background: access to family physicians plays an important role in individuals' health and health indicators. this study aimed to determine the effect of family physicians lodge on performance indicators of rural family physicians working in health centers of jiroft and kerman universities of medical sciences. methods: in this cross - sectional study conducted in 2013, 26 lodge physicians (as t...

results: the finding revealed that intention of family physicians to reduce referral rate of patients to specialists was significantly related to two theory-based variables of subjective norms (r = 0.38, p < 0.001) and perceived behavioral control (r = 0.43, p < 0.001), and not to attitudes. a stepwise regression entering direct measures of the theory variables explained 35% of the variance on ...

conclusions physicians may encounter moral distress during their practice; therefore, the common causes of distress should be identified in order to prevent its occurrence. results results showed that the frequency of moral distress of physicians was 1.24 ± 0.63 and the intensity of moral distress and composite score of moral distress were 2.14 ± 0.80 and 2.94 ± 2.38, respectively. a significan...

The Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT) have completed an estimate of the direct spending and revenue effects of an amendment in the nature of a substitute to H.R. 4872, the Reconciliation Act of 2010. The amendment discussed in this letter (hereafter called “the reconciliation proposal”) is the one that was made public on March 18, 2010, as ...

PURPOSE To assess the impact of 2005 and 2006 reductions in chemotherapy reimbursement, mandated in the Medicare Modernization Act, on patterns of chemotherapy receipt in the last 14 days of life. PATIENTS AND METHODS Included in the study were Medicare beneficiaries dying with poor-prognosis cancer from 2003 to 2007. We compared pre- and postreform probability and frequency of chemotherapy r...

There is merit in considering the lead papers within a context of the current social and political landscape, the status of our healthcare system and the role of public policy to drive change. In doing so, it becomes clear that the notion of workplace must extend beyond what has been traditionally confined to physician offices and healthcare facilities, and the traditional workforces within. Un...

The onset of the prospective payment system (PPS) has profoundly changed the structure of physician charges under Medicare. The proportion of allowed physician charges originating in an inpatient hospital setting was drastically reduced. In 1982, more than three-fifths of physician charges were related to inpatient services. By 1985, less than one-half derived from inpatient care (Figure 1). Th...

Federal policies and state legislation in the United States encourage the use of physician assistants (PAs) and nurse practitioners (NPs) in primary care, although the nature of their work has not been fully analyzed. This article analyzes primary care physician office-encounter data from the 1995-1999 National Ambulatory Medical Care Surveys. About one-quarter of primary care office-based phys...