Journal of general internal medicine
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Randomized Controlled Trial Multicenter Study Clinical Trial
Cost-effectiveness of a primary care depression intervention.
To determine the incremental cost-effectiveness of a quality improvement depression intervention (enhanced care) in primary care settings relative to usual care. ⋯ This quality improvement depression intervention was cost-effective relative to usual care compared to cost-effectiveness ratios for common primary care interventions and commonly cited cost-effectiveness ratio thresholds for intervention implementation.
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To determine the sociodemographic and service delivery correlates of depression underdiagnosis in HIV. ⋯ Our results suggest that providers should be more attentive to diagnosing comorbid depression in HIV-infected patients.
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This study assesses the readiness of academic general internists to perform and precept a commonly utilized women's health examination, and procedural and management skills. ⋯ Although most academic GIMs are confident precepting the breast and pelvic examination, only a minority are confident precepting the management of dysfunctional uterine bleeding, initiating Depo-Provera, and initiating oral contraceptives. These findings suggest that a number of academic GIMs may not be prepared or willing to perform or precept important women's health skills.
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To examine age-specific gender differences and trends over time in the management of patients with acute myocardial infarction (AMI). ⋯ Our data suggest that women and men with AMI are treated differently with respect to use of diagnostic and revascularization procedures. However, gender differences in the use of these diagnostic and interventional approaches have narrowed over time.