Medical professionals include doctors, nurses, hospice workers, emergency medical technicians, and other trained caregivers. RAND research has analyzed retention and job satisfaction among medical professionals, examined civilian and military health care education and training, and explored the impact of the many policies that affect physicians' and nurses' duties and performance.
Journal Article
To describe practice patterns of primary care physicians (PCPs) for the diagnosis, treatment and management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), the authors surveyed 556 PCPs in Boston, Chicago, and Los Angeles (RR=52%). Only 62% reported ever seeing a patient like the one described in the vignette. In all, 16% were 'not at all' familiar with CP/CPPS, and 48% were 'not at all' familiar with the National Institutes of Health classification scheme. PCPs reported practice patterns regarding CP/CPPS, which are not supported by evidence.
Journal Article
Examines the relative influence of patient-related factors and physician referral on mental health service utilization among patients after a traumatic physical injury. A fully structured interview was administered prospectively by trained lay persons to Los Angeles Country trauma center injury patients. Findings highlighted the importance of physician referral in facilitating access to mental health services for trauma injury survivors.
Journal Article
Men treated for localized prostate cancer have a different opinion about their quality of life than their physicians have.
Journal Article
Examines the effect of multiyear special pay on attrition from the U.S. Air Force medical corps.
Journal Article
This paper focuses exclusively on the experiences of the 13 hospitals in the second phase of TCAB during which they tested more than 400 innovations.
Journal Article
In 2005, the VA created consumer-providers (CPs)--individuals with experience of serious mental illness who support others with similar conditions. Data from the groups suggest that hiring and employing CPs within VA has been feasible, beneficial, and acceptable to most members of clinical teams.
Research Brief
This fact sheet summarizes recommendations for health care workers, consumers, and the scientific community to prepare the health care system for genomic medicine for common chronic diseases.
News Release
Although advances in genomic medicine for common adult chronic diseases such as heart disease, diabetes, and cancer hold promise for improved prevention, diagnosis and treatment, health professionals and the public are not prepared to effectively integrate these new tools into practice.
News Release
Education and employment preferences in Qatar are not well aligned with the demands of the Persian Gulf state's labor market, and existing post-secondary educational offerings do not meet all of the nation's needs.
Report
The skills required of military medical personnel differ during deployment and peacetime. This study explored the possibility of stationing personnel in nonmilitary settings where the case mix might more closely resemble that under deployment.
Journal Article
Guideline acceptability should be independently and formally evaluated before dissemination.
Journal Article
Assesses evidence about interventions to improve palliative and end-of-life care.
Journal Article
Evaluates efforts of three major hospital systems to internally disseminate nursing unit change among medical-surgical units. All organizations carefully planned, coordinated, and implemented a spread process; none left dissemination to chance.
Journal Article
The authors surveyed cancer physicians to understand how patients' age and comorbidity influence adjuvant chemotherapy recommendations and whether physician or practice characteristics also affect these recommendations.
Journal Article
Identifies symptom clusters that include urinary and erectile dysfunction among men treated for prostate cancer. Fatigue and emotional distress may be seen together or in combination with prostate cancer-specific symptoms.
Journal Article
Tests a bottom-up framework for redesigning the work environment on medical-surgical units. Examine the number of innovations tested and the association of the volume of tests made and changes in a measurement of vitality at participating hospitals.
Journal Article
Reviews evidence on psychosocial interventions for non-professional careers of people with Parkinson's disease. Most studies were not designed to assess the clinical- or cost-effectiveness of the intervention for the careers.
Journal Article
Tests the accuracy of a brief cognitive assessment of nursing home (NH) residents and to determine whether facility nurses can reliably perform this assessment.
Research Brief
Despite strong initial efforts to support the mental health needs of students displaced by Hurricanes Katrina and Rita, many schools have not been able to fulfill students' mental health needs over the long term.
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