scholarly journals Characteristics of Office-based Physician Visits, 2018

2021 ◽  
Author(s):  
Jill Ashman ◽  
Loredana Santo ◽  
Titilayo Okeyode
Keyword(s):  
Office Visit ◽  
Insurance Status ◽  
Physician Visits ◽  
Physician Office Visit ◽  
Physician Office ◽  
Age And Sex

Examines physician office visit rates by age and sex and visit characteristics, including insurance status, reason for visit, and services.

Relationship of Depression Screening and Physician Office Visit Duration in a National Sample

2010 ◽  
Vol 61 (11) ◽  
pp. 1126-1131 ◽  
Author(s):  
Michael R. Schmitt ◽  
Michael J. Miller ◽  
Donald L. Harrison ◽  
Bryan K. Touchet
Keyword(s):  
Office Visit ◽  
National Sample ◽  
Depression Screening ◽  
Physician Office Visit ◽  
Physician Office ◽  
Visit Duration ◽  
Relationship Of

Evaluating the physician office visit

1996 ◽  
Vol 19 (1) ◽  
pp. 17-37 ◽  
Author(s):  
Jerry H. Seibert ◽  
Jan M. Strohmeyer ◽  
Raymond G. Carey
Keyword(s):  
Office Visit ◽  
Physician Office Visit ◽  
Physician Office

Is ADHD Really Increasing in Youth?

2015 ◽  
Vol 22 (2) ◽  
pp. 107-115 ◽  
Author(s):  
Daniel J. Safer
Keyword(s):  
Time Trend ◽  
Office Visit ◽  
Temporal Changes ◽  
Population Surveys ◽  
Physician Office Visit ◽  
Parent Reports ◽  
National Surveys ◽  
Physician Office ◽  
Outpatient Physician ◽  
Over Time

Objective: It would be useful to compare temporal changes in the diagnostic prevalence of ADHD obtained from identical population surveys with time-trend survey findings based on individual ADHD features. Method: Changes in the diagnostic prevalence of ADHD over time were recorded from parent reports and from physician office visit data. Associated features of ADHD were temporally recorded from standardized teacher, parent, and youth surveys. Results: Time-trend diagnostic findings on ADHD prevalence based on 6 parent surveys and 12 outpatient physician office visit surveys revealed consistent rate increases. By contrast, 26 sets of standard ratings of the primary and associated features of ADHD assessed systematically by different teachers, parents, and students during different years indicated little change. Conclusion: Time-trend national surveys of ADHD in youth over the last two decades reveal consistent increases in its diagnostic prevalence, whereas time-trend findings for individual ADHD-related symptoms remained relatively stable.

Office-Based Cholesterol Testing: Impact on Process-of-Care in Patients with Hypercholesterolemia a Pilot Study

1997 ◽  
Vol 13 (2) ◽  
pp. 75-79 ◽  
Author(s):  
David M Ruffin ◽  
James M McKenney
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Statistical Significance ◽  
Intervention Group ◽  
Office Visit ◽  
Therapeutic Interventions ◽  
Control Group ◽  
Process Of Care ◽  
Physician Office ◽  
Significant Difference

Objective: To determine whether providing cholesterol results during a patient-physician office encounter would affect the process-of-care in patients with hypercholesterolemia. Methods: We used a randomized, parallel-group, control design to conduct the study. Thirty-five participants had a lipoprotein analysis performed using the L.D.X. cholesterol analyzer. Patients randomly assigned to the intervention group (n = 19) had their results provided to the physician during the office visit; the results of those in the control group (n = 16) were not made available to the physician. Each participant's medical record was reviewed to determine the physican's process-of-care with respect to cholesterol management. The indicators of the process-of-care for which we sought documentation included therapeutic interventions and the physician's assessment of risk for coronary heart disease. We used Fisher's exact test to determine statistical significance of the intervention. Descriptive analysis was also performed. Results: We were unable to detect a statistically significant difference in therapeutic interventions (p = 0.183). However, we did observe a statistically significant difference in the physician's assessment of risk for coronary heart disease (p = 0.0001). Conclusions: Our data suggest that providing a cholesterol test result during a patient-physician office encounter positively affects the process-of-care in patients with hypercholesterolemia. Future studies should include larger numbers of patients and longer follow-up periods.

scholarly journals COVID-19 pandemic and waiting times in outpatient specialist care in Germany: an empirical analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jennifer Muschol ◽  
Christian Gissel
Keyword(s):  
Health Insurance ◽  
Waiting Times ◽  
Healthcare Providers ◽  
Healthcare Systems ◽  
Linear Mixed Effect Model ◽  
Insurance Status ◽  
Specialist Care ◽  
Mixed Effect ◽  
Physician Visits ◽  
Patient Groups

Abstract Background International healthcare systems face the challenge that waiting times may create barriers to accessing medical care, and that those barriers are unequally distributed between different patient groups. The disruption of healthcare systems caused by the COVID-19 pandemic could exacerbate this already strained demand situation. Using the German healthcare system as an example, this study aims to analyze potential effects of the COVID-19 pandemic on waiting times for outpatient specialist care and to evaluate differences between individual patient groups based on their respective insurance status and the level of supply. Methods We conducted an experiment in which we requested appointments by telephone for different insurance statuses in regions with varying levels of supply from 908 outpatient specialist practices in Germany before and during the COVID-19 pandemic. Data from 589 collected appointments were analyzed using a linear mixed effect model. Results The data analysis revealed two main counteracting effects. First, the average waiting time has decreased for both patients with statutory (mandatory public health insurance) and private health insurance. Inequalities in access to healthcare, however, remained and were based on patients’ insurance status and the regional level of supply. Second, the probability of not receiving an appointment at all significantly increased during the pandemic. Conclusions Patient uncertainty due to the fear of a potential COVID-19 infection may have freed up capacities in physicians’ practices, resulting in a reduction of waiting times. At the same time, the exceptional situation caused by the pandemic may have led to uncertainty among physicians, who might thus have allocated appointments less frequently. To avoid worse health outcomes in the long term due to a lack of physician visits, policymakers and healthcare providers should focus more on regular care in the current COVID-19 pandemic.

Fatigue, sleep disorders, anaemia and pain in the multiple sclerosis prodrome

2020 ◽  
pp. 135245852090816 ◽  
Author(s):  
Fardowsa LA Yusuf ◽  
José MA Wijnands ◽  
Elaine Kingwell ◽  
Feng Zhu ◽  
Charity Evans ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Sleep Disorders ◽  
Symptom Onset ◽  
Population Based ◽  
Matched Cohort ◽  
Physician Visits ◽  
Clinical Databases ◽  
Form Part ◽  
Population Controls ◽  
Age And Sex

Background: There is increasing evidence of prodromal multiple sclerosis (MS). Objective: The aim of this study was to determine whether fatigue, sleep disorders, anaemia or pain form part of the MS prodrome. Methods: This population-based matched cohort study used linked administrative and clinical databases in British Columbia, Canada. The odds of fatigue, sleep disorders, anaemia and pain in the 5 years preceding the MS cases’ first demyelinating claim or MS symptom onset were compared with general population controls. The frequencies of physician visits for these conditions were also compared. Modifying effects of age and sex were evaluated. Results: MS cases/controls were assessed before the first demyelinating event (6863/31,865) or MS symptom onset (966/4534). Fatigue (adj.OR: 3.37; 95% CI: 2.76–4.10), sleep disorders (adj.OR: 2.61; 95% CI: 2.34–2.91), anaemia (adj.OR: 1.53; 95% CI: 1.32–1.78) and pain (adj.OR: 2.15; 95% CI: 2.03–2.27) during the 5 years preceding the first demyelinating event were more frequent among cases, and physician visits increased for cases relative to controls. The association between MS and anaemia was greater for men; that between MS and pain increased with age. Pre-MS symptom onset, sleep disorders (adj.OR: 1.72; 95% CI: 1.12–2.56) and pain (adj.OR: 1.53; 95% CI: 1.32–1.76) were more prevalent among cases. Conclusion: Fatigue, sleep disorders, anaemia and pain were elevated before the recognition of MS. The relative anaemia burden was higher in men and pain more evident among older adults.

Establishing a direct laboratory access program

1995 ◽  
Vol 41 (5) ◽  
pp. 809-812 ◽  
Author(s):  
H B Soloway
Keyword(s):  
Health Services ◽  
Laboratory Testing ◽  
Laboratory Tests ◽  
State Of The Art ◽  
Office Visit ◽  
Medical Intervention ◽  
Small Stream ◽  
Physician Office Visit ◽  
Sole Purpose ◽  
Access Program

Abstract Direct Laboratory Access (DLA) refers to a program whereby individuals who wish to have laboratory testing performed can avail themselves of such testing independently of a physician referral. DLA benefits both physicians and consumers. Physicians benefit by not having to invest time and office resources for consumers who do not seek medical intervention but rather who visit physicians for the sole purpose of obtaining permission to have laboratory tests performed. Consumers benefit by avoiding physician encounters they do not want, by receiving state-of-the-art laboratory testing they do want, and by avoiding the added expense and inconvenience of a physician office visit. DLA appeals to an anxious, educated, and somewhat affluent niche market. The program fills a void in the provision of health services while providing a small stream of revenue for laboratories.

scholarly journals Factors associated with successful completion of outpatient parenteral antibiotic therapy in an area with a high prevalence of multidrug-resistant bacteria: 30-day hospital admission and mortality rates

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241595
Author(s):  
Thais Cristina Garbelini Salles ◽  
Santiago Grau Cerrato ◽  
Tatiana Fiscina Santana ◽  
Eduardo Alexandrino Medeiros
Keyword(s):  
Multivariate Analysis ◽  
Urinary Tract ◽  
Hospital Admission ◽  
Office Visit ◽  
Multidrug Resistant ◽  
Resistant Bacteria ◽  
Multidrug Resistant Bacteria ◽  
Physician Office Visit ◽  
Factors Associated ◽  
High Prevalence

Objectives To identify factors associated with hospital admission and mortality within the first 30 days after enrolment in an outpatient parenteral antimicrobial therapy (OPAT) program, also analysing adequacy of the treatment regimen and clinical outcomes. Patients and methods This was a retrospective cohort study conducted between October 2016 and June 2017 in the state of São Paulo, Brazil. Variables related to hospital admission and mortality were subjected to bivariate analysis, and those with a P<0.05 were subjected to multivariate analysis as risk factors. Results We evaluated 276 patients, of whom 80.5% were ≥60 years of age and 69.9% had more than one comorbidity. Of the patients evaluated, 41.3% had pneumonia and 35.1% had a urinary tract infection. The most common etiological agent, isolated in 18 (31.6%) cases, was Klebsiella pneumoniae, and 13 (72,2%) strains were carbapenem resistant. The OPAT was in accordance with the culture results in 76.6% of the cases and with the institutional protocols in 76.4%. The majority (64.5%) of the patients were not admitted, and a cure or clinical improvement was achieved in 78.6%. Multivariate analysis showed that, within the first 30 days after enrolment, the absence of a physician office visit was a predictor of hospital admission (P<0.001) and mortality (P = 0.006). Conclusions This study demonstrated the viability of OPAT in elderly patients with pulmonary or urinary tract infections in an area with a high prevalence of multidrug-resistant bacteria and that a post-discharge physician office visit is protective against hospital admission and mortality.

Skilled Observation During the Office Visit Is Key

2006 ◽  
Vol 40 (4) ◽  
pp. 31
Author(s):  
PAUL ENGSTROM
Keyword(s):  
Office Visit
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