CONTEXT Using a patient and clinician educational intervention, we successfully reduced antibiotic use for uncomplicated acute bronchitis. The impact of this intervention on patient satisfaction is not known. OBJECTIVE To evaluate whether a strategy for reducing antibiotic use in acute bronchitis affects satisfaction among adult patients. DESIGN Telephone survey administered 1 to 4 weeks af...

OBJECTIVES This report describes medications provided or prescribed during ambulatory medical care visits in 1992. Total ambulatory care medication therapy combines data from office-based physicians, hospital outpatient departments (OPD's), and hospital emergency departments (ED's). Drug therapy is described along three dimensions: number of drugs provided or prescribed (drug mention), whether ...

The current study contributes to a better understanding of health information acquisition (HIA) and ongoing public policy debates about the usefulness online information. We distinguish between types knowledge (i.e., objective vs. subjective knowledge) sources (information on Internet from Health Professional's office visit), examine risk perceptions behavior outcomes seeking intentions, genera...

It was 1959, and I was a naive 18 year old kid from a small town in West Virginia. I was not familiar with international diplomacy and world affairs, but I was beginning my first college term at the University of Pittsburgh in Pittsburgh, Pennsylvania, some 60 miles from my home. In addition, I was eager to join the student newspaper as a cub reporter. On the 23 September I presented myself at ...

The purpose of the present study was to evaluate whether the difference between blood pressure measured in the clinic or physician's office and the average daytime blood pressure accurately reflects the blood pressure response of the patient to the physician ("white coat effect" or "white coat hypertension"). We studied 28 hypertensive outpatients (mean age, 41.8+/-11.2 years; age range, 21 to ...

BACKGROUND Patient trust is a key component of the patient-physician relationship. A previous qualitative study has suggested that a low level of trust is associated with unfulfilled requests. OBJECTIVE Our aim was to test the hypothesis that patients with a low level of trust will be more likely to report that requested or needed services were not provided during an office visit. METHODS A...

Standardization of Inflammatory Bowel Disease (IBD) care through participation in the ImproveCareNow (ICN) Network has improved outcomes for pediatric patients with IBD, but under the current care model, our improvements have plateaued. Current ICN model care guidelines recommend health supervision visits every six months. We identified a gap in our practice's ability to ensure either a routine...