Journal of general internal medicine
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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.
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Comparative Study
Race and gender differences in general internists' annual incomes.
Specialty, work effort, and female gender have been shown to be associated with physicians' annual incomes; however, racial differences in physician incomes have not been examined. ⋯ During the 1990s, both black race and female gender were associated with lower annual incomes among General Internists. Differences for females were substantial. These findings warrant further exploration.
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Bedside rationing by physicians is controversial. The debate, however, is clouded by lack of information regarding the extent and character of bedside rationing. ⋯ Bedside rationing is prevalent in all surveyed European countries and varies with physician attitudes and resource availability. The prevalence of physician bedside rationing, which presents physicians with difficult moral dilemmas, highlights the importance of discussions regarding how to ration care in the most ethically justifiable manner.