BACKGROUND Whether the current recommendations for ovarian cancer prevention and screening (annual history and physical examination) are effective has not been evaluated. We examined the relation between health care use and the risk of ovarian cancer. METHODS Using a case-control study design, we recorded the frequency of medical visits and pelvic examinations and the type of health care prov...

BACKGROUND There is a wide range of actions an individual could take when sick or injured such as self-care, consulting a traditional healer, or seeking treatment from a private or public health care facility. The specific action taken is influenced by individual characteristics, provider characteristics, societal factors, and geographical factors. A key individual characteristic is the ability...

BACKGROUND The organization of health care system to emphasize managed care has placed the primary care provider in an ideal position to assess the impact of intimate partner violence (IPV) on the health of women. Primary care practice provides a setting in which women can develop an ongoing relationship with their health care provider in which they feel safe to discuss IPV and possible options...

Purchasers and health plans are reemphasizing deductibles, coinsurance, and other consumer incentives in response to renewed inflation and the continuing backlash against managed care. This paper explores the partial convergence of cost sharing and benefit design for preferred provider and health maintenance products and highlights experiments that foster price-conscious choice among benefit co...

OBJECTIVE To determine the health care resources and perceived barriers to care of families attending free vaccine fairs. DESIGN A cross-sectional survey. SETTING Twelve free vaccine fairs in Denver, Colorado, in 1994. PARTICIPANTS A total of 533 consecutive parents or guardians of children receiving vaccine at the fairs. Interventions. None. MEASUREMENTS/RESULTS Survey respondents repo...

Numerous malpractice lawsuits have been filed against health care providers by patients who claimed that, upon suffering a serious injury after refusing care, they did not fully understand the potential consequences of such refusal. In a typical situation, a patient alleges that the health care provider was negligent in not fully disclosing the risks of treatment refusal. Coupled with this alle...

The pediatric primary care provider in the medical home has a central and unique role in the care of children with spina bifida. The primary care provider addresses not only the typical issues of preventive and acute health care but also the needs specific to these children. Optimal care requires communication and comanagement with pediatric medical and developmental subspecialists, surgical sp...

The pediatric primary care provider in the medical home has a central and unique role in the care of children with spina bifida. The primary care provider addresses not only the typical issues of preventive and acute health care but also the needs specific to these children. Optimal care requires communication and comanagement with pediatric medical and developmental subspecialists, surgical sp...

Using semi-structured interviewing of female domestic abuse survivors and health care providers, this study investigated relationships between female domestic abuse victims' (1) abusive environments, (2) health perceptions and needs, and (3) access to and use of health care services. The results provide evidence that the abusive partner and the health care system are the two major barriers that...