause. Clinicians may need to question women actively about these symptoms, as many are reluctant to seek help for this problem. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1135-1Authors Alison J. Huang, University of California Department of Medicine San Francisco CA USAJanis Luft, University of California Women’s Health Clinical Research Center San Francisco CA USADeborah Grady, University of Cali...
Source: Journal of General Internal Medicine - November 11, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Development and Psychometric Properties of the 12-Item Diabetes Fatalism Scaleemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  The DFS is a valid and reliable measure of diabetes fatalism. Diabetes fatalism is associated with self-care problems, poor glycemic control, and decreased quality of life. Content Type Journal ArticleCategory Original ArticlesDOI 10.1007/s11606-009-1168-5Authors Leonard E. Egede, Medical University of South Carolina Department of Medicine, Center for Health Disparities Research Charleston SC USACharles Ellis, Medical University of South Carolina Department of Health Professions Charleston SC USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (S...
Source: Journal of General Internal Medicine - November 11, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Crushed Dreamsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory ReflectionDOI 10.1007/s11606-009-1174-7 Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 11, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Fruit for Thoughtemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Healing ArtsDOI 10.1007/s11606-009-1154-yAuthors Giskin Day, Imperial College London Department of Humanities Level 3, Sherfield Building London SW7 2AZ UKTamzin Cuming, Queen’s Hospital Romford, Essex UK Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 11, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Physician Preferences for Elements of Effective Consultationsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Physicians agreed on many essential elements for effective consultations. These results should guide efforts to improve communication in the consultation process and design electronic medical record systems. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1142-2Authors David R. Boulware, University of Minnesota Minneapolis MN USAAdrienne S. Dekarske, University of Minnesota Minneapolis MN USAGregory A. Filice, University of Minnesota Minneapolis MN USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of...
Source: Journal of General Internal Medicine - November 7, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Examining Patient Conceptions: A Case of Metastatic Breast Cancer in an African American Male to Female Transgender Patientemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  An African American male to female transgender patient treated with estrogen detected a breast lump that was confirmed by her primary care provider. The patient refused mammography and 14 months later she was diagnosed with metastatic breast cancer with spinal cord compression. We used ethnographic interviews and observations to elicit the patient’s conceptions of her illness and actions. The patient identified herself as biologically male and socially female; she thought that the former protected her against breast cancer; she had fears that excision would make a breast tumor spread; and she beli...
Source: Journal of General Internal Medicine - November 6, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Incident at a Chinese Restaurantemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Healing ArtsDOI 10.1007/s11606-009-1151-1Authors Jack Coulehan, Stony Brook University Center for Medical Humanities, Compassionate Care, and Bioethics Stony Brook NY 11794–8335 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 6, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Notes from the Editorial Officeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-009-1166-7Authors Jenni R. Clarkson, Regenstrief Institute Journal of General Internal Medicine 6th Floor, 1050 Wishard Boulevard Indianapolis IN 46202 USACindy Byrne, Regenstrief Institute Journal of General Internal Medicine 6th Floor, 1050 Wishard Boulevard Indianapolis IN 46202 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 6, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Code Status Documentation in the Outpatient Electronic Medical Records of Patients with Metastatic Canceremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  Despite the incurable nature of metastatic cancer, only a minority of patients had a code status documented in the electronic medical record. Content Type Journal ArticleCategory Brief ReportDOI 10.1007/s11606-009-1161-zAuthors Jennifer S. Temel, Massachusetts General Hospital Cancer Center 55 Fruit Street, Yawkey 7B Boston MA 02114 USAJoseph A. Greer, Massachusetts General Hospital Cancer Center 55 Fruit Street, Yawkey 7B Boston MA 02114 USASonal Admane, Massachusetts General Hospital Cancer Center 55 Fruit Street, Yawkey 7B Boston MA 02114 USAJessica Solis, Massachusetts General Hospital ...
Source: Journal of General Internal Medicine - November 6, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Smoking Prevalence among US Veteransemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  Although the prevalence of smoking has declined among US adults, there are opportunities to further reduce smoking among US veterans, particularly young veterans for whom the prevalence of smoking is similar to that of the US adult population during the late 1960s/early 1970s. Continued work is necessary to target the high smoking prevalence among veterans with CHD, a group for which smoking cessation is especially important. Content Type Journal ArticleCategory Brief ReportDOI 10.1007/s11606-009-1160-0Authors David W. Brown, Centers for Disease Control and Prevention 4770 Buford Highway ...
Source: Journal of General Internal Medicine - November 6, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

On the Psychology of Pharmaceutical Industry Gifts to Physiciansemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-009-1157-8Authors Donald A. Redelmeier, University of Toronto Department of Medicine Toronto Canada Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 6, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician Order Entry for Preventionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  The incidence of ADEs in these community hospital admissions was high, and most ADEs were preventable, mostly through CPOE. These data suggest that CPOE may be beneficial in this setting. Content Type Journal ArticleCategory Hospital MedicineDOI 10.1007/s11606-009-1141-3Authors Balthasar L. Hug, Brigham and Women’s Hospital Division of General Internal Medicine Brigham Circle, 1620 Tremont St., 3rd Floor Boston MA 02120-1613 USADaniel J. Witkowski, Women’s Healthcare Associates, P.C. Melrose MA USAColin M. Sox, Harvard Medical School and Harvard Pilgrim Health Care Center for Child Heal...
Source: Journal of General Internal Medicine - November 6, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Prevention of Type 2 Diabetes: Risk Status, Clinic, and Communityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Although the idea of preventing type 2 diabetes has been articulated since the discovery of insulin, only in the past decade have clinical trials demonstrated that diabetes can be prevented or delayed. These trials found lifestyle intervention reduces diabetes incidence by over 50% and is more efficacious than metformin. Evidence from prevention trials comes from persons with “pre-diabetes” in which blood glucose levels are elevated but not yet in the diabetes range. In normoglycemic persons, lifestyle or drug intervention has little impact on diabetes incidence. Prevention programs are often co...
Source: Journal of General Internal Medicine - November 5, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

The METER: A Brief, Self-Administered Measure of Health Literacyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  These initial findings show that the METER is a quick and practical measure of health literacy for use in clinical settings. Content Type Journal ArticleCategory Brief ReportDOI 10.1007/s11606-009-1158-7Authors Katherine A. Rawson, Kent State University Department of Psychology P.O. Box 5190 Kent OH 44242-0001 USAJohn Gunstad, Kent State University Department of Psychology P.O. Box 5190 Kent OH 44242-0001 USAJoel Hughes, Kent State University Department of Psychology P.O. Box 5190 Kent OH 44242-0001 USAMary Beth Spitznagel, Kent State University Department of Psychology P.O. Box 5190 Ken...
Source: Journal of General Internal Medicine - November 3, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Basic Biomedical Sciences and the Future of Medical Education: Implications for Internal Medicineemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The academic model of medical education in the United States is facing substantial challenges. Apprenticeship experiences with clinical faculty are increasingly important in most medical schools and residency programs. This trend threatens to separate clinical education from the scientific foundations of medical practice. Paradoxically, this devaluation of biomedical science is occurring as the ability to use new discoveries to rationalize clinical decision making is rapidly expanding. Understanding the scientific foundations of medical practice and the ability to apply them in the care of patients ...
Source: Journal of General Internal Medicine - November 3, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

The Dietary Quality of Persons with Heart Failure in NHANES 1999–2006email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Dietary quality of persons with self-reported heart failure was poor. Public health approaches and clinical dietary interventions are needed for persons with this increasingly prevalent clinical syndrome. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1139-xAuthors Stephenie C. Lemon, University of Massachusetts Medical School Division of Preventive and Behavioral Medicine, S7-745 55 Lake Avenue North Worcester MA 01655 USABarbara Olendzki, University of Massachusetts Medical School Division of Preventive and Behavioral Medicine, S7-745 55 Lake Avenue North Worc...
Source: Journal of General Internal Medicine - October 31, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Prescription Coverage, Use and Spending Before and After Part D Implementation: A National Longitudinal Panel Studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  In its first year, Part D coverage appears to have moderated prescription spending and cost-related burden for those who previously had meager benefits or none. Increased spending among those with employer-based coverage may reflect a narrowing of those benefits over this period. Evidence of foregone care among low-income, chronically ill seniors who still lack prescription coverage highlights the importance of targeted outreach to this group for Part D’s low-income subsidy program. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1134-2Authors Dana Gelb Safra...
Source: Journal of General Internal Medicine - October 31, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Impact of Resident Well-Being and Empathy on Assessments of Faculty Physiciansemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  This study demonstrates that residents’ well-being does not influence their assessments of faculty physicians, thus supporting the trustworthiness of these assessments as a criterion for promoting clinician-educators. However, the association between residents’ empathy and resident-of-faculty assessments suggests that faculty assessments may be modestly influenced by residents’ intrinsic characteristics. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1152-0Authors Thomas J. Beckman, Mayo Clinic Division of General Internal Medicine 200 First Street SW Ro...
Source: Journal of General Internal Medicine - October 31, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Routine HIV Testing Hits the Primary Care Clinicemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-009-1156-9Authors Robert L. Cook, University of Florida Departments of Epidemiology and Biostatistics and Medicine Gainesville FL USAGail Berkenblit, Johns Hopkins University Department of Medicine Baltimore MD USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - October 30, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Update in General Internal Medicineemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory UpdateDOI 10.1007/s11606-009-1145-zAuthors Toshiko Uchida, Northwestern University Division of General Internal Medicine, Feinberg School of Medicine 750 N. Lake Shore Drive, 10th Floor Chicago IL 60611 USAStephen D. Persell, Northwestern University Division of General Internal Medicine, Feinberg School of Medicine 750 N. Lake Shore Drive, 10th Floor Chicago IL 60611 USADavid W. Baker, Northwestern University Division of General Internal Medicine, Feinberg School of Medicine 750 N. Lake Shore Drive, 10th Floor Chicago IL 60611 USA Journal Journal of General Internal MedicineO...
Source: Journal of General Internal Medicine - October 27, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Teaching Health Policy to Residents—Three-Year Experience with a Multi-Specialty Curriculumemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  This 3-week elective in health policy improves self-reported knowledge and interest in health policy research, advocacy, and teaching. Content Type Journal ArticleCategory Innovations in EducationDOI 10.1007/s11606-009-1143-1Authors S. Ryan Greysen, George Washington University School of Medicine Washington DC 20037 USATravis Wassermann, School of Public Health and Health Sciences Department of Health Policy Washington DC 20037 USAPerry Payne, School of Public Health and Health Sciences Department of Health Policy Washington DC 20037 USAFitzhugh Mullan, George Washington University School o...
Source: Journal of General Internal Medicine - October 27, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

The Vermont Diabetes Information System: A Cluster Randomized Trial of a Population Based Decision Support Systememail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  A chronic disease registry and decision support system based on easily obtainable laboratory data was feasible and acceptable to patients and providers. This system improved the process of laboratory monitoring in primary care, but not physiologic control. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1147-xAuthors Charles D. MacLean, University of Vermont College of Medicine Division of General Internal Medicine 371 Pearl Street Burlington VT 05401 USAMichael Gagnon, Fletcher Allen Health Care Department of Information Services Burlington VT USAPeter Callas, ...
Source: Journal of General Internal Medicine - October 27, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

General Practitioners’ Judgment of their Elderly Patients’ Cognitive Statusemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  The associations between GPs’ assessments of cognitive impairment and their familiarity with their patients and patients’ mobility, hearing, and morbidity provide important insights into how GPs make their judgments. Content Type Journal ArticleCategory Brief ReportDOI 10.1007/s11606-009-1118-2Authors Michael Pentzek, University Medical Center Düsseldorf Department of General Practice Moorenstraße 5 40225 Düsseldorf GermanyAngela Fuchs, University Medical Center Düsseldorf Department of General Practice Moorenstraße 5 40225 Düsseldorf GermanyBirgitt Wiese, Hannover Medical School ...
Source: Journal of General Internal Medicine - October 21, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Perceived Quality of Care, Receipt of Preventive Care, and Usual Source of Health Care Among Undocumented and Other Latinosemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION  In this national sample, undocumented Latinos were less likely to report receiving blood pressure and cholesterol level checks, less likely to report having received excellent/good quality of care, and more likely to receive no health/health-care information from doctors, even after adjusting for potential confounders. Our study shows that differences in nativity/immigration status should be taken into consideration when we discuss perceived quality of care among Latinos. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1098-2Authors Michael A. Rodríguez, UCLA D...
Source: Journal of General Internal Medicine - October 20, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Effects of Health Insurance on Perceived Quality of Care Among Latinos in the United Statesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  Future research can gain additional insights by examining the impact of health insurance on processes of care with a refined focus on specific transactions between consumers and providers’ support staff and physicians guided by the principles of patient-centered care. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1080-zAuthors Debra Perez, Robert Wood Johnson Foundation Princeton NJ USAAlfonso Ang, UCLA Department of Family Medicine 10880 Wilshire Blvd. #1800 Los Angeles CA 90024 USAWilliam A. Vega, UCLA Department of Family Medicine 10880 Wilshire Blvd. #18...
Source: Journal of General Internal Medicine - October 20, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Latino Access to the Patient-Centered Medical Homeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Eliminating health-care disparities will require assuring access to the PCMH. Addressing differences in health-care coverage that contribute to lower rates of Latino access to the PCMH will also reduce disparities. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1119-1Authors Anne Beal, The Aetna Foundation Aetna, 151 Farmington Ave. RC31, Hartford CT 06156 Hartford CT USASusan Hernandez, Program on Health Care Disparities The Commonwealth Fund New York NY USAMichelle Doty, Survey Research The Commonwealth Fund New York NY USA Journal Journal of General In...
Source: Journal of General Internal Medicine - October 20, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Heterogeneity in Health Insurance Coverage Among US Latino Adultsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  This study confirmed that Latinos of Mexican ancestry were less likely to have health insurance than were non-Mexican Latinos. Moreover, while differences in observed socioeconomic and demographic factors accounted for most of these disparities, the share of unobserved heterogeneity accounted for 35% of these differences. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1069-7Authors Arturo Vargas Bustamante, UCLA School of Public Health 650 Charles E. Young Drive South Room 31–299C Box 951772 Los Angeles CA 90095 USAHai Fang, University of Colorado Denver Depa...
Source: Journal of General Internal Medicine - October 20, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Predictors of Hypertension Awareness, Treatment, and Control Among Mexican American Women and Menemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION  Management of hypertension in Mexican American adults fails at multiple critical points along an optimal treatment pathway. Tailored strategies to improve hypertension awareness, treatment and control rates must be a public health priority. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1094-6Authors Andrea Bersamin, Stanford University Stanford Prevention Research Center Stanford CA USARandall S. Stafford, Stanford University Stanford Prevention Research Center Stanford CA USAMarilyn A. Winkleby, Stanford University Stanford Prevention Research Center Stanford C...
Source: Journal of General Internal Medicine - October 20, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

The Role of Patient Activation on Patient–Provider Communication and Quality of Care for US and Foreign Born Latino Patientsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  Interventions that augment patient activation could increase quality of care and improved patient–provider communication, potentially reducing health care disparities for Latinos. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1074-xAuthors Margarita Alegría, Cambridge Health Alliance and Harvard Medical School Center for Multicultural Mental Health Research 120 Beacon Street, 4th Floor Somerville MA 02143 USAWilliam Sribney, Third Way Statistics Columbia SC USADebra Perez, Robert Wood Johnson Foundation Princeton NJ USAMara Laderman, Cambridge Health Allianc...
Source: Journal of General Internal Medicine - October 20, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Perceived Discrimination and Self-Reported Quality of Care Among Latinos in the United Statesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  Given the association between perceived discrimination and quality of care, strategies to address discrimination in health-care settings may lead to improved patient satisfaction with care and possibly to improved treatment outcomes. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1097-3Authors Debra Perez, Robert Wood Johnson Foundation Princeton NJ USAWilliam M. Sribney, Third Way Statistics White Lake NY USAMichael A. Rodríguez, Department of Family Medicine, UCLA Los Angeles CA USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print...
Source: Journal of General Internal Medicine - October 20, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Diabetes Awareness and Knowledge Among Latinos: Does a Usual Source of Healthcare Matter?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  We found important and previously unreported differences between Latinos with a current USHC provider, where the predominant group, Mexican Americans, are the least likely to have access to a USHC. USHC was associated with Latinos being better informed about diabetes; however, socioeconomic barriers limit the availability of this potentially valuable tool for reducing the risks and burden of diabetes, which is a major public health problem facing Latinos. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1076-8Authors Hector M. González, Wayne State University (H...
Source: Journal of General Internal Medicine - October 20, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

The Role of Spirituality Healing with Perceptions of the Medical Encounter among Latinosemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  Feelings about the medical encounter were associated with spirituality healing, praying for healing, and asking others to pray for healing. Feeling confused and perception of poor quality of medical care were associated with consulting a curandero. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1067-9Authors Carlos A. Reyes-Ortiz, University of North Texas Health Science Center Department of Social & Behavioral Sciences (CARO), School of Public Health 3500 Camp Bowie Boulevard (EAD-711B) Fort Worth TX 76107-2699 USAMichael Rodriguez, David Geffen School of Medici...
Source: Journal of General Internal Medicine - October 20, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Confronting Inequities in Latino Health Careemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory IntroductionDOI 10.1007/s11606-009-1128-0Authors Michael A. Rodríguez, UCLA Department of Family Medicine 10880 Wilshire Blvd 1800 Los Angeles CA 90024 USAWilliam A. Vega, UCLA Department of Family Medicine 10880 Wilshire Blvd 1800 Los Angeles CA 90024 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume 24 Journal Issue Volume 24, Supplement 3 / November, 2009 (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - October 20, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Diversity, Health, and the State of Patient Care in the US Health Care Systememail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-009-1124-4Authors Hayden B. Bosworth, Durham VAMC Center for Health Services Research in Primary Care HSR&D (152), Suite 600, 411 West Chapel Hill Street Durham NC 27701 USARonnie D. Horner, University of Cincinnati Department of Public Health Sciences, College of Medicine Cincinnati OH USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume 24 Journal Issue Volume 24, Supplement 3 / November, 2009 (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - October 20, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Breast, Colorectal and Prostate Cancer Screening for Cancer Survivors and Non-Cancer Patients in Community Practicesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  Cancer survivors were more likely to self-report receipt of cancer screening than noncancer patients. Medical record reports of cancer screening were lower than self-reports for cancer survivors and noncancer patients. Identifying factors that affect cancer screening among cancer survivors is important and has implications for intervention design. Content Type Journal ArticleCategory Brief ReportDOI 10.1007/s11606-009-1036-3Authors Shawna V. Hudson, The Cancer Institute of New Jersey, UMDNJ-Robert Wood Johnson Medical School 195 Little Albany Street New Brunswick NJ 08903-2681 USAKarissa A...
Source: Journal of General Internal Medicine - October 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

The Economic Consequences of Breast Cancer Adjuvant Hormonal Treatmentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  Adjuvant HTs have important economic consequences for BC survivors. These consequences are ameliorated by full, but not partial, drug coverage. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1079-5Authors Liliana E. Pezzin, Medical College of Wisconsin Department of Medicine and Center for Patient Care and Outcomes Research Milwaukee WI USAMallory B. O’Niel, Medical College of Wisconsin Medical Student Milwaukee WI USAAnn B. Nattinger, Medical College of Wisconsin Department of Medicine and Center for Patient Care and Outcomes Research Milwaukee WI USA ...
Source: Journal of General Internal Medicine - October 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

General Internist Communication about Sexual Function with Cancer Survivorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  Cancer survivors receive their long-term care from internists. Our results suggest that sexual dysfunction is often not addressed during their follow-up care. Additional training is needed to prepare physicians to negotiate this difficult issue. Content Type Journal ArticleCategory Brief ReportDOI 10.1007/s11606-009-1026-5Authors Elyse R. Park, Harvard Medical School Institute for Health Policy, Massachusetts General Hospital 50 Staniford Street, 9th floor Boston MA 02114 USASharon L. Bober, Harvard Medical School Perini Family Survivors’ Center, Dana-Farber Cancer Institute Boston MA USA...
Source: Journal of General Internal Medicine - October 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Self-identity After Cancer: “Survivor”, “Victim”, “Patient”, and “Person with Cancer”email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Survivor identity appears most common and most associated with active involvement and better psychological well-being, but other identifications are also common and simultaneously held. Adoption of specific cancer identities is likely to impact interactions with health care providers, including those in general internal medicine, and health behavior changes. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-0993-xAuthors Crystal L. Park, University of Connecticut Department of Psychology Storrs CT 06269 USAIanita Zlateva, University of Connecticut Department of Hu...
Source: Journal of General Internal Medicine - October 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Transitioning to Breast Cancer Survivorship: Perspectives of Patients, Cancer Specialists, and Primary Care Providersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  Breast cancer patients may experience difficulties transitioning to survivorship, including ongoing psychosocial issues. African-American patients may face additional and unique barriers to successful survivorship. Oncology specialists may have concerns about discharging cherished patients. These findings suggest a psychological component that may influence the use of written survivorship care plans. PCPs may need additional training and greater access to specialists in order to care for survivors. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1000-2Authors M...
Source: Journal of General Internal Medicine - October 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Cancer-Related Fatigue: The Approach and Treatmentemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  As the volume of cancer survivors continues to increase, clinicians are being faced with a growing number of patients with cancer-related fatigue (CRF). Survivors with a variety of malignancies may experience fatigue. Many potential barriers to the identification of this symptom in a cancer survivor may exist, due in part to both the patient and the clinician. Assessment of patients for fatigue is important because it can profoundly effect their daily lives. Many factors contribute to CRF. Hence, the clinician may face a daunting challenge in attempting to alleviate CRF. Treatment modalities for CRF...
Source: Journal of General Internal Medicine - October 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Cancer Survivorship Care: Exploring the Role of the General Internistemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  According to the National Cancer Institute (NCI), cancer survivorship encompasses the “physical, psychosocial, and economic issues of cancer from diagnosis until the end of life.” Today, one in 30 Americans are cancer survivors. Almost two-thirds have at least one chronic health condition. As the numbers of cancer survivors increase, cancer itself can be viewed as a chronic medical condition. This paper illustrates some of the challenges faced by cancer survivors. We discuss the limitations of current models of survivorship care, including shared care. In addition, we explore how the American Bo...
Source: Journal of General Internal Medicine - October 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

The Expanding Use of Third-Generation Aromatase Inhibitors: What the General Internist Needs to Knowemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  In situations where patients experience significant negative side effects from AI therapy, discussions to discontinue treatment (and switch to an alternative endocrine therapy) should involve the cancer specialist and take into consideration the patient’s risk for breast cancer recurrence and the impact of therapy on their quality of life. In some cases, patients may choose to never initiate AI treatment. In other cases, patients may choose to prematurely discontinue therapy even if therapy is well tolerated. In both settings increased knowledge by the general internists will likely facilitate ...
Source: Journal of General Internal Medicine - October 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Chronic Health Conditions in Childhood Cancer Survivors: Is it All Treatment-Related—or Do Genetics Play a Role?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  Research exploring the role of genetic susceptibility in the development of therapy-related adverse outcomes is still in its infancy. There is a need for continued efforts to study these outcomes in the context of complex gene-gene and gene-environment interactions unique to cancer survivors. A better understanding of the pathogenesis of these outcomes will help develop effective targeted prevention strategies. Content Type Journal ArticleCategory Clinical ReviewDOI 10.1007/s11606-009-0995-8Authors Saro H. Armenian, City of Hope National Medical Center Department of Population Sciences Dua...
Source: Journal of General Internal Medicine - October 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Receipt of Provider Advice for Smoking Cessation and Use of Smoking Cessation Treatments Among Cancer Survivorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS  This study reveals considerable missed opportunities for health-care providers to advise cancer survivors about smoking and provide evidence-based interventions. Systematic efforts are needed to increase the provision of smoking cessation advice and use of cessation treatments among cancer survivors. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-0978-9Authors Elliot J. Coups, Fox Chase Cancer Center Cancer Prevention and Control Program 510 Township Line Road, 1st floor Philadelphia PA 19012 USALara K. Dhingra, Beth Israel Medical Center Department of Pain Med...
Source: Journal of General Internal Medicine - October 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Contraception for Cancer Survivorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
ABSTRACT  Women who have survived cancer may need guidance in choosing a method of contraception. This paper reviews the evidence supporting the safety and efficacy of available methods of contraception for cancer survivors and concludes that the Copper T380A intrauterine device (IUD), a highly effective, reversible, long-acting, hormone-free method should be considered a first-line contraceptive option for women with a history of a hormonally mediated cancer. However, the levonorgestrel-containing IUD may be preferable for women being treated with tamoxifen and women who have survived non-hormonally mediated...
Source: Journal of General Internal Medicine - October 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals