Alex James Lustman

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BACKGROUND Quality indicators were adopted to compare quality of care across health systems. AIM To evaluate whether patient characteristics influence primary care physicians' diabetes quality indicators. DESIGN OF STUDY Retrospective cohort study. SETTING Primary care setting. METHOD The study was conducted in the Central District of Clalit Health(More)
BACKGROUND Erectile dysfunction (ED) is a common problem among male adults that generally has been ignored by family practitioners. OBJECTIVE Our aim was to assess the effect of a mailed questionnaire about ED on the readiness of patients to raise the subject with their family doctor. METHODS The study population included all men aged 40 years and over(More)
BACKGROUND Good care of the diabetic patient reduces the incidence of long-term complications. Treatment should be interdisciplinary; in the last decade a debate has raged over how to optimize treatment and how to use the various services efficiently. OBJECTIVES To evaluate the quality of care of diabetic patients in primary care and diabetes clinics in(More)
BACKGROUND Gallstone disease is common in Western countries. Statins reduce biliary cholesterol secretion and have anti-inflammatory effects, suggesting that they may play a role in reducing the incidence of surgically treated gallstone disease. AIM To examine a potential association between statin administration and risk of cholecystectomy. METHODS We(More)
AIM To investigate the associations between family physicians' characteristics and the change in quality of health care indicators (QI) over a two-year period. METHODS The retrospective cohort study included 161 (60.5%) of 266 family physicians who worked for the Clalit health fund in Israel in the period from January 2003 until December 2005. Family(More)
BACKGROUND In 1995 Clalit Health Services introduced a structured follow-up schedule, by primary care nurses, of diabetic patients. This was supplementary care, given in addition to the family physician's follow-up care. This article aims to describe the performance of diabetes follow-up and diabetes control in patients with additional structured nursing(More)
AIM To assess the persistence of diabetic patients to oral medications. METHODS The study included all type 2 diabetic patients over 40 years, members of one District of Clalit Health Services Israel, who were diagnosed with diabetes mellitus before 2008 and who filled at least one prescription per year during 2008-2010, for the following medications:(More)
INTRODUCTION Continuity of care is one of the core principles of primary care. The importance of interpersonal continuity in treating diabetic patients is unclear. AIM To examine the association of interpersonal continuity of care, by the primary care physician, on the process of diabetic care and on health end points including diabetes control, hospital(More)
BACKGROUND The common feature of the different varieties of non-conventional medicine (NCM) is the lack of recognition, complete or partial, given to them by the institutions of conventional medicine. Treating all varieties in the same way can cause confusion. AIM To investigate the knowledge and attitudes of family practitioners (FP) in the methods of(More)
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