Beginning in 1984, the long-term trend of increasing utilization of inpatient hospital care by Medicare enrollees reversed. As Medicare patients increasingly received care in outpatient hospital facilities, ambulatory surgical centers, and physicians' offices, the structure of charges for physicians' services changed significantly. Medical services by physicians in inpatient hospitals declined ...

BACKGROUND Aspects of U.S. clinical abortion service provision such as gestational age limits, charges for abortion services, and anti-abortion harassment can impact the accessibility of abortion; this study documents changes in these measures between 2008 and 2012. METHODS In 2012 and 2013, we surveyed all known abortion-providing facilities in the United States (n = 1,720). This study summa...

The traditional health care landscape, hospitals and private physicians' offices, is undergoing a major shift of focus. "Womb to tomb" care facilities, typified by boutique developments, medical malls, and health parks, are just now in their infancy. This article provides an overview of the likely direction of health care design as shaped by consumer demand.

BACKGROUND The purpose of this study was to determine whether self-perceived health status is predictive of a doctor's office visit in the Longitudinal Study on Aging (LSOA). METHODS This was a population-based longitudinal study of persons aged ≥70 years who participated in the Study on Aging in 1984 and a follow-up survey of the LSOA in 1986. The cohort for the study consisted of 560 blacks...

OBJECTIVE To identify prevalence of previous blood pressure measurement and analyze some associated factors in adolescents. METHODS This cross-sectional study included 6,077 adolescents aged 14 to 19 years. Demographic characteristics included (sex, age, period of study, region of residence, work, skin color, and economic) status, history of blood pressure measurement within last 12 months, l...

background: although ionizing radiation is very important in diagnostic and treatment of many diseases, the hazards of this radiation are considerable and irrefutable. one of the main stages in radiation protection is knowledge about radiation dose in radiological investigation. the aim of this study was to determine the physicians' knowledge in radiological examinations. materials and methods:...

conclusions almost many pediatric health professionals believe that teething causes a wide range of symptoms, most of which are minor and related to discomfort rather than physical illness. the current study findings were consistent and in contrast with those of many other studies on professional beliefs of teething symptoms. such beliefs by various staffs may create optimal management of commo...

BACKGROUND Although effective role models are important in medical education, little is known about the characteristics of physicians who serve as excellent clinical role models. We therefore conducted a case-control study to identify attributes that distinguish such physicians from their colleagues. METHODS We asked members of the internal-medicine house staff at four teaching hospitals to n...