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Journal Of General Internal Medicine
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Shopping for Direct-to-Consumer Screening: Buyers and Clinicians Beware http://ow.ly/2X8PYT
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In the Office and In-Between: The Role of Panel Management in Primary Care http://ow.ly/2X4fOw
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Using the Knowledge Base of Health Services Research to Redefine Health Care Systems http://ow.ly/2WTJp7
This Perspective discusses 12 key facts derived from 50 years of health services research and argues that this knowledge base can stimulate innovative thinking about how to make health care systems safer, more efficient, more cost effective, and more patient centered, even as they respond to the needs of diverse communities.
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Occurrence of Distal Colorectal Neoplasia Among Whites and Blacks Following Negative Flexible Sigmoidoscopy: An Analysis of PLCO Trial http://ow.ly/2WS66u
BACKGROUND It is unclear whether the higher rate of colorectal cancer (CRC) among non-Hispanic blacks (blacks) is due to lower rates of CRC screening or greater biologic risk. OBJECTIVE We aimed to evaluate whether blacks are more likely than non-Hispanic whites (whites) to develop distal colon neoplasia (adenoma and/or cancer) after negative flexible sigmoidoscopy (FSG). DESIGN We analyzed data of participants with negative FSGs at baseline in t...
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Not Just Pathophysiology…. http://ow.ly/2WP6VT
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Horner’s, Heterochromia, and Harlequins http://ow.ly/2WP6VS
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Have them in circles
108 people
Fe Almeida's profile photo
david m's profile photo
Carlos Adams's profile photo
malla reddy's profile photo
Frances Mao's profile photo
Rehna Ali's profile photo
Bud Isaacson's profile photo
thiru kumareswaran's profile photo
Michael E Riley's profile photo
 
Reductions in Use of Colchicine after FDA Enforcement of Market Exclusivity in a Commercially Insured Population http://ow.ly/2X8PYU
Background A brand-name version of colchicine (Colcrys) was introduced after its manufacturer conducted a clinical trial in acute gout patients, leading to higher prices for this drug. Objective We analyzed the impact of the new single-source colchicine product on prescribing and patient health spending as well as incidence rates of potentially dangerous concomitant use of clarithromycin and cyclosporine after formal FDA approval. Design/Particip...
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The Use of Technology to Enhance Health http://ow.ly/2X4fOx
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Cost-Effectiveness of Decision Support Strategies in Acute Bronchitis http://ow.ly/2WTJp6
BACKGROUND A recent clinical trial suggests that printed (PDS) and computer decision support (CDS) interventions are safe and effective in reducing antibiotic use in acute bronchitis relative to usual care (UC). OBJECTIVE Our aim was to evaluate the cost-effectiveness of decision support interventions in reducing antibiotic use in acute bronchitis. DESIGN We conducted a clinical trial-based cost-effectiveness analysis comparing UC, PDS and CDS fo...
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U.S. General Population Estimate for “Excellent” to “Poor” Self-Rated Health Item http://ow.ly/2WP6VV
Background The most commonly used self-reported health question asks people to rate their general health from excellent to poor. This is one of the Patient-Reported Outcomes Measurement Information System (PROMIS) global health items. Four other items are used for scoring on the PROMIS global physical health scale. Because the single item is used on the majority of large national health surveys in the U.S., it is useful to construct scores that c...
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Industry Collaboration and Primary Guest Authorship of High-Impact Randomized Clinical Trials: A Cross-Sectional Study http://ow.ly/2WP6VU
BACKGROUND Journals have increased disclosure requirements in recent years, in part to deter guest authorship. The prevalence of guest authorship among primary authors (first and last) in the current era of increased disclosure requirements is unknown. OBJECTIVES Our aim was to examine the self-reported prevalence of guest authorship among primary authors from a sample of randomized clinical trials with and without industry funding and industry c...
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Capsule Commentary on Ratelle et al., Predicting and Communicating Risk of Clinical Deterioration: An Observational Cohort Study of Internal Medicine Residents http://ow.ly/2Wn1ES
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Have them in circles
108 people
Fe Almeida's profile photo
david m's profile photo
Carlos Adams's profile photo
malla reddy's profile photo
Frances Mao's profile photo
Rehna Ali's profile photo
Bud Isaacson's profile photo
thiru kumareswaran's profile photo
Michael E Riley's profile photo
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Practice based evidence for Evidence based practice
Introduction
The Journal of General Internal Medicine is the official journal of the Society of General Internal Medicine. It promotes improved patient care, research and education in primary care, general internal medicine, and hospital medicine. Its articles focus on topics such as clinical medicine, epidemiology, prevention, healthcare delivery, curriculum development and numerous other non- traditional themes, in addition to classic clinical research on problems in internal medicine.