Open Access. Powered by Scholars. Published by Universities.®
Social and Behavioral Sciences Commons™
Open Access. Powered by Scholars. Published by Universities.®
- File Type
Articles 1 - 9 of 9
Full-Text Articles in Social and Behavioral Sciences
A Study Of Headache In North American Primary Care: Report For The Ambulatory Sentinel Practice Network, L A. Becker, Donald C. Iverson, F M. Read, N Calogne, R S. Miller, W L. Freeman
A Study Of Headache In North American Primary Care: Report For The Ambulatory Sentinel Practice Network, L A. Becker, Donald C. Iverson, F M. Read, N Calogne, R S. Miller, W L. Freeman
Don C. Iverson
Headache is a common symptom in primary care about which surprisingly little is known. Over a 14-month period 3847 patients making 4940 consecutive visits for headache to 38 primary care practices in the USA and Canada were studied. The clinical characteristics of patients, as well as the diagnostic and therapeutic strategies employed by their doctors, were examined. Visits for headache represented 1.5% of all visits during this period. Most patients (72.0%) made only one visit, and nearly half of the headaches reported were new. Only a small number of patients (3.0%) received a computerized tomographic scan; other investigations were used …
Spontaneous Abortion In Primary Care: A Report From Aspn, L Green, L Becker, W Freeman, E Elliott, Donald Iverson, F Reed
Spontaneous Abortion In Primary Care: A Report From Aspn, L Green, L Becker, W Freeman, E Elliott, Donald Iverson, F Reed
Don C. Iverson
The Ambulatory Sentinel Practice Network (ASPN) conducted an observational study of usual primary care of spontaneous abortion (SAB). Forty-nine practices in 18 states and four Canadian provinces reported and audited 171 SABs. Contrary to recommendations in some texts, 40 percent were managed completely in the office and/or at home, and only 51 percent had a dilation and curettage (D&C). SABs occurring later in pregnancy were more likely to be managed in the emergency room/hospital, receive consultation, and have a D&C. Patients managed with D&C had a greater frequency of excessive blood loss at diagnosis, but otherwise they did not differ …
Patients With New Headache In Primary Care: A Report From Aspn, L Becker, Donald Iverson, F Reed, N Calonge, R Miller, W Freeman
Patients With New Headache In Primary Care: A Report From Aspn, L Becker, Donald Iverson, F Reed, N Calonge, R Miller, W Freeman
Don C. Iverson
From a consecutive series of 3,847 headache patients, 1,331 patients who made first visits for new headache to 120 primary care physicians were studied for usual care over a 14-month period. Either tension or vascular headache was the initial diagnosis in 23.8 percent and 12.8 percent of patients, respectively. Nearly one half (47.8 percent) were classified as having headaches other than tension or vascular. A total of 15.3 percent of headaches were undiagnosed or were regarded as a mixture of traditional diagnostic designations. At first visit, most patients (76.6 percent) were managed without diagnostic tests. Drugs were prescribed for 73.6 …
Prestige Of Health Educators Within The Health Care Delivery System, Raymond Nakamura, Donald Iverson
Prestige Of Health Educators Within The Health Care Delivery System, Raymond Nakamura, Donald Iverson
Don C. Iverson
No abstract provided.
Medical Self-Care And Use Of The Medical Care System, D Vickery, Donald Iverson
Medical Self-Care And Use Of The Medical Care System, D Vickery, Donald Iverson
Don C. Iverson
No abstract provided.
The Development And Management Of A Primary Care Research Network, 1978-87, Donald Iverson, B Calonge, R Miller, L Niebauer, F Reed
The Development And Management Of A Primary Care Research Network, 1978-87, Donald Iverson, B Calonge, R Miller, L Niebauer, F Reed
Don C. Iverson
The Ambulatory Sentinel Practice Network (ASPN) was created to increase the knowledge of primary care. Building on the experiences of other national and regional primary care research networks, ASPN has evolved as a North American network including practices in 25 U.S. states and four Canadian provinces in 1987. This paper summarizes ASPN's growth and development since 1978, the involvement of the ASPN practices, and the mechanisms used in developing and managing studies.
Carpal Tunnel Syndrome In Primary Care: A Report From Aspn. Ambulatory Sentinel Practice Network, R Miller, Donald Iverson, R Fried, L Green, Paul Nutting
Carpal Tunnel Syndrome In Primary Care: A Report From Aspn. Ambulatory Sentinel Practice Network, R Miller, Donald Iverson, R Fried, L Green, Paul Nutting
Don C. Iverson
Carpaltunnelsyndrome is the entrapment neuropathy of the medign nerve at the wrist. It is the most common nerve compression disorder seen by physicians, affecting women up to five times more frequently than men, especially during the reproductive years. Carpaltunnelsyndrome is known to be aggravated during pregnancy and menopause. Primary care physicians can expect to see approximately 1.01 cases of carpaltunnelsyndrome per 1,000 office encounters, with a female age-adjusted rate of 1.49 per 1,000 person-years. Physicians can identify this syndrome with an accurate and detailed history and physical exam. In most cases, electrodiagnostic studies, such as nerve conduction velocities and/or electromyography, …
Physician Assessment Of Patient Motivation: Influence On Disposition For Follow-Up Care, R Mcartor, Donald Iverson, D Benken, Valerie Gilchrist, L Dennis, R Broome
Physician Assessment Of Patient Motivation: Influence On Disposition For Follow-Up Care, R Mcartor, Donald Iverson, D Benken, Valerie Gilchrist, L Dennis, R Broome
Don C. Iverson
This study of 3,318 outpatient visits evaluated the influence of the physician-assessed level of patient motivation on the level of physician involvement in follow-up care. Data collected included patient demographics, health risk factors, physician-assessed level of patient motivation, and the disposition for follow-up care (return office visit or self-care). Physicians more frequently scheduled patients for a return office visit, regardless of assessed level of patient motivation, when they presented with a traditional biomedical problem. Patients with health promotion-disease prevention problems were more frequently relegated to self-care; patients physicians judged to be poorly motivated were four times as likely to be …
The Older Patient, The Doctor And The Trainee: Patients' Attitudes And Implications For Models Of Care, Andrew Bonney, Sandra Jones, Donald Iverson
The Older Patient, The Doctor And The Trainee: Patients' Attitudes And Implications For Models Of Care, Andrew Bonney, Sandra Jones, Donald Iverson
Don C. Iverson
Aims & rationale/Objectives Population ageing poses major challenges for health systems. Additionally, training future general practitioners in the management of older and chronically ill patients is potentially hampered by the reluctance of these patients to consult trainees for chronic care. This paper reports a cross-sectional study investigating the attitudes of older patients to trainees, to inform strategies to improve older patient-trainee interaction. Methods The survey instrument was distributed to 1900 patients aged 60 and over from 38 training practices from five Australian states using a stratified, randomised cluster sampling process. Generalised estimating equation models were used for analysis. Principal findings …