Journal of general internal medicine
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Comparative Study
Reasons why patients remain uninsured after Massachusetts' health care reform: a survey of patients at a safety-net hospital.
Following the 2006 Massachusetts health care reform, an estimated 316,492 residents remain uninsured. However, there have been no published studies that examine why Massachusetts residents remain uninsured four years into health reform. ⋯ After full implementation of the Massachusetts health reform, those remaining without insurance are largely the working poor who do not have access to, or cannot afford, either employer sponsored insurance or state subsidized insurance.
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Randomized Controlled Trial Multicenter Study Comparative Study
Randomized controlled trial of health maintenance reminders provided directly to patients through an electronic PHR.
Provider and patient reminders can be effective in increasing rates of preventive screenings and vaccinations. However, the effect of patient-directed electronic reminders is understudied. ⋯ Providing patients with HM reminders via a PHR may be effective in improving some elements of preventive care.
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Randomized Controlled Trial Comparative Study
Geriatric syndromes in older homeless adults.
The average age of the US homeless population is increasing. Little is known about the prevalence of geriatric syndromes in older homeless adults. ⋯ Geriatric syndromes that are potentially amenable to treatment are common in older homeless adults, and are experienced at higher rates than in the general older population.
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Comparative Study
Difficulty assisting with health care tasks among caregivers of multimorbid older adults.
Family caregivers provide assistance with health care tasks for many older adults with chronic illnesses. The difficulty they experience in providing this assistance, and related implications for their well-being, have not been well described. ⋯ This study demonstrates that greater HCTD is associated with increased strain and depression among caregivers of multimorbid older adults. That caregiver self-efficacy was strongly associated with HCTD suggests health-system-based educational and empowering interventions might improve caregiver well-being.
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Comparative Study
Patient, primary care physician and specialist expectations of primary care physician involvement in cancer care.
In Canada, many health authorities recommend that primary care physicians (PCP) stay involved throughout their patients' cancer journey to increase continuity of care. Few studies have focused on patient and physician expectations regarding PCP involvement in cancer care. ⋯ Lung cancer patient, PCP and specialist expectations regarding PCP role differ with the phase of cancer and the specific aspect of cancer care. There is a need to reach a better agreement among them and to better define PCP role, in order to achieve more collaborative and integrated cancer care.