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Why don't physicians follow clinical practice guidelines? A framework for improvement.
A differential diagnosis for why physicians do not follow practice guidelines is offered, as well as a rational approach toward improving guideline adherence and a framework for future research are offered. Expand
Self-reported adherence to antiretroviral medications among participants in HIV clinical trials: The AACTG Adherence Instruments
The AACTG Adherence Instruments, which are comprised of two self-report questionnaires for use in clinical trials conducted by the Adult AIDS Clinical Trials Group (AACTG), were administered to 75 patients in the USA. Expand
Evidence for reliability, validity and usefulness of the Medical Outcomes Study HIV Health Survey (MOS-HIV)
Research is needed to compare the MOS-HIV to other strategies for HRQoL assessment in early HIV disease and to suggest acceptable reliability and validity in women, injecting drug users and African–American and lower socioeconomic status patients. Expand
Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance.
It is suggested that adhering to current CPGs in caring for an older person with several comorbidities may have undesirable effects and could create perverse incentives that emphasize the wrong aspects of care for this population and diminish the quality of their care. Expand
Methods to explain the clinical significance of health status measures.
One can classify ways to establish the interpretability of quality-of-life measures as anchor based or distribution based. Anchor-based measures require an independent standard or anchor that isExpand
Correlates and Predictors of Adherence to Highly Active Antiretroviral Therapy: Overview of Published Literature
This review summarizes the results of 20 studies investigating the issue of barriers to optimal highly active antiretroviral therapy (HAART) adherence and found inconsistent findings regarding the relationship of adherence. Expand
Noncardiac comorbidity increases preventable hospitalizations and mortality among Medicare beneficiaries with chronic heart failure.
Cardiologists and other providers routinely caring for older patients with CHF may improve outcomes in this high-risk population by better recognizing non-CHF conditions, which may complicate traditional CHF management strategies. Expand
A Health Status Questionnaire Using 30 Items From The Medical Outcomes Study: Preliminary Validation in Persons With Early HIV Infection
A modified measure of human immunodeficiency virus-relevant items developed for the Medical Outcomes Study from subscales for cognitive function, energy/fatigue, health distress, and a single quality of life item were added to a portion of the MOS Short-form General Health Survey. Expand
Development and validation of a self-completed HIV symptom index.
A brief, self-reported HIV symptom index tailored to patients exposed to multidrug antiretroviral therapies and protease inhibitors has demonstrated construct validity, and offers a simple and rational approach to measuring HIV symptoms for clinical management, patient-oriented research, and adverse drug reporting. Expand