a better understanding of factors influencing quality of medical service can pinpoint better strategies for quality assurance in medical services. this study aimed to identify factors affecting the quality of medical services provided by iranian physicians.exploratory in-depth individual interviews were conducted with sixty-four physicians working in various medical institutions in iran.individ...

A collaborative physician-pharmacist relationship is a fundamental component of patient’s primary care. The aim this study was to investigate the attitude physicians toward work with community pharmacists in Sulaimani City, Iraq. cross sectional design utilized, and questionnaire sent 60 physicians, whom 47 completed questionnaire. total 26 (55.3%) stated that they had history collaboration the...

BACKGROUND Tobacco cessation interventions by physicians hold promise in improving quit rates. The 5As intervention ('Ask', 'Advise', 'Assess', 'Assist' and 'Arrange') is an evidence-based approach for tobacco cessation. However, little is known about adherence with the tobacco cessation interventions in primary care in India. In the present study we assessed physicians' adherence with the 5As ...

OBJECTIVE To describe primary care patterns of referral and diagnoses of patients with rheumatic diseases referred to rheumatologists. METHODS The medical records of all consecutive patients referred in 1994 by >300 primary care physicians to two rheumatologists at an academic centre were reviewed. The referring physician diagnosis was compared with the rheumatologist's diagnosis. Sensitivity...

BACKGROUND Claims-based algorithms based on administrative claims data are frequently used to identify an individual's primary care physician (PCP). The validity of these algorithms in the US Medicare population has not been assessed. OBJECTIVE To determine the agreement of the PCP identified by claims algorithms with the PCP of record in electronic health record data. DATA Electronic healt...

OBJECTIVE To analyze the most common methods for measuring patellar height and the impact of observer experience in correlations with the other observers using digital radiography. METHODS Sixty digital radiographs of the knee in lateral view were analyzed by four observers: a physician in the second year of medical residence in orthopedics (R2); a physician in the third year of medical resid...

BACKGROUND The 16-item Vitamin D Status Predictor (VDSP) questionnaire helps to identify, without resorting to a blood test, older adults with low vitamin D concentrations. Our objective was to determine whether a self-administered VDSP was concordant with the VDSP administered by a physician, and to examine the concordance of every single item of the VDSP. METHODS A total of 349 older in- an...

OBJECTIVE To develop and test the reliability of a case-leveling framework for assigning level of difficulty of the pharmacist's task for initial medication assessments conducted by pharmacists integrated into family physician offices. DESIGN Descriptive study. SETTING Seven family practice sites in Ontario from June 2004 to July 2006. PATIENTS Patients referred by their family physician ...

UNLABELLED Evaluation of physician practice is necessary, both to provide feedback for self-improvement and to guide department heads during yearly evaluations. OBJECTIVE To develop and implement a peer-based performance evaluation tool and to measure reliability and physician satisfaction. METHODS Each emergency physician in an urban emergency department evaluated their peers by completing...

BACKGROUND With high-quality community-based primary care, hospitalizations for ambulatory care sensitive conditions (ACSC) are considered avoidable. The purpose of this study was to test the inter-physician reliability of judgments of avoidable hospitalizations for one ACSC, uncomplicated hypertension, derived from medical chart review. METHODS We applied the Canadian Institute for Health In...