Archive | Patient Care RSS feed for this section
doctor talking on cell phone stting at his desk, looking at computer

The New Trend in Medicine

During the 4 decades of my clinical training and practice of medicine, I always felt a sense of ownership and full responsibility in caring for my patients. What I have noticed over the past decade is a gradual transformation in our health care delivery system and in the attitude of our trainees. Hospitals are being governed […]

Read more

Absence of Oral Anticoagulation and Subsequent Outcomes Among Outpatients with Atrial Fibrillation

Prior studies have shown a treatment gap in oral anticoagulation (OAC) use among patients with atrial fibrillation yet have incompletely characterized factors associated with failure to treat and subsequent outcomes in contemporary practice. Methods Using data collected between June 2010 and August 2011 from 174 ambulatory care sites in the Outcomes Registry for Better Informed […]

Read more
nurse pushes gurney down hospital hallway

Trends in Prolonged Hospitalizations in the United States from 2001 to 2012

Health policy debate commonly focuses on frequently hospitalized patients, but less research has examined trends in long-stay patients, despite their high cost, effect on availability of hospital beds, and physical and financial implications for patients and hospitals. Methods Using the National Inpatient Sample, a nationally representative sample of acute care hospitalizations in the US, we […]

Read more
doctor shaking hands with female patient

Diminishing Patient Face Time in Residencies and Patient-Centered Care

One of the more important recommendations coming from the Institute of Medicine’s seminal report on medical errors was the pressing need to implement patient-centered medical care. Although emphatically endorsed and highly influential, adoption of its 6 dimensions in “real life” has been slow, uncommon, and imperfect in most settings studied. Considering how residents spend their […]

Read more
variety of pills and medications

Improving Warfarin Management Within the Medical Home: A Health-System Approach

Anticoagulation clinics have been considered the optimal strategy for warfarin management with demonstrated improved patient outcomes through increased time in therapeutic international normalized ratio (INR) range, decreased critical INR values, and decreased anticoagulation-related adverse events. However, not all health systems are able to support a specialized anticoagulation clinic or may see patient volume exceed available […]

Read more
UA-42320404-1