PURPOSE The aim of this paper was to investigate whether cancer genetic counseling could be considered as a stressful event and associated with more anxiety and/or depression compared to other cancer-related events for instance attending mammography screening or receiving a cancer diagnosis. METHODS A total of 4911 individuals from three Scandinavian countries were included in the study. Data...

school children. Some practical ways of meeting these objectives are offered. The question of "who should do genetic counseling" is answered with an argument for cooperation among geneticists, physician specialists, allied health personnel, and non-M.D. geneticists. This book will be useful to genetic counselors and teachers of medical genetics in medical schools and allied health programs. It ...

background: family physician plan is known as one of the most appropriate strategies to implement rural health insurance program in the form of referral system in iran. this study aims to determine the satisfaction of family physicians and service consumers and its causes of dissatisfaction in the south of iran. materials and methods: this cross-sectional study was performed in kerman health ne...

BACKGROUND Despite the vast literature examining disparities in medical care, little is known about racial/ethnic and mental health disparities in sexual health care. The objective of this study was to assess disparities in safe sex counseling and resultant behavior among a patient population at risk of negative sexual health outcomes. METHODS We conducted a cross-sectional analysis among a s...

Despite widely publicized hypertension treatment guidelines for physicians and lifestyle recommendations for patients, blood pressure control rates remain low. In community-based primary care clinics, we performed a nested, 2 x 2 randomized, controlled trial of physician intervention versus control and/or patient intervention versus control. Physician intervention included internet-based traini...

BACKGROUND Little is known about current physician-patient interactions regarding smoking cessation when a prescription is given for cessation medications. METHODS We identified 1360 health plan members who were smokers and had filled prescriptions for bupropion hydrochloride or nicotine replacement products from March 26, 2002, through April 8, 2003. These members were surveyed 3 months afte...

Substance misuse is common among patients in primary care settings. Although it has a substantial health impact, physicians report low levels of preparedness to identify and assist patients with substance use disorders. An effective approach to office-based treatment includes a coherent framework for identifying and managing substance use disorders and specific strategies to promote behavior ch...