An unfortunate phenomenon continues to be encountered that creates confusion and undermines justice: misleading or false testimony by individuals variously termed "hired guns" or "professional testifiers." Such marginally ethical activity could be inferred from (a) the frequency with which they testify, espedally when preponderantly for the same cohort of plaintiff or defense law firms, (b) inv...

BACKGROUND Primary health care services are the most frequently used in the health care system. Consumer feedback on these services is important. Research in this area relates mainly to doctor-patient relationships which fails to reflect the multidisciplinary nature of primary health care. AIM A pilot study aimed to examine the feasibility of using a patient satisfaction questionnaire designe...

anxiety is a common mental disorder of pregnancy leading to adverse maternal and fetal pregnancy outcomes. hence, preparation of effective approaches for reduction of anxiety is an issue of importance. accordingly, this study was performed to determine the efficacy of group obstetric consultation on anxiety control in pregnant women in non-severe cases. in this randomized clinical trial, 90 pre...

the article of marc jamoulle shows the importance of the contribution of general practitioners (gps) in improving the quality and the efficiency of the health systems. starting from the concept of quaternary prevention for reducing excessive costs in the preventive procedures, he suggests a change of paradigm in every daily activity of the gp in order to have a stronger ethical approach to the ...

This longitudinal study evaluated the effectiveness of a multi-disciplinary community-based service offering conservative treatment for Australian women suffering urinary incontinence and living independently in the community, in terms of urinary incontinence symptom severity, impact on quality of life and knowledge outcomes. One hundred and twenty-three women attending The Waterworx Centre, a ...

The impact of physician burnout on the quality of patient care is unclear. This cross-sectional study aimed to investigate the prevalence of burnout in family physicians in Croatia and its association with physician and practice characteristics, and patient enablement as a consultation outcome measure. Hundred and twenty-five out of 350 family physicians responded to our invitation to participa...

OBJECTIVES To pilot the use of a range of complementary risk communication tools in simulated general practice consultations; to gauge the responses of general practitioners in training to these new consultation aids. DESIGN Qualitative study based on focus group discussions. SETTING General practice vocational training schemes in South Wales. PARTICIPANTS 39 general practice registrars a...