CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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Meta Analysis
Antenatal psychosocial risk factors associated with adverse postpartum family outcomes.
To determine the strength of the association between antenatal psychosocial risk factors and adverse postpartum outcomes in the family, such as assault of women by their partner, child abuse, postpartum depression, marital dysfunction and physical illness. ⋯ Psychosocial risk factors during the antenatal period may herald postpartum morbidity. Research is required to determine whether detection of these risk factors may lead to interventions that improve postpartum family outcomes.
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Ottawa lawyer Karen Capen examines the case of five Ontario physicians who faced charges of professional misconduct after a patient they cared for died in 1988. The investigation, which focused on the concept of "most responsible physician," serves as a cautionary tale for all doctors who share the care of a patient with colleagues.
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Comparative Study
Do physician-payment mechanisms affect hospital utilization? A study of Health Service Organizations in Ontario.
To determine whether payment of primary care physicians based on capitation, with an additional incentive payment for low hospital-utilization rates, resulted in lower hospital-utilization rates among patients of these physicians than among patients of physicians still paid on a fee-for-service basis. ⋯ Capitation payment, with an additional incentive payment to encourage low hospital-utilization rates, did not reduce hospital use. Factors other than the method of physician payment appear to be responsible for the variations in hospital utilization among practices.
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Dr. Lewis Draper represented a rural Saskatchewan riding in the provincial legislature from 1991 to 1995. In this article he muses on the highs and lows of his career in politics.