Journal of general internal medicine
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Develop a taxonomy for understanding and classifying goals in the care of persons with dementia. ⋯ The findings suggested that patients, primary family caregivers, and clinicians can articulate goals of care and may bring differing perspectives to the goal-setting process. The research identified a taxonomy that may facilitate negotiation of goals by revealing important, and perhaps overlooked, aspects of goals and the goal-setting process.
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Comparative Study
A bedside clinical prediction rule for detecting moderate or severe aortic stenosis.
To evaluate a bedside clinical prediction rule for detecting moderate or severe aortic stenosis. ⋯ A clinical prediction rule, using simple bedside maneuvers, accurately ruled in and ruled out aortic stenosis.
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To determine if women who experience low-severity violence differ in numbers of physical symptoms, psychological distress, or substance abuse from women who have never been abused and from women who experience high-severity violence. ⋯ In this study, even low-severity violence was associated with physical and psychological health problems in women. The data suggest a dose-response relation between the severity of violence and the degree of physical and psychological distress.
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To evaluate the extent to which physician choice, length of patient-physician relationship, and perceived physician payment method predict patients' trust in their physician. ⋯ Patients' trust in their physician is related to having a choice of physicians, having a longer relationship with their physician, and trusting their managed care organization. Most patients are unaware of their physician's payment method, but many are concerned about payment methods that might discourage medical use.