T his Letter is in reference to the article by KD Rao et al., ‘‘As good as physicians: patient perceptions of physicians and non-physician clinicians in rural primary health centers in India,’’ published in the November 2013 edition of Global Health: Science and Practice (GHSP). The authors have to be lauded for their efforts to produce evidence on patient perceptions of care provided by non-ph...

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 1447 Etiology of Misbehavior Multiple factors may contribute to behavior problems, including lack of adequate discipline. Commonly, children misbehave when they are tired, bored, or hungry. Children often misbehave when they are deprived of adult attention; misbehavior may elicit attention, and parental scolding may unintentionally reinforce the undesi...

A hopeful note in the contemporary abortion environment in the United States is the expanding role of advanced practice clinicians--nurse practitioners, physician assistants and nurse-midwives--in first trimester abortion provision. A large percentage of primary health care in the U.S. is currently provided by these non-physicians but their involvement in abortion care is promising, especially ...

Thirty years' experience in the US with non-physician clinicians shows they can deliver quality care.

As telehealth is increasingly adopted across all care settings, it important to understand how clinicians can adapt and respond patient needs. Drawing from experiences of a virtual primary physician advocate, this Perspectives editorial provides additional insights beyonds the basics for establishing digital empathy remote therapeutic connection.

results we performed rush on 77 patients. kappa index was 0.71 (p value = 0.000), reflecting acceptable general agreement between initial impression and final diagnosis. for hypovolemic, cardiogenic and obstructive shock, the protocol had an npv above 97% yet it had a lower ppv. for shock with distributive or mixed etiology, rush showed a ppv of 100% but it had low sensitivity. subgroup analysi...

BACKGROUND Current practices of reporting critical laboratory values make it challenging to measure and assess the timeliness of receipt by the treating physician as required by The Joint Commission's 2008 National Patient Safety Goals. METHODS A multidisciplinary team of laboratorians, clinicians, and information technology experts developed an electronic ALERTS system that reports critical ...

CONTEXT Complex coagulation test panels ordered by clinicians are typically reported to clinicians without a patient-specific interpretive paragraph. OBJECTIVES To survey clinicians regarding pathologist-generated interpretations of complex laboratory testing panels and to assess the ability of the interpretations to educate test orderers. DESIGN Surveys were conducted of physicians orderin...

Transgenerational trauma is a potential barrier to achieving healthy and holistic patient-physician relationship, particularly for Black Americans. Examination of deeply rooted historical injustices that patients suffer in health care how they undermine trust can help clarify connections between trauma, distrust, outcomes. Furthering clinicians' understanding daily practice respond patients' ex...