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Despite well-recognized gender differences in patterns of social network support, few studies have explored whether the pathways by which social support affects mortality risk differ for men and women. In a 15-year follow-up study of elderly HMO members, we found that network size affected men's mortality risk indirectly, through their health status, while(More)
OBJECTIVE To gain understanding about why a controlled intervention to reduce variability in lumbar spine imaging test use rates for low back pain patients was ineffective among internal medicine and family practice physicians in a large US health maintenance organization. DESIGN We retrospectively analyzed data from focus groups that had been conducted(More)
OBJECTIVES To compare the effectiveness of 2 system-level multifaceted quality improvement approaches to enhancing the secondary prevention of domestic violence (DV) in health maintenance organization (HMO) primary care settings. STUDY DESIGN A "2 new interventions" pre/post design that compared a basic implementation strategy using current staff levels(More)
This paper examines physicians' perceptions about potential effects of lay self-care. The research was designed to explore these perceptions regarding three types of effects with particular reference to their general distribution and their inter-relationships. The findings showed that physicians distinguished clearly among the effects of self-care but that(More)
Sex-dimorphic traits and behavior were measured in a 17-year old prospective study of 74 teenager boys and 98 girls who had been exposed to medroxyprogesterone acetate in utero compared with 459 boys and 546 girls not exposed. Bem Sex Role Identity scores were identical in exposed and non-exposed teenagers of each sex. There were no significant differences(More)
A random sample of 407 Israel laypeople was interviewed about several dimensions of their attitudes toward lay self-care in health. The dimensions studied were perceptions of laypeople's motives in undertaking self-care, views regarding the division of responsibility for individual health between laypeople and professionals, and opinions regarding the(More)
OBJECTIVES We compared the way a US and an Israeli health maintenance organization (HMO) used the Fifth Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure (the JNC-V) in developing a hypertension guideline. METHODS Comparative case study. We describe and contrast the two HMOs, the social contexts in which(More)
BACKGROUND The release of the Agency for Health Care Policy and Research (AHCPR)'s Guideline for the Detection and Treatment of Depression in Primary Care created an opportunity to evaluate under naturalistic conditions the effectiveness of two clinical practice guideline implementation methods: continuous quality improvement (CQI) and academic detailing. A(More)
BACKGROUND To ensure implementation, the Agency for Health Care Policy and Research's (AHCPR) Guideline for the Treatment of Depression in Primary Care was recently translated into a local document by a large health maintenance organization (HMO). The guideline revision process was studied on the basis of interviews with members of the guideline revision(More)
The prevalence of common premenstrual symptoms and menstrual period pain were studied in a cohort of 545 Israeli adolescent girls aged 16 to 21 years, and their correlation with biological, behavioral, and sociocultural traits were analyzed. A high proportion of the girls (80%) commonly experienced at least one premenstrual symptom. About 70% experienced(More)