Annals of family medicine
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Annals of family medicine · Jul 2003
Comparative StudyPatient-provider racial and ethnic concordance and parent reports of the primary care experiences of children.
Studies among adults suggest that patient-provider racial concordance is associated with higher satisfaction and partnership with physicians. It remains unknown whether similar findings are true for children. This study examines the association of race/ethnicity concordance with parent reports of children's primary care experiences. ⋯ In contrast with studies among adults, patient-provider race/ethnicity concordance was not associated with parent reports of primary care experiences in our sample of children. It is possible that provider biases or patient expectations that contribute to disparities in care for adults are attenuated in relationships involving children.
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Annals of family medicine · May 2003
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialGlycemic control in medical inpatients with type 2 diabetes mellitus receiving sliding scale insulin regimens versus routine diabetes medications: a multicenter randomized controlled trial.
Hospitalized patients with type 2 diabetes mellitus traditionally receive insulin on a sliding-scale regimen, but the benefits of this approach are unclear. The purpose of this study was to compare the effects of the sliding scale insulin regimen with those of routine diabetes medications on hyperglycemia, hypoglycemia and length of hospitalization in diabetic patients hospitalized for other conditions. ⋯ The use of the sliding scale insulin regimen in combination with routine diabetes medications does not affect the rate of hyperglycemia, hypoglycemia or length of hospitalization in patients with type 2 diabetes mellitus hospitalized for other conditions.
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Annals of family medicine · May 2003
Randomized Controlled Trial Clinical TrialPatient education for informed decision making about prostate cancer screening: a randomized controlled trial with 1-year follow-up.
The efficacy of prostate cancer screening is uncertain, and professional organizations recommend educating patients about potential harms and benefits. We evaluated the effect of a videotape decision aid on promoting informed decision making about prostate cancer screening among primary care patients. ⋯ Decision aids for prostate cancer screening can have a long-term effect on screening behavior and appear to promote informed decision making.