American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jun 2004
Comparative StudyComparison of laparoscopic-assisted vaginal hysterectomy with traditional hysterectomy for cost-effectiveness to employers.
The purpose of this study was to compare the cost-effectiveness of laparoscopic-assisted vaginal hysterectomy to traditional total abdominal hysterectomy and total vaginal hysterectomy with regard not only to direct hospital costs but also to indirect costs. ⋯ For most patients, laparoscopic-assisted vaginal hysterectomy provides a minimally invasive way to accomplish a hysterectomy with a lower cost to employers (payers) on the basis of lost work hours.
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Am. J. Obstet. Gynecol. · Jun 2004
Comparative StudyA follow-up evaluation of sexual misconduct complaints: the Oregon Board of Medical Examiners, 1998 through 2002.
The current study presents an analysis of sexual misconduct allegations that were closed from 1998 through 2002 and is compared with allegations from 1991 through 1995 (study 1). One hundred complaints were closed in study 1, which involved 80 licensees; 23.8% of those complaints resulted in reportable board actions. ⋯ Physician and patient awareness and board actions reduced total complaints of sexual misconduct. Family medicine was an exception, with 12 reportable board actions compared with 4 in study 1. Reportable disciplinary actions involved revocations, suspensions, and surrender of license; the disciplinary actions most often involved probation, education, counseling and/or psychiatric therapy, and practice limitation. Education, the identification of high-risk practitioners, and the appropriate use of deterrence continue to be areas of recommended focus.