Physician's Role

Publication Title: 
Journal of Evaluation in Clinical Practice

RATIONALE, AIMS AND OBJECTIVES: Sufficient evidence suggests that health information technology (HIT) will soon become part of physician procedure. This paper poses that the outcome of using HIT is affected by the intentions of use. Note that ethical indoctrination is a crucial mechanism for monitoring physicians. Judicious and sufficient use of HIT is expected to be the prerequisite for deploying these technologies to help in delivering better care. This research paper, therefore, aims to define professional concerns and intent to use HIT, and identify their associations.

Author(s): 
Tsang, Sandro
Publication Title: 
Journal of Medical Ethics

BACKGROUND AND RATIONALE: Several factors that motivate individuals to participate in non-therapeutic studies have been identified. This study was conducted as limited data is available regarding these motivations from developing countries. METHODS: This was a single-centre study conducted over 4 months in which a questionnaire was administered to 102 healthy participants and 16 patient participants who had earlier taken part in non-therapeutic studies at our centre. Descriptive statistics and univariate analysis were used to analyse data.

Author(s): 
Doshi, Maulik Sumantbhai
Kulkarni, Shaunak P.
Ghia, Canna J.
Gogtay, Nithya J.
Thatte, Urmila Mukund
Publication Title: 
American Journal of Surgery

BACKGROUND: The purposes of this study were to develop a comprehensive framework for professionalism in surgery and to determine which attributes are most valued by medical students. METHODS: A framework for professionalism in surgery, consisting of 11 attribute categories, was developed. All 3rd-year medical students (n = 168) participated in a focus group and completed a questionnaire regarding their perceptions about professionalism. Students' responses were transcribed verbatim, coded, and assigned attribute categories.

Author(s): 
Sullivan, Maura E.
Trial, Janet
Baker, Craig
Inaba, Kenji
Etcheverry, Josette
Nally, Mary
Crookes, Peter
Publication Title: 
International Journal of Health Services: Planning, Administration, Evaluation

Pay-for-performance programs aim to upgrade health care quality by tailoring financial incentives for desirable behaviors. While Medicare and many private insurers are charging ahead with pay-for-performance, researchers have been unable to show that it benefits patients. Findings from the new field of behavioral economics challenge the traditional economic view that monetary reward either is the only motivator or is simply additive to intrinsic motivators such as purpose or altruism.

Author(s): 
Himmelstein, David U.
Ariely, Dan
Woolhandler, Steffie
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

This paper reports the results of a telephone survey of 693 respondents which was commissioned by the New Jersey Chiropractic Society. This exploratory study provides a broad-ranging and critical examination of key aspects relating to the chiropractic profession as it is practiced in New Jersey. The study concludes that chiropractic in New Jersey is a viable means of treating various disorders, but there remains much confusion and distrust among prospective and current patients as well as the threat of heightened competition from other health professionals.

Author(s): 
Sánchez, J. E.
Publication Title: 
The Hillside Journal of Clinical Psychiatry

Four case histories have been presented to illustrate the range of therapeutic modalities which the liaison and consultation psychiatrist may be called upon to employ in the routine treatment of patients in the general hospital. These include analytically oriented insight and supportive psychotherapy, intervention with the family, collaboration with the medical and nursing staff, resolution of staff countertransference difficulties, pharmacotherapy, the turning of hospital and community resources to therapeutic account, and follow-up treatment and referral.

Author(s): 
Saravay, S. M.
Steinberg, M.
Rousseau, M.
Barnard, W.
Feldman, S. P.
Publication Title: 
Revue Des Maladies Respiratoires

The majority of smokers who stop smoking do it alone. The methods of stopping are aimed at helping those who cannot achieve this. The different methods used include psycho-therapy (individual-group), medication, and in the first place is nicotine chewing-gum (but also clonidine which opens a new perspective), aversive behaviour and reinforcement methods, hypnosis and acupuncture. The inadequacy of validated controlled trials by biological measurements makes it difficult to compare different methods.

Author(s): 
Molimard, M.
Hirsch, A.
Publication Title: 
The Medical Clinics of North America

Smoking-cessation treatment consists of three phases: preparation, intervention, and maintenance. Preparation aims to increase the smoker's motivation to quit and to build confidence that he or she can be successful. Intervention can take any number of forms (or a combination of them) to help smokers to achieve abstinence. Maintenance, including support, coping strategies, and substitute behaviors, is necessary for permanent abstinence. Although most smokers who successfully quit do so on their own, many use cessation programs at some point during their smoking history.

Author(s): 
Schwartz, J. L.
Publication Title: 
Pennsylvania Medicine

The public's interest in "alternative" medicine is well documented, and recent attempts to integrate unconventional therapies into conventional medical practices have been widely publicized Pennsylvania physicians have reacted cautiously but are showing increasing interest. This article summarizes the perspectives of physicians who employ at least some of what they prefer to call "complementary" or "adjunctive" therapies-including acupuncture, hypnosis, and herbal remedies.

Author(s): 
Baldwin, F. D.
Publication Title: 
Complementary Therapies in Medicine

The use of complementary therapies in combination with conventional medicine is increasing. In cancer care, as at the Cavendish Centre for Cancer Care in Sheffield, the range of therapies offered can include aromatherapy, massage, reflexology, shiatsu, acupuncture, homeopathy, counselling, visualization, hypnotherapy, relaxation, healing and art therapy. Before offering any therapy careful assessment of patients' needs is important as patients seeking complementary therapies may present with unrealistic hopes and expectations of benefit.

Author(s): 
Peace, G.
Manasse, A.

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