Journal of general internal medicine
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Randomized Controlled Trial Comparative Study
Quality of care for cardiovascular disease-related conditions in patients with and without mental disorders.
We compared the quality of care for cardiovascular disease (CVD)-related risk factors for patients diagnosed with and without mental disorders. ⋯ Quality of care for major chronic conditions associated with premature CVD-related mortality is suboptimal for VA patients with SMI, especially for procedures requiring care by a specialist.
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Comparative Study
Contents of general practitioner-patient consultations in the treatment of depression.
Counseling of patients is an indispensable part of any drug treatment and even more so in the treatment of depression. ⋯ Counseling plays an important part in day-to-day encounters of general practitioners. Pharmacotherapy is embedded in comprehensive psychological care. Training programs for general practitioners should be specific in respect to different tasks and parts of the physician-patient encounter (e.g., building a therapeutic alliance, support for life problems or change of cognitions).
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Comparative Study
Patient assessments of the most important medical decision during a hospitalization.
How medical decisions are made in real-life situations is largely unexplored. We explored patients' perceptions of decision-making during a hospitalization and examined the conformity of the decision process with expert recommendations. ⋯ A majority of patients discharged from a general hospital were able to identify and rate a medical decision. Recommended features of the process of medical decision-making were associated with greater satisfaction with the decision.