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Managing COPD as a Long Term Condition: Emerging Learning from the National Improvement Projectsemail 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.
Scan or click to download 'Managing COPD as a Long Term Condition: Emerging Learning from the National Improvement Projects' Title: Managing COPD as a Long Term Condition: Emerging Learning from the National Improvement Projects The Skinny: Report from NHS Improvement offering top tips for COPD management projects and service improvement. Just giving patients a plan and telling them what they should do probably won’t change behaviour: Effort, time and skills are needed to build rapport and focus on the person’s own goals and motivation so that they want to do the right thing Different approaches work for diff...
Source: Fade Library - August 23, 2011 Category: Medical Librarians Authors: western4uk Tags: Ooops Missed Category! Chronic Obstructive Pulmonary Disease Client satisfaction Consumer behaviour Consumer feedback Consumer satisfaction Grey Literature Patient satisfaction Patient views Social influence Source Type: blogs

Will Being a PA Satisfy You? Worry Notemail 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.
If you struggle with the career decision of PA vs MD or PA vs NP or even PA vs Starbucks barrista (a job I’ve long fantasized about) you’ve probably wondered once or twice, “Will being a PA satisfy me?” It’s a tough question to answer with any certainty, because to do so would mean predicting [...]
Source: Inside PA Training - August 20, 2011 Category: Physician Assistants Authors: Paul Tags: PA vs MD PA vs NP physician assistant satisfaction will pa satisfy me? Source Type: blogs

Why Physician Ratings Aren’t Quite Adequate Yetemail 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.
“Most physicians are competent and able to take care of most of the problems patients present with.  The standards for getting into medical school are high and for getting out are higher.  I think this call for patients to become experts in picking their doctors is overstated.”  – David Rovner, MD, Professor Emeritus, Michigan State University Most?  What does “most” mean?  Can most doctors treat me for the flu?  How about pancreatic cancer? Must I conduct the same type of research to choose a doctor to set my broken arm that I do to find one to treat my mom’s congestive heart failure?   Is the same lev...
Source: Better Health - August 17, 2011 Category: Health Medicine and Bioethics Commentators Authors: Jessie Gruman, Ph.D. Tags: Opinion Bias Customer satisfaction David Rovner Doctor Choices Doctor Ratings Jessie Gruman Jim Jaffe LinkedIn Media messages Paul Levy Physician Rating Rating System The Right Doctor Top Doctors U.S. News Yelp Source Type: blogs

Ageism and Plastic Surgeryemail 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.
I admit that over the years my idea of “how old is too old” has changed.  Part of that is my increasing age, but a bigger part has come from the patients themselves – the 72 year old woman with a deflated NS implant who wanted it replaced rather than removed, etc.   Never Too Old for Plastic Surgery  (photo credit) By Tara Parker-Pope If you think you’re too old for a few nips and tucks, consider the story of 83-year-old Marie Kolstad. ………. To learn more, read Abby Ellin’s article “The Golden Years, Polished With a Nip and a Tuck,” ……. Don’t forget to read the comments of Park...
Source: Suture for a Living - August 10, 2011 Category: Plastic Surgeons Tags: Patients ageism plastic surgery patient satisfaction Source Type: blogs

Will Patients Accept The Patient Portal As “The Next Big Thing”?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.
There seems to be an inverse relationship between the amount of spin one hears about “the next big thing”…and reality.    First it was EMRs and virtual e-visits, then social media, and now patient portals seem poised to be next big thing.  The drumbeat of vendors and pundits is unmistakable….physicians that don’t adapt will be toast.   It can all sound pretty convincing until you ask to see the evidence.  What do patients think? Take the physician patient portal.   If you read between the lines, patient portals are frequently being positioned as the new “front door” to physician practices.   By sig...
Source: Better Health - August 4, 2011 Category: Health Medicine and Bioethics Commentators Authors: StevenWilkinsMPH Tags: Opinion Research Doctor-Patient Communication Electronic Health Record Group Health Cooperative Journal of Internal Medicine Medical Technology Next Big Thing Patient Portal Patient satisfaction Patient-centered service Physician P Source Type: blogs

Heart Health Related To Satisfaction With Lifeemail 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.
For centuries, health providers have focused on the prevention, diagnosis and treatment of disease. This time-honored paradigm has generated phenomenal advances in medicine, especially during the last 60 years. It has also created a bit of an image problem for providers. That’s because the paradigm encourages consumers to perceive health care as a negative good; an economic term describing a bundle of products and services that we use because we must, not because we want to. Recent trends towards empowered consumers are a symptom of this problem more than a solution to it, as I described here. Recently, the concept of Po...
Source: Better Health - August 1, 2011 Category: Health Medicine and Bioethics Commentators Authors: Glenn Laffel, M.D., Ph.D. Tags: Opinion Research Angina Cardiac Health Connectedness Coronary Disease Happiness Harvard Heart Attack Heart Health Improved Life Expectancy Julia Boehm Life satisfaction Martin Seligman Optimism Positive Health Robert Wood J Source Type: blogs

Should You Find A New Doctor?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.
Come  on people… you know what I am talking about.  Sure you are comfortable with your current doctor… after all you are still alive and kicking.  Besides it has taken you years to figure out what you can safely tell your doctor and when it’s ok to speak up.  Yes the fact that your doctor is often late and never seems to listen to you bothers you just a little.  But you aren’t displeased enough to stop giving your doctor high satisfaction scores.  After all who wants to upset their doctor?   But admit it; you have wondered if there isn’t a doctor out there that would be a better fit with you.   I know I...
Source: Better Health - July 16, 2011 Category: Health Medicine and Bioethics Commentators Authors: StevenWilkinsMPH Tags: Opinion Changing Doctors Doctor-Patient Communication Empowered Patients Familiarity New Doctor Patient satisfaction Source Type: blogs

What Can Physicians Do About Their Dissatisfied Patients?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.
While by no means a representative sample of how we think about physicians, there is a clear pattern to the comments.  A lot of people feel disrespected by their doctors…and they are pretty angry. Here’s what patients (including a lot of former patients) had to say.  I attempted to summarize the comments by category and included the top five categories of comments below. #1 – “Being on time is a two way street.” – patients are expected to be on time for their appointments – why aren’t physicians expected to be on time.   Doctors think and act as if their time is more valuable than the patient’...
Source: Better Health - June 21, 2011 Category: Health Medicine and Bioethics Commentators Authors: StevenWilkinsMPH Tags: Opinion Complaints Disrespect Doctor-Patient Communication Improvement On Time Patient Dissatisfaction Patient Experience Patient satisfaction Source Type: blogs

When Physicians Have To Say No: Does Patient Satisfaction Suffer?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.
The short answer: No. At least not in the context of a strong physician-patient relationship. Many physicians have legitimate concerns about the prospects of having their salary or level reimbursement linked to patient satisfaction. I would too given the way most health care providers go about measuring and interpreting patient satisfaction data. A major concern of physicians is the issue of patient requests – particularly the impact of unfulfilled (and unreasonable) requests upon patient satisfaction. According to researchers, explicit patient requests for medications, diagnostic tests and specialty referrals occur in ...
Source: Better Health - May 25, 2011 Category: Health Medicine and Bioethics Commentators Authors: StevenWilkinsMPH Tags: Health Policy Opinion Communication Skills Denial Of Requests Doctor-Patient Communication Patient satisfaction Shared Decision-Making When The Doctor Says No Source Type: blogs

What Makes A Great Oncologist?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.
I had a WOW experience yesterday when I accompanied my wife to interview a new doctor for her.   As some reader may know she is being seen by specialists at MD Anderson Medical Center in Houston for Stage IV lung cancer.   She has not had a local oncologist for the past 6 years…but she does now.   And we both love this guy! You need to understand that I have been very underwhelmed by the local oncologists I had met up till now.   I am sure they were clinically proficient…but as a group not a one could muster a smile….or any sense of interest or curiosity in my wife’s medical condition.  I held out little h...
Source: Better Health - May 6, 2011 Category: Health Medicine and Bioethics Commentators Authors: StevenWilkinsMPH Tags: True Stories Doctor-Patient Communication Empathy M.D. Anderson Oncology Patient Experience Patient satisfaction What Makes A Good Doctor Source Type: blogs

New Study Suggests Surgeons Who Treat Large Number of Hispanics Have Lower Job Satisfactionemail 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.
In a research study led by Satish Deshpande of Western Michigan University, findings suggest that surgeons whose practice has a large percentage of Hispanic patients have a lower job satisfaction.
Source: Inside Surgery - April 27, 2011 Category: Surgeons Authors: Editor Tags: Medical News Wire Hispanic patients job satisfaction Satish Deshpande surgeons Western Michigan University Source Type: blogs

HITECH Answers EHR Satisfaction Surveyemail 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.
The good people at HITECH Answers are conducting a survey to gage EHR customer satisfaction — 10 questions; takes 10 seconds. I think the questions they are asking are interesting and could provide some interesting results even if it’s not a real scientific survey. So, if you’re a user of an EHR software, go and fill out the survey. If the results are valuable and interesting, I’ll be sure to share the results of the survey in a future post. Related posts:List of EHR Companies for Survey I recently got a survey from someone evaluating EHR implementations... All I Want for Christmas is ARRA EHR Sti...
Source: EMR and HIPAA - March 19, 2011 Category: Technology Consultants Authors: John Tags: EHR Electronic Health Record Electronic Medical Record EMR HealthCare IT EHR satisfaction EHR Survey EMR satisfaction EMR Survey HITECH Answers Source Type: blogs

Quality in Primary Care 2010 (Vol. 18 No. 6)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.
Quality in Primary Care 2010 v. 18(6) Contents Page Fade Fave:Physician-community health worker partnering to support diabetes self-management in primary care Fade Skinny: The role of community health workers (CHWs) has expanded from outreach and education to working within a clinical team in a primary care setting. The aim of this study is to improve self-management among patients with type 2 diabetes incorporating CHWs as members of a clinical team. The article concludes that Physician-CHW partnership had a positive impact on patients’ self-management skills and clinical outcomes. Patients and physicians also had ...
Source: Fade Library - March 15, 2011 Category: Medical Librarians Authors: hmedley99 Tags: Athens Password Current Awareness Journals Primary Care Community Health Worker Diabetes Patient satisfaction Quality Improvement Self-management Source Type: blogs

Use Ratings to Improve REAL Satisfactionemail 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.
It’s no surprise that most of us will adjust our own expressed views to those around us. If your friends are raving about the meal you all just ate, you might tend to go with the flow rather than being the solo critic. Perhaps you simply don’t want to annoy your friends or perhaps you [...] CommentsThis explains nicely Cialdini's assertion that expert opinions ... by John Laddwow i didn't realize that having testimonials and ratings fall ... by miami opticalRelated StoriesWhen Loyalty Points Beat Price DifferencesBorder Bias: How to Beat ItDoes Paper Outweigh Digital?
Source: Neuromarketing - March 11, 2011 Category: Psychiatrists and Psychologists Authors: Roger Dooley Tags: Neuromarketing Branding Neuroscience Research customer satisfaction expensive wine fmri harvard jamil zaki rankings ratings Source Type: blogs

9 Problems That Affect Sexual Satisfactionemail 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.
While alcoholics, addicts and co-dependents may know of the effects of alcohol and drugs on their sexuality, in recovery there may be other conditions affecting their sex lives.Here’s the good news, the bad news, and some more good news about sexual health: Most (64 percent of people, according to one recent study) are satisfied with their sex lives. But many health issues can get in the way of having a good sex life, from prescription medication side effects to depression to sexually transmitted diseases.In many cases, physicians can work with their patients to improve the situation, whether by changing the dosage o...
Source: Recovery Is Sexy.com - February 22, 2011 Category: Addiction Authors: Sparrow Tags: Addictions Alcohol Alcoholism Codependency Drugs Emotions Medications Recovery Relationships Sexuality Women sex life sexual health sexual satisfaction sexually transmitted diseases Source Type: blogs

Count envy, satisfaction and achievementemail 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.
A friend of mine, András Paszternák, runs a thriving online nanotech community called Nanopaprika (he’s in Hungary, hence the name). He started the community (for which I am a Scientific & Advisory Board member) when he was doing his PhD and it has grown rapidly into one of the most targeted niches on the Web with lots of partnerships across the nano community in academia, industry and publishing. Nevertheless, András is impatient and dissatisfied with the pace of growth. He wants to reach out to the whole community a mere fraction of which (at 4000+ members from 70 countries) he has so far engaged. “Na...
Source: Sciencebase Science Blog - February 11, 2011 Category: Medical Scientists Authors: David Bradley Tags: Science achievement and count envy satisfaction Source Type: blogs

Doctors And Patients Wish Their Relationship Was Betteremail 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.
Physicians said in a survey that noncompliance with advice or treatment recommendations was their foremost complaint about their patients. Most said it affected their ability to provide optimal care and more 37 percent said it did so “a lot.” Three-quarters of patients said they were highly satisfied with their doctors. But they still had complaints ranging from long wait times to ineffective treatments. Those are just some of the findings from two surveys, the first a poll of 660 primary care physicians conducted by the Consumer Reports National Research Center in September 2010 and the second a poll of 49,00...
Source: Better Health - February 10, 2011 Category: Health Medicine and Bioethics Commentators Authors: RyanDuBosar Tags: Health Tips Research ACP Internist American College Of Physicians Choosing a Doctor Consumer Reports Dissatisfaction in Healthcare Doctor Patient Relationship Doctor satisfaction Doctor's Personality Doctor's Treatment Style Doctor-P Source Type: blogs

Best of Our Blogs: February 8, 2011email 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.
From where I am sitting, the view is great. The sun is shining. It is 70 degrees. There is a light breeze and a warm summer vibe in the air. Yet regardless of what the weather is outside, when mental illness is an issue, what is going on inside carries more weight. Did you ever get exciting news — you got the job you wanted, your boyfriend proposed, or you found out you were having a baby — and felt wonderful despite the rain pelting on the windowsill? Or in contrast, have you ever felt horrible even when it was warm and summery outside? If you are suffering from Seasonal Affective Disorder (SAD), then the weat...
Source: World of Psychology - February 8, 2011 Category: Psychiatrists and Psychologists Authors: Brandi-Ann Uyemura Tags: Best of Our Blogs Bad Weather Better Than Sex Creative Mind Depression Domino Effect Downward Spiral Emotions Exciting News Experiences External Situations Having A Baby Job Life satisfaction Light Breeze Mental Health Ment Source Type: blogs

Sexual Lubricants Increase Pleasureemail 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.
Sexual lubricants Image via WikipediaStudy examines effect of water-based and silicon-based sexual lubricantWomen in recovery from alcoholism, addiction and co-dependency may find the use of sexual lubricants increases pleasure, sexual satisfaction and reduced pain during intercourse.A new study by sexual health researchers at Indiana University found that women who used lubricant during sex reported significantly higher levels of satisfaction and pleasure.The study, involving 2,453 women, is the largest systematic study of this kind, despite the widespread commercial availability of lubricant and the gaps in knowledge con...
Source: Recovery Is Sexy.com - December 18, 2010 Category: Addiction Authors: Sparrow Tags: Addictions Alcoholism Codependency Fun Sexuality Women intercourse sexual health sexual lubricant sexual satisfaction Source Type: blogs

Patient Experience and Patient Grievance Process Linkedemail 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.
Patient experience, and thus patient satisfaction scores, are intrinsically linked with how a hospital or other healthcare organization handles its patient complaint and grievance process.  In addiiton to making good business sense, there are specific CMS regulations and Joint Commission standards that outline how hospitals and ambulatory surgery centers must manage patient grievances.  Lisa Venn, JD, MA, CHC, writes in Improving Patient Experience – A Critical Look at the Patient Grievance Process,  ”Dissatisfied patients take their business elsewhere and in this era of decreasing revenue, increasing competit...
Source: MSSPNexus Blog - December 7, 2010 Category: Health Managers Authors: Rita Schwab Tags: Patient Safety Risk Management Transparency grievance tracking software patient experience patient grievance patient satisfaction Source Type: blogs

Rejectionemail 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.
Doctor Richard Edwards, a chiropractor from Oklahoma and the nation's third double hand transplant, was recently in the news again.  This time it a report that he “may lose the fingertips on his right thumb and pinkie because his body started to reject the new limbs.” Dr. Edwards’ surgery was live tweeted when it was done in August by Louisville surgeons at The Jewish Hospital Hand Care Center. Jeff Kepner, the first patient in the United States to receive two hands simultaneously, experienced an episode of rejection which was dealt with successfully. Rejection is never a good thing in a transplant patient not m...
Source: Suture for a Living - December 1, 2010 Category: Plastic Surgeons Tags: prosthetics transplantation hand patient satisfaction medicine Source Type: blogs

Nursing Times 2010 (Vol. 106 No. 46)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.
Fade Fave: I’m lovin’ it: would McDonald’s food encourage hospital patients to eat? Fade Skinny: Susan Holmes  argues that the NHS should tap into the expertise of fast food companies and take a new approach to catering. Contact the Library for a copy of this article. Filed under: Current Awareness, Journals, NHS Tagged: Customer Satisfaction, Diet, Dietary Balance, Hospital Catering, Nutrition
Source: Fade Library - November 24, 2010 Category: Medical Librarians Authors: hmedley99 Tags: Journals Current Awareness NHS Diet Nutrition Hospital Catering Customer satisfaction Dietary Balance Source Type: blogs

Longevity of SMAS Face Liftemail 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.
Discussion: Longevity of SMAS Facial Rejuvenation and Support; Lambros, V.; Stuzin, J. M.; Plastic & Reconstructive Surgery. 126(1):238-239, July 2010; doi: 10.1097/PRS.0b013e3181dab6f3 The Measure of Face-Lift Patient Satisfaction: The Owsley Facelift Satisfaction Survey with a Long-Term Follow-Up Study [Outcomes Article]; Friel, M.T.; Shaw, R. E.; Trovato, M. J.; Owsley, J. Q.; Plastic & Reconstructive Surgery. 126(1):245-257, July 2010; doi: 10.1097/PRS.0b013e3181dbc2f0 Discussion: The Measure of Face-Lift Patient Satisfaction: The Owsley Facelift Satisfaction Survey with a Long-Term Follow-Up Study [Outcomes Ar...
Source: Suture for a Living - November 10, 2010 Category: Plastic Surgeons Tags: surgery patient satisfaction article review face Source Type: blogs

When Patients And Doctors Disagreeemail 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.
A 69-year-old woman who swims in my master program came back to the pool after a total knee replacement. I asked her how she was doing. She said she is still in a lot of pain because of her physical therapy. She said that her physical therapist was disappointed that she still was still unable to achieve full flexion of 120 degrees. Why 120 degrees? Did you set that goal I asked her? ”No,” she said, “the therapist did.” She went on to tell how she already had more range of motion in her knee than she did before the surgery. My friend was quite satisfied with her progress and wanted to stop phy...
Source: Better Health - October 6, 2010 Category: Health Medicine and Bioethics Commentators Authors: StevenWilkinsMPH Tags: Better Health Network Health Tips Research True Stories Family Medicine Healthcare Outcomes Journal of General Internal Medicine Mind The Gap Patient Disagreement Patient Happiness Patient Preferences Patient satisfaction Patient-C Source Type: blogs

Waiting In The ER Is Okay As Long As Patients Know How Longemail 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.
Patients don’t mind waiting in the ER as long as they’re kept apprised of the time, an industry survey revealed. This is a good thing, since ER waits have risen nationally to an average of four hours and seven minutes this year. Press Ganey Associates, Inc., has conducted the survey annually and says that ER wait times are four more minutes than last year, or a half hour more than the first survey in 2002. The company collected data on 1.5 million patients treated at 1,893 hospitals in 2009. Despite longer wait times, patient satisfaction with U.S. hospital emergency departments stayed about the same in 2009. C...
Source: Better Health - July 25, 2010 Category: Health Medicine and Bioethics Commentators Authors: RyanDuBosar Tags: Better Health Network Health Policy News Research Communication Is Key ED Emergency Department Emergency Medicine Emergency Room Kept Informed Long Wait Is Okay Long Waits for Patients Patient satisfaction Press Ganey Associates Source Type: blogs

Defining Sexualityemail 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.
People in recovery from alcoholism, addiction and co-dependency often question their sexuality or are ready to redefine their sexuality. Research indicates that both men and women maintain sexual relationships throughout life even though sexual problems may be evident. Sexual activity is often associated with health, with those in better health experiencing more sexual satisfaction and participation than those in poor health. Experiencing any barrier to sexual activity can lead people to reprioritize the role of sex but does not define sexuality. Instead, sexuality is generally described as how people view themselves and e...
Source: Recovery Is Sexy.com - July 20, 2010 Category: Addiction Authors: Sparrow Tags: Addictions Alcoholism Codependency Recovery Sexuality sexual problems sexual relationships sexual satisfaction Source Type: blogs

Rocky Relationship? Ignore the Common Wisdomemail 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.
Say you or I were having problems with our relationship and we headed off, with our respective partners, to a relationship counselor. How would they advise us to improve our marital satisfaction? Research suggests that people who are satisfied with their relationships tend to behave more positively towards each other. They expect good things from their partner, avoid blaming each other for mistakes, approach problem-solving positively and forgive each other for those little slip-ups. Quite naturally, then, a counselor would encourage us to try and cultivate these same positive processes in our relationships. But what if, f...
Source: World of Psychology - July 14, 2010 Category: Psychiatrists and Psychologists Authors: Jeremy Dean Tags: Brain and Behavior General Men's Issues Mental Health and Wellness Psychology Relationships Research Stress Women's Issues Colleagues James K Karney Marital Problems Marital satisfaction Marriage Mcnulty Newlywed Couples Source Type: blogs

Sexual Satisfactionemail 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.
What is sexual satisfaction – sober? A new comer to recovery once asked me that question, ‘What is sexual satisfaction – sober?’ Well my response was very general, knowing that sober sexual satisfaction can be very different from being drunk. Individual Everyone has their own idea of what constitutes "good sex", experiencing sex and their own sexuality in unique ways. And while pleasure and orgasm can certainly play a big part in the equation, attaining an overall sense of sexual satisfaction in life can often require a lot more. Here’s how Canadian researchers MacNeil and Byers describe it: &q...
Source: Recovery Is Sexy.com - July 6, 2010 Category: Addiction Authors: Sparrow Tags: Addictions Alcoholism Sexuality Sobriety arousal eroticism Masturbation orgasm pregnancy satisfaction Source Type: blogs

Free Webinar :: Web Portals – 1 stop hub?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.
“Web portals: How a one-stop information hub can improve patient care & staff satisfaction” June 22nd, 2pm To gain this competitive edge, healthcare organizations must have a top-notch team of smart, dedicated professionals. Too bad so many organizations slow their teams down with inefficient processes that hinder their access to critical information. In fact, it’s one of the top complaints among staff! Tune into this one-hour event and you’ll learn how to: Share information with employees in real time, in a searchable, web-based content management format. Tie together multiple clinical, billing and ...
Source: Nicola Ziady - June 9, 2010 Category: Medical Marketing and PR Authors: Nicola Ziady Tags: Reputation Management Technology Webinars healthcare free webinar Web portals Improving patient satisfaction go-to hospital patients Source Type: blogs

Patient Satisfaction Following Breast Reconstruction Using Implantsemail 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.
This study used these two questionnaires to evaluate patient satisfaction and health-related quality of life following alloplastic (implant) breast reconstruction and more specifically if the type of implant used (saline versus silicone) has an effect on health-related quality of life. A chart review of University of British Columbia patients was performed, compiling data on the following demographic features: type of breast cancer, unilateral versus bilateral reconstruction, history of radiation or chemotherapy, complications, type of implant, follow-up time, age at second stage, timing of reconstruction, and comorbiditi...
Source: Suture for a Living - June 7, 2010 Category: Plastic Surgeons Tags: Implants breast reconstruction patient satisfaction breast implants Source Type: blogs

Coregasm Poll: Can You Really Climax From a Workout?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.
The Coregasm Workout is one of the newest paths to climax, but let’s be honest: Not all of us can come on command, and we’re not sure a personal trainer can unlock pandora’s box. Orgasms are elusive for many women, and there are endless books, videos, tools, and theories about how to get sexual satisfaction. Beyond coregasm workouts, which supposedly make you actually climax at the gym, there are also tons of exercises designed to build confidence, stamina, and actual pelvic muscles to help you reach Cloud 9. (Check out our gallery of sexy workouts, from pole dancing to pelvic weights!) Unlike guys, us la...
Source: Healthbolt - May 18, 2010 Category: Health Medicine and Bioethics Commentators Authors: Briana Rognlin Tags: FEEL arousal climax coregasm female arousal female orgasm female sexuality pelvic weights pole dancing sexiest workouts sexual satisfaction Source Type: blogs

How The System Affects Our Doctors: A Must-See Documentaryemail 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.
Yesterday a much-anticipated package arrived in the mail containing a documentary film directed (and acted) by a young emergency room physician, Ryan Flesher, M.D., and produced by a former clinical social worker, Nancy Pando, L.I.C.S.W. The film is called “The Vanishing Oath.” As background, the film is a 3-year project born in 2007 just before the great U.S. healthcare reform debate began. Over 200 hours of interviews were conducted to explore a simple question: Why Dr. Flesher had grown to hate medicine. (more…) *This blog post was originally published at Dr. Wes*
Source: Better Health - May 10, 2010 Category: Health Medicine and Bioethics Commentators Authors: DrWes Tags: Better Health Network Health Policy Opinion True Stories Behind the Scenes Discontent Doctor Burnout Doctor satisfaction Doctor's Point of View Doctors Documentary Film Dr. Ryan Flesher Emergency Medicine Fear of Malpractice Ge Source Type: blogs

Hate Your Job? Here’s the Solution…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.
Breaking news! Most Americans don’t like their jobs. The results of a new Conference Board study show 55% of Americans are dissatisfied with their work, which was the lowest level ever recorded in more than 22 years of studying the issue.  Is it just me, or are these results completely NOT shocking? It’s like the groundbreaking research the University of Waterloo conducted that showed “smoking in a car poses a potentially serious hazard to occupants — particularly children.” Sorry sweetie, daddy didn’t realize that lighting up in the minivan was bad for you. Soon they’ll discover ...
Source: PickTheBrain | Motivation and Self Improvement - March 16, 2010 Category: Life Coaches Authors: Robert Pagliarini Tags: career self improvement happiness job job satisfaction passion pickthebrain robert pagliarini success Source Type: blogs

The heart of the matter: patient and public engagement in today’s NHSemail 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.
Title: The heart of the matter: patient and public engagement in today’s NHS The Skinny: NHS Confederation report detailing how Patient and public engagement (PPE) must become integral to the operation of every NHS organisation. The heart of the matter: patient and public engagement in today’s NHS asks questions about the future of PPE in an ever-changing NHS and sets out: what good engagement looks like the legal framework for PPE the importance of having a culture of engagement where the NHS has got to on PPE how Local Involvement Networks (LINKs), membership schemes and working with local government contrib...
Source: Fade Library - March 11, 2010 Category: Medical Librarians Authors: western4uk Tags: Carers Choice Communication Culture Grey Literature Hospitals NHS Primary Care Quality Stakeholder Engagement Legislation LINks Local Authorities Patient Experience Patient satisfaction Source Type: blogs

Personality and Retirementemail 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.
Who retires gracefully, who adjusts to retirement easily and who doesn’t. Which personality traits play a part in successful retirement? The five factor model of personality or the Big Five can be used to see how personality traits are linked to how people adjust to retirement. It has been done in the past for other life transitions. The researchers not only used the Big Five but also the Satisfaction with Life Scale and questionnaires devised to measure reasons for retirement and the quality of experiences in retirement. These questionnaires were all part of an online survey on which 365 individuals responded, of wh...
Source: Dr Shock MD PhD - March 9, 2010 Category: Psychiatrists and Psychologists Authors: Dr Shock Tags: Academic big five Enjoyment Five-factor model life-satisfaction Motivations Retirement Source Type: blogs

Pilfered Lunches Point to a Bigger Employee Problememail 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.
Stealing lunches from the office frig could be a symptom of a more serious problem — low employee engagement. “Hunger does crazy things to you,” was the comment made by an employee interviewed on the Today Show segment, “Pains in the Office.” While physical hunger is one reason employees pilfer lunches, I suspect that employees who steal from each other have a different kind of hunger. If your office is experiencing a rise in the number of stolen lunches, you are not alone. Recently several call center managers told me that they’re getting a lot more “stolen lunch” complaints. It’s no coincidence that...
Source: World of Psychology - February 23, 2010 Category: Psychiatrists and Psychologists Authors: Barbara Burke Tags: Brain and Behavior General Industrial and Workplace Psychology Stress Call Center Call Centers Center Managers Coaching And Mentoring Coincidence Crazy Things Customer Complaints Customer satisfaction Disastrous Effects Employe Source Type: blogs

Happiness Comes Cheap Even for Millionairesemail 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.
Simple happiness The best stress busters are the cheapest A bar of chocolate, a long soak in the bath, a snooze in the middle of the afternoon, a leisurely stroll in the park. These are the things that make us the most happy, according to new research from The University of Nottingham. In a study commissioned by the National Lottery, Dr Richard Tunney of the University’s School of Psychology found that it’s the simple things in life that impact most positively on our sense of well being. The study compared the ‘happiness levels’ of lottery jackpot winners with a control group, using a ‘Satisfa...
Source: Recovery Is Sexy.com - February 20, 2010 Category: Addiction Authors: Sparrow Tags: Emotions Family Fun Healthy Recovery Relationships Happiness satisfaction with Life simple things in life Source Type: blogs

Time to Sexual Satisfactionemail 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.
Sex takes 3 to 13 minutes This story may help people who are discovering their new sexuality in recovery. Recovery from alcoholism, addiction, gambling and co-dependency is a journey of discovery of self. And, self includes ones sexuality. Maybe men had it right all along: It doesn’t take long to be satisfied in bed. A survey of sex therapists concluded the optimal amount of time for sexual intercourse was 3 to 13 minutes. The findings, to be published in the May issue of the Journal of Sexual Medicine, strike at the notion that endurance is the key to a great sex life. If that sounds like good news to you, don’...
Source: Recovery Is Sexy.com - January 27, 2010 Category: Addiction Authors: Sparrow Tags: 12 Step Fellowships Addictions Alcoholism Co-dependency Emotions Fun Gambling Gay, Lesbian, Bisexual Men Recovery Relationships Sexuality Women foreplay sexual intercourse Sexual Medicine sexual satisfaction Source Type: blogs

International Journal of Clinical Leadership 2008 (Vol 16, No 2)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.
content page Fade Fave: Developing patient improvement programmes in an NHS trust Fade Skinny: The challenges to providers to develop high-quality services for their customers have never been greater. In the UK, the Darzi Review has focused the attention of clinicians and managers on the need to sustain and improve quality. This paper examines these challenges and considers how the Southampton University Hospitals NHS Trust anticipated and responded to them by creating an innovative patient improvement framework linking patient experience, outcomes and safety with its corporate strategies. The paper then reflects on the s...
Source: Fade Library - January 12, 2010 Category: Medical Librarians Authors: tracyjulia Tags: Athens Password Current Awareness E-Journals NHS Trusts Patient Experience Patient satisfaction Source Type: blogs

Internet Use Has No Negative Influence on Well-beingemail 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.
A recent meta-analysis examined the relationship between various Internet uses and well being. The studies published until know is mostly about the discussion whether using Internet for communication with e-mail replaces other forms of communication such as using the phone, chat or face to face contact. Contact through e-mail, facebook, twitter and such replaces real life contact and this is believed to be a bad thing. It reduces the quality of contact, make it more unpersonalized with lack of feelings and commitment. The other hypothesis is that use of Internet with e-mail, facebook, and twitter facilitates the use of the...
Source: Dr Shock MD PhD - January 7, 2010 Category: Psychiatrists and Psychologists Authors: Dr Shock Tags: Internet Depression facebook life-satisfaction loneliness self-concept self-esteem well-being Source Type: blogs

Archives of Surgery 2009 (Vol. 144 No. 11)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.
contents page Fade Fave: Factors That Determine Satisfaction With Surgical Treatment of Low-Income Women With Breast Cancer Fade Skinny: Considers the relationship between patient satisfaction with surgical treatment and 4 consultation skills and processes of the surgeons (time spent, listens carefully, explains concepts in a way the patient can understand, and shows respect for what the patient has to say), controlling for a range of patient, surgeon, and treatment characteristics. Highlights the need to spend enough time and explaining concepts in a way that ensures patients understand them to increase patient satisfact...
Source: Fade Library - December 1, 2009 Category: Medical Librarians Authors: western4uk Tags: Athens Password Current Awareness E-Journals Communication Surgery Breast Cancer Patient satisfaction Source Type: blogs

Good-Enough Sexemail 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.
Good SexThe “Good-Enough Sex” model for couple sexual satisfaction “Then we have the voices who cry for sex and more sex; who bewail the institution of marriage; who think that most of the troubles of the race are traceable to sex causes. They think we do not have enough of it, or that it isn’t the right kind. They see its significance everywhere. One school would allow man or woman no flavor for their fare and the other would have us all on a straight pepper diet. We want to stay out of this controversy. We do not want to be the arbiter of anyone’s sex conduct. We all have sex problems. We...
Source: Recovery Is Sexy.com - November 11, 2009 Category: Addiction Authors: Sparrow Tags: Adult Children of Alcoholics Al-Anon Alcoholics Anonymous Family Gamblers Anonymous Just for today Males Narcotics Anonymous Recovery Sex addiction Sexuality Spiritual Women satisfaction Source Type: blogs

Sexually Transmitted Infections 2009 (Vol. 85, No. 6)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.
content page Fade Fave: Measuring patient satisfaction in sexually transmitted infection clinics: a systematic review Fade Skinny: This review has identified the need for a validated and standardised approach to assess patient satisfaction in sexually transmitted infection clinics. Comparing studies which have measured satisfaction, clear themes for the provision of a high quality service, from a patient perspective, have emerged. These themes should be incorporated into assessment tools, such as questionnaires, when reviewing service delivery (NHS Athens is required to access this article online) Posted in Athens Passwor...
Source: Fade Library - October 27, 2009 Category: Medical Librarians Authors: tracyjulia Tags: Athens Password Current Awareness E-Journals Patient satisfaction Sexually Transmitted Infections Source Type: blogs

Working Hardemail 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.
Right now, things are a bit busy around here. Lots of swine flu prep happening for the office and the group, including an upcoming talk at a local college campus. I can’t emphasize enough how important it is to get ahead of this thing using education. You can argue with irate patients demanding Tamiflu when it’s not indicated, or you can educate them before they get sick, arming them with solid info. I’ve bookmarked several über useful CDC sites for exactly this reason, like this one for antivirals, this for vaccines, and this for general patient info. If you can fire these up from within your EHR, they&...
Source: The EMR/EHR Show: Making Your Electronic Medical Records Really Work - October 26, 2009 Category: Technology Consultants Authors: Peter Beck Tags: Blog customer support EMR vendors Google Internet IT NextGen NextGen Users Group patient satisfaction Source Type: blogs

Health service Journal 2009 (24th September)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.
Fade Fade: Patient satisfaction guaranteed: the future of payment by results? Fade Skinny: The health secretary’s promise of a greater focus on patient experience has the approval of NHS leaders – as long as it is done properly, reports Rebecca Evans (Print subscription held at Fade Library) Posted in Current Awareness, Journals Tagged: Current Awareness, Journals, Patient Satisfaction, Payment by Results
Source: Fade Library - September 29, 2009 Category: Medical Librarians Authors: tracyjulia Tags: Current Awareness Journals Patient satisfaction Payment by Results Source Type: blogs

Postgraduate Medical Journal 2009 (Vol. 85 No. 1006)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.
Contents page Fade Fave: Towards an understanding of the flourishing practitioner Fade Skinny:Paper reflecting upon what makes GPs flourish in terms of virtues, innate characteristics and environmental factors. (NHS Athens is required to access this article online) Posted in Access from Home, Access from Work, Access in the Library, Athens Password, Current Awareness, E-Journals, Electronic Resources Tagged: Athens Password, Current Awareness, E-Journals, Ethics, General Practice, Job Satisfaction, Primary Care
Source: Fade Library - August 18, 2009 Category: Medical Librarians Authors: western4uk Tags: Access from Home Access from Work Access in the Library Athens Password Current Awareness E-Journals Electronic Resources Ethics General Practice Job satisfaction Primary Care Source Type: blogs