Purpose Body awareness attending to, and identifying the inner sensations and overall state of the body and its changes in response to emotional and environmental shifts is often viewed as an outcome of CAM use. Emerging evidence suggests that mind-body awareness may be an intermediate outcome that contributes to CAM-related outcomes. Qualitative and quantitative work indicate that provider emp...

The quality of the patient-provider relationship is regarded as an essential ingredient in the treatment of serious mental illnesses, and is associated with favorable outcomes including improved treatment adherence. However, monitoring the strength and influence of provider support in clinical settings is challenged by the absence of brief, psychometrically sound, and easily administered assess...

Adoption of clinical decision support (CDS) systems leads to improved clinical performance through improved clinician decision making, adherence to evidence-based guidelines, medical error reduction, and more efficient information transfer and to reduction in health care disparities in under-resourced settings. However, little information on CDS use in the community health care (CHC) setting ex...

We undertook a synthesis of existing studies to re-evaluate the evidence on program mechanisms of intimate partner violence (IPV) universal screening and disclosure within a health care context by addressing how, for whom, and in what circumstances these programs work. Our review is informed by a realist review approach, which focuses on program mechanisms. Systematic, realist reviews can help ...

MARCH 2003 The Society of Obstetricians and Gynaecologists of Canada would like to emphasize that a complete medical examination should include a breast and pelvic examination. The following recommendations are made to physicians regarding clinical examination in the office and hospital setting: 1. It is a reasonable and acceptable practice to perform a breast and pelvic examination without the...

BACKGROUND Quality is central to understanding provider motivations to join and remain within a social franchising network. Quality also appears as a key issue from the client's perspective, and may influence why a client chooses to use a franchised provider over another type of provider. The dynamic relationships between providers of social franchising clinics and clients who use these service...

BACKGROUND The fact that tuberculosis can be treated with the DOTS strategy (Directly Observed Treatment, Short-course) is not enough to control the disease. Patients have to find their way to tuberculosis treatment first. To better understand the route to tuberculosis treatment in rural Nepal we interviewed twenty-six patients under treatment. METHODS In semi-structured interviews patients s...

BACKGROUND Chronic kidney disease (CKD) is common and is associated with excess mortality and morbidity. Better management could slow progression of disease, prevent metabolic complications, and reduce cardiovascular outcomes. Low patient awareness of CKD and ineffective patient-provider communication can impede such efforts. We developed provider and patient-directed interventions that harness...

BACKGROUND Mental illness may strongly affect relatives' lives. Therefore, it is important to empower relatives by providing health information according to their preferences. METHODS An online cross-sectional survey was conducted using a purpose-designed questionnaire on online health information and decision-support needs. RESULTS Prevalent reasons for online health information search of ...

RATIONALE Policymakers want health information technology (health IT) to support consumer engagement to help achieve national health goals. In this paper, we review the evidence to compare the rhetoric with the reality of current practice. CURRENT REALITY AND BARRIERS Our environmental scan shows that consumer demand exists for electronic access to personal health information, but that techni...