The purpose is to systematically review randomised controlled trials (RCTs) to change family physicians' laboratory test-ordering. We searched 15 electronic databases (no language/date limitations). We identified 29 RCTs (4,111 physicians, 175,563 patients). Six studies specifically focused on reducing unnecessary tests, 23 on increasing screening tests. Using Cochrane methodology 48.5% of stud...

We propose a Bayesian analysis of detection of a change of parameter in a sequence of independent random variables from exponential family. The test uses the highest posterior density credible set.

Interrelating is a combination of each person's relating towards a specified other and each person's view of the other's relating towards him/her. Negative interrelating is a maladaptive form of interrelating. The study aims to (1) compare the negative interrelating within the families of neurotic and psychotic psychotherapy outpatients; (2) examine whether individual treatment has a beneficial...

much needed curricular and infrastructural changes in our medical education system. He states that the overall objective of MBBS is to produce a general type physician. We, however, opine that this notion merits reconsideration. It is time to challenge the traditional concept of health care delivery based on general physicians without postgraduate training. The poor community orientation and ne...

C ulture is difficult to change, particularly when created and maintained within formal institutions. The culture of the hospital, as reflected in its specific practices, rules, and policies, seems particularly resistant to change. From its historical roots as a hierarchical structure focused on maintaining patient safety, hospitals have a long history of limiting information about the patient ...

Frank Furstenberg examines how the newly extended timetable for entering adulthood is affecting, and being affected by, the institution of the Western, particularly the American, family. He reviews a growing body of research on the family life of young adults and their parents and draws out important policy implications of the new schedule for the passage to adulthood. Today, says Furstenberg, ...

Substantial family and work macro-level change has been occurring in Japan. Examples include a decline in the availability of jobs that afford lifetime protection against unemployment, an increase in jobs that do not carry benefits such as a pension, an increase in age at marriage and at first birth, and an increase in marital dissolution. Using life history data from the 2000 National Survey o...

Trends toward later and less marriage and childbearing have been evenmore pronounced in East Asia than in the West. At the same time, many other features of East Asian families have changed very little. We review recent research on trends in awide range of family behaviors inChina, Japan,Korea, and Taiwan. We also draw upon a range of theoretical frameworks to argue that trends in marriage and ...

Would you like some good reading? We recommend an article by Barbara Starfi eld, pediatrician and one of the nation’s foremost clinical epidemiologists. Her comprehensive review of the literature on systems of effective health care is in The Milbank Quarterly.3 Here’s what our country needs: 1. Patient-Centered Medical Homes. Ubiquitous physician-directed practices that emphasize fi rst-contact...

This article is an introduction to Special Collection 6 of Demographic Research whose articles investigate the interrelations between the family and migration behaviour of individuals in industrialised countries. We first review the life-course approach and previous research on the interplay between family change and migration. We then describe the contribution of the articles in the collection...