Journal of general internal medicine
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Multicenter Study Comparative Study
How do physicians conduct medication reviews?
Medication reviews are recommended annually for older patients. A medication review is a discussion of a patient's complete set of medications, but the actual content of a review is not well specified. The medical literature suggests that it is an exhaustive evaluation, but what physicians actually ask about their patients' medication regimens has been little studied. ⋯ Comprehensive discussions about chronic medications are uncommon in routine practice. Practical conceptualization of what constitutes a physician-conducted medication review is needed.
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Multicenter Study Comparative Study
The culture of academic medicine: faculty perceptions of the lack of alignment between individual and institutional values.
Energized, talented faculty are essential to achieving the missions of academic medical centers (AMCs) in education, research and health care. The alignment of individuals' values with workplace experiences are linked to meaningfulness of work and productivity. ⋯ In this study of five diverse medical schools, faculty values were well aligned with stated institutional missions; however, many perceived that institutional behaviors were not always aligned with individual faculty values.
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Randomized Controlled Trial Comparative Study
Perceived quality of care, receipt of preventive care, and usual source of health care among undocumented and other Latinos.
Latinos are the largest minority group in the United States and experience persistent disparities in access to and quality of health care. ⋯ In this national sample, undocumented Latinos were less likely to report receiving blood pressure and cholesterol level checks, less likely to report having received excellent/good quality of care, and more likely to receive no health/health-care information from doctors, even after adjusting for potential confounders. Our study shows that differences in nativity/immigration status should be taken into consideration when we discuss perceived quality of care among Latinos.
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Randomized Controlled Trial Comparative Study
Influence of patient race on physician prescribing decisions: a randomized on-line experiment.
Prior research reports black patients have lower medication use for hypercholesterolemia, hypertension, and diabetes. ⋯ Racial differences in outpatient prescribing patterns for hypertension, hypercholesterolemia, and diabetes are likely attributable to factors other than prescribing decisions based on patient race.