Most patients have explicit desires or requests when they visit their physicians. Identification of patients' requests and needs is the starting point of a patient-centered approach to care. The frequency with which physicians met their patients' desires for services and that frequency's association with patient satisfaction were examined for 243 patients with chronic disease in general medicine clinics of a Department of Veterans Affairs hospital. Patients desired a mean of 11.9 services, of which an average of 67 percent were met. However, many patients' desires for information and most of their desires for help with emotional and family problems were not met. Patients with the most unmet desires for services, especially services related to information, were significantly less satisfied with their physicians than were those with fewer unmet desires. Factor analysis was used to develop a short, 16-item Requests for Services Questionnaire that appeared to cover the range of services that patients with chronic conditions desire. Enhancing physicians' ability to recognize and respond to patients' desires for services by using short patient request questionnaires may have the potential to improve patient satisfaction and other health care outcomes.
Melnick, S L; Burke, G L; Perkins, L L; McCreath, H; Gilbertson, D T; Sidney, S; Hulley, S B;
Published Date:
1993 Nov-Dec
Source:
Public Health Rep. 108(6):673-679
Description:
A self-administered, confidential survey of respondents' history of selected sexually transmitted disease (STD) was conducted in 1987-88 among adults enrolled in a multicenter study of cardiovascular disease. Respondents (and response rates) included...
Analyses of a nationally representative survey of 1,880 15- to 19-year-old men were conducted to examine factors associated with (a) the age when first sexual intercourse occurred and (b) whether a condom or other contraceptive method was used at fir...
Cotinine concentration in various body fluids is considered to be among the most useful markers of nicotine exposure currently available. Despite the prevailing consensus concerning cotinine's usefulness, cotinine's large intrasubject variability has...
Scenario analysis is a strategic planning technique used to describe and evaluate an organization's external environment. A methodology for conducting scenario analysis using the Jefferson County Department of Health and the national, State, and coun...
Public service advertisements have been used by many in hopes of "selling" good health behaviors. But selling good behavior--even if it could be done more effectively--is not the best goal for using mass media to prevent health problems. Personal beh...
Simon, J A; Schreiber, G B; Crawford, P B; Frederick, M M; Sabry, Z I;
Published Date:
1993 Nov-Dec
Source:
Public Health Rep. 108(6):760-764
Description:
The authors examined the influence of income and race on mean dietary vitamin C intake and the risk of dietary vitamin C intake at levels below the recommended dietary allowance (RDA). They performed a cross-sectional analysis of 2,032 black and whit...
The estimated number of walker-related injuries to infants increased during the 1980s, and standards for walker design safety remain voluntary with no monitoring to assess compliance. Although banning the walker has been proposed, this prevention str...
Most former cigarette smokers in the United States have stopped without formal assistance. However, a large proportion of smokers desire and seek help other than by attending formal programs. It is important to recognize what factors are likely to in...
Greater understanding of psychosocial predictors of the use of condoms among Hispanics is needed in prevention efforts related to the human immunodeficiency virus and sexually transmitted disease epidemics among Hispanics in the United States. A tele...
Miller, C. Arden; Moore, Karen S.; Richards, Thomas B.;
Published Date:
1993 Nov-Dec
Source:
Public Health Rep. 108(6):695-700
Description:
Directors of 14 public health departments were surveyed for their perceptions on the impact of 20 critical events of the 1980s on public health performance. The departments were selected in 1979 from among those that were highly regarded by public he...
Dental and oral diseases may well be the most prevalent and preventable conditions affecting Americans. More than 50 percent of U.S. children, 96 percent of employed U.S. adults, and 99.5 percent of Americans 65 years and older have experienced denta...
A consensus set of health status indicators was released in July 1991 by the Centers for Disease Control and Prevention for use by public health officials at the Federal, State, and local levels in identifying and monitoring issues of public health i...
Richards, M S; Rittman, M; Gilbert, T T; Opal, S M; DeBuono, B A; Neill, R J; Gemski, P;
Published Date:
1993 Nov-Dec
Source:
Public Health Rep. 108(6):765-771
Description:
The trend in many communities toward centralized school lunch preparation potentially increases the risk of foodborne illness. Foods often are prepared long before serving and may be distributed to satellite schools by persons with little formal trai...
A seroprevalence study of cysticercosis, Trypanosoma cruzi, and plasmodia species and screening for active malaria was conducted among a randomly selected group of 138 Hispanic and Haitian migrant farmworkers. A random sample of labor camps in easter...
This study explored a group of primary care physicians' use of various methods to bridge language and cultural barriers between themselves and their patients and the physicians' perceptions of the availability and quality of these methods.|The author...
Pecoraro, R E; Inui, T S; Chen, M S; Plorde, D K; Heller, J L;
Published Date:
Jun 1979
Source:
Public Health Rep. 94(3):231-238
Description:
A self-administered, health history questionnaire devised for routine use in a general medical clinic is completed without the assistance of clinic personnel and used, unedited, by the providers. The reliability and validity of the responses of 23 pa...
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