Journal of general internal medicine
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To qualitatively determine factors that are associated with higher participation rates in community-based health services research requiring significant physician participation burden. ⋯ Physician personal contact and friendship networks are powerful tools for recruitment. Participation rates might improve by including HMO and minority physicians in the recruitment process. Investigators should transfer as much of the study burden from participating physicians to project staff as possible.
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Comparative Study
Sheltered versus nonsheltered homeless women differences in health, behavior, victimization, and utilization of care.
To contrast sociodemographic characteristics, physical and mental health status, substance use, sexual behaviors, victimization, and utilization of health services between homeless women residing in sheltered and non-sheltered environments. ⋯ There is a critical need for aggressive outreach programs that provide mental health services and substance abuse treatment for homeless women on the streets. Comprehensive services that also include medical care, family planning, violence prevention, and behavioral risk reduction may be particularly valuable for homeless women, especially those living in unsheltered environments.
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To determine the prevalence and duration of postmenopausal hormone replacement therapy (HRT) use and identify correlates of adherence to therapy. ⋯ Despite increased use of HRT, only a minority of women in this population used HRT, and many of those discontinued therapy within 1 year.
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To understand patient factors that may affect the probability of receiving appropriate depression treatment, we examined treatment preferences and their predictors among depressed primary care patients. ⋯ Despite low rates of treatment for depression, most depressed primary care patients desire treatment, especially counseling. Preferences for depression treatment vary by ethnicity, gender, income, and knowledge about treatments.
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Editorial Comment
Diagnosing diabetes. A practitioner's plea: keep it simple.