250 research outputs found
Today\u27s cigarette and e-cigarette landscape
E-cigarettes are one of the most difficult and complex public health issues most of us have confronted.
Most anti-tobacco experts and advocates line up on a spectrum from embracing e-cigarettes as a promising way to reduce the harm of tobacco products all the way to being the greatest threat to progress in our 60 year war on big tobacco
Cancer Prevention and Therapeutics for the Primary Care Clinician
Outline
•Basics of cancer screening •Recommended options for colorectal cancer screening •Trends in incidence and mortality •The 80% in Every Community initiativ
Patient perceptions of physician empathy, satisfaction with physician, interpersonal trust, and compliance
Objectives: This study was designed to investigate psychometric properties of the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE), and to examine correlations between its scores and measures of overall satisfaction with physicians, personal trust, and indicators of patient compliance.
Methods: Research participants included 535 out-patients (between 18-75 years old, 66% female). A survey was mailed to participants which included the JSPPPE (5-item), a scale for measuring overall satisfaction with the primary care physician (10-item), and demographic questions. Patients were also asked about compliance with their physician\u27s recommendation for preventive tests (colonoscopy, mammogram, and PSA for age and gender appropriate patients).
Results: Factor analysis of the JSPPPE resulted in one prominent component. Corrected item-total score correlations ranged from .88 to .94. Correlation between scores of the JSPPPE and scores on the patient satisfaction scale was 0.93. Scores of the JSPPPE were highly correlated with measures of physician-patient trust (r \u3e.73). Higher scores of the JSPPPE were significantly associated with physicians\u27 recommendations for preventive tests (colonoscopy, mammogram, and PSA) and with compliance rates which were \u3e .80). Cronbach\u27s coefficient alpha for the JSPPPE ranged from .97 to .99 for the total sample and for patients in different gender and age groups.
Conclusions: Empirical evidence supported the psychometrics of the JSPPPE, and confirmed significant links with patients\u27 satisfaction with their physicians, interpersonal trust, and compliance with physicians\u27 recommendations. Availability of this psychometrically sound instrument will facilitate empirical research on empathy in patient care in different countries
Cancer Screening 2014
Presentation celebrating 40th reunion symposium for the Department of Family and Community Medicine at Thomas Jefferson University Hospital.
Presentation outline includes:
Breast, Colon, Lung and Prostate Cancer
Learning objective: Apply new cancer screening guidelines to primary care physician
An Update on Breast Cancer Screening and Prevention.
The goal of this article is to provide clinical guidance on breast cancer screening and prevention in primary care. The discussion highlights the importance of risk assessment, including screening options and risk-reduction strategies, for women at average and high risk. We review recommendations for breast cancer screening, evaluate current evidence on primary prevention, examine current practice patterns, and consider the impact of recent changes within health care
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