Ambulatory Care

Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Cannabis use disorder is the most commonly reported illegal substance use disorder in the general population; although demand for assistance from health services is increasing internationally, only a minority of those with the disorder seek professional assistance. Treatment studies have been published, but pressure to establish public policy requires an updated systematic review of cannabis-specific treatments for adults.

Author(s): 
Gates, Peter J.
Sabioni, Pamela
Copeland, Jan
Le Foll, Bernard
Gowing, Linda
Publication Title: 
The American Journal of Psychiatry

OBJECTIVE: Reported cases of multiple personality disorder have increased dramatically in the last decade. Few data are available on the treatment of multiple personality disorder. Current recommendations are based on the experience of individual clinicians rather than on systematic research. METHOD: A questionnaire study of 305 clinicians representing a spectrum of mental health professionals was conducted to survey the types and relative efficacy of treatment modalities currently used with cases of multiple personality disorder.

Author(s): 
Putnam, F. W.
Loewenstein, R. J.
Publication Title: 
Archives of Family Medicine

BACKGROUND: The use of homeopathy is growing in the United States, but little is known about practice patterns of physicians using homeopathy and the patients who seek homeopathic care. MATERIALS AND METHODS: Data for consecutive patient visits to 27 doctors of medicine and doctors of osteopathy using homeopathy in 1992 were collected and compared with the National Ambulatory Medical Care Survey of 1990. RESULTS: Patients seen by the homeopathic physicians were younger, more affluent, and more likely to present with long-term complaints.

Author(s): 
Jacobs, J.
Chapman, E. H.
Crothers, D.
Publication Title: 
JAMA oncology

IMPORTANCE: Information regarding treatment options and prognosis is essential for patient decision making. Patient perception of physicians as being less compassionate when they deliver bad news might be a contributor to physicians' reluctance in delivering these types of communication.

Author(s): 
Tanco, Kimberson
Rhondali, Wadih
Perez-Cruz, Pedro
Tanzi, Silvia
Chisholm, Gary B.
Baile, Walter
Frisbee-Hume, Susan
Williams, Janet
Masino, Charles
Cantu, Hilda
Sisson, Amy
Arthur, Joseph
Bruera, Eduardo
Publication Title: 
The Journal of Clinical Psychiatry

OBJECTIVE: To describe the prevalence and clinical correlates of sexual dysfunction in a sample of adult male outpatients with schizophrenia treated with olanzapine, risperidone, quetiapine, or haloperidol, focusing on associations between sexual dysfunction and patient-perceived quality of life. METHOD: Sexual dysfunction was assessed in 139 outpatients with DSM-IV schizophrenia who were receiving olanzapine, risperidone, quetiapine, or haloperidol, but no other medications associated with sexual side effects.

Author(s): 
Olfson, Mark
Uttaro, Thomas
Carson, William H.
Tafesse, Eskinder
Publication Title: 
Journal of Personality Disorders

To determine whether ambulatory psychotherapy targeted to abandonment experiences and fears can reduce suicidality and improve outcome in borderline patients referred to the emergency room with major depressive disorder and self-destructive behavior severe enough to require medical/surgical treatment and a brief psychiatric hospitalization. A total of 170 subjects were randomized at hospital discharge into three treatment groups: treatment as usual (TAU), abandonment psychotherapy delivered by certified psychotherapists, and abandonment psychotherapy delivered by nurses.

Author(s): 
Andreoli, A.
Burnand, Y.
Cochennec, M.-F.
Ohlendorf, P.
Frambati, L.
Gaudry-Maire, D.
Di Clemente, Th
Hourton, G.
Lorillard, S.
Canuto, A.
Frances, A.
Publication Title: 
Colombia Medica (Cali, Colombia)

OBJECTIVES: To describe the clinical encounters that occur when a palliative care team provides patient care and the features that influence these encounters and indicate whether they are favorable or unfavorable depending on the expectations and feelings of the various participants. METHODS: A qualitative case study conducted via participant observation. A total of 12 observations of the meetings of palliative care teams with patients and families in different settings (home, hospital and consultation room) were performed.

Author(s): 
Alfaya GÛngora, Maria Del Mar
Bueno Pernias, Maria JosÈ
Hueso Montoro, CÈsar
Guardia Mancilla, Pl·cido
Montoya Ju·rez, Rafael
GarcÌa Caro, Maria Paz
Publication Title: 
European Journal of Oncology Nursing: The Official Journal of European Oncology Nursing Society

BACKGROUND: Women with recurring ovarian cancer are living longer, due to advances in treatment options. They are now often outpatients, experiencing rapid encounters on treatment days. Whether this shift in care meets women's needs has been scarcely explored scientifically. PURPOSE OF THE STUDY: This study aimed to illuminate the phenomenon of living with recurring ovarian cancer as experienced by women in that condition. METHODS AND SAMPLE: A descriptive phenomenological method was used.

Author(s): 
Ekwall, Eva
Ternestedt, Britt-Marie
Sorbe, Bengt
Sunvisson, Helena
Publication Title: 
Qualitative Health Research

This study is a secondary analysis of a randomized controlled trial that tested the effects of a gratitude intervention on well-being in a sample of individuals in outpatient treatment for alcohol use disorder (AUD). Follow-up qualitative interviews unexpectedly revealed that participants found the Positive and Negative Affect Schedule (PANAS) to be helpful to their recovery in the ways that it asked them to identify and rate their emotions.

Author(s): 
Krentzman, Amy R.
Higgins, Margaret M.
Staller, Karen M.
Klatt, Emily S.
Publication Title: 
Journal of Health Economics

Several recent studies have shown that physician participation in state Medicaid programs is directly related to the generosity of their reimbursement levels. The implication is that when states reduce fees, Medicaid eligibles suffer because their access to physicians' services is thereby limited. The results presented in this paper do not support this implication.

Author(s): 
Long, S. H.
Settle, R. F.
Stuart, B. C.

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