Journal of general internal medicine
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Comparative Study
Serious psychological distress in U.S. adults with arthritis.
Arthritis and mental health disorders are leading causes of disability commonly seen by health care providers. Several studies demonstrate a higher prevalence of anxiety and depression in persons with arthritis versus those without arthritis. ⋯ Serious psychological distress and FAD affect persons with arthritis and should be addressed in their treatment. Younger adults with arthritis, and those with recurrent pain or either functional or social limitations, may be at higher risk for SPD.
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Comparative Study
The effect of market reform on racial differences in hospital mortality.
To determine whether racial differences in hospital mortality worsened after implementation of a New Jersey law in 1993 that reduced subsidies for uninsured hospital care and changed hospital payment from rate regulation to price competition. ⋯ Market-based reform and reductions in subsidies for hospital care for the uninsured in New Jersey were associated with worsening racial disparities in in-hospital mortality for AMI but not for 6 other common conditions.
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Editorial Comment
The inherent inequities of market-based health care reform.
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Comparative Study Controlled Clinical Trial
Medical comorbidity in women and men with schizophrenia: a population-based controlled study.
Persons with persistent mental illness are at risk for failure to receive medical services. In order to deliver appropriate preventive and primary care for this population, it is important to determine which chronic medical conditions are most common. ⋯ Schizophrenia is associated with substantial chronic medical burden. Familiarity with conditions affecting persons with schizophrenia may assist programs aimed at providing medical care for the mentally ill.
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Comparative Study
An interactive computer kiosk module for the treatment of recurrent uncomplicated cystitis in women.
To validate and implement a computer module for the management of uncomplicated urinary tract infections (UTI). ⋯ A computer module accurately identifies women with culture-confirmed, uncomplicated UTIs. Patients are highly satisfied with the module.