Jonathan L. Schaffer

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Whilst healthcare is the biggest service industry on the globe, it has yet to realise the full potential of the e-business revolution in the form of e-health. This is due to many reasons including the fact that the healthcare industry is faced with many complex challenges in trying to deliver cost-effective, high-value, accessible healthcare and has(More)
CONTEXT While most meniscal or ligamentous knee injuries heal with nonoperative treatments, a subset should be treated with arthroscopic or open surgery. OBJECTIVE To analyze the accuracy of the clinical examination for meniscal or ligamentous knee injuries. DATA SOURCES MEDLINE (1966-December 31, 2000) and HealthSTAR (1975-December 31, 2000) databases(More)
OBJECTIVE Increasing attention has been given to the assessment of patient satisfaction as a way to monitor quality of care in hospital settings. Postoperative patient satisfaction has been thought to be related to level of pain intensity, expectations of outcome, perceived concern by the staff, and helpfulness of treatments. The aim of this study is to(More)
OBJECTIVE To examine factors associated with musculoskeletal referral and determine whether referral influences clinical outcomes. METHODS Patients included in the study presented with knee or shoulder pain to primary care physicians affiliated with an academic teaching hospital. The primary clinical outcome was change in pain or function measured up to(More)
Medical science has made revolutionary changes in the past few decades. Contemporaneously, however, healthcare has made incremental changes at best. One area within healthcare that best exemplifies this is the operating room (OR). The growing discrepancy between the revolutionary changes in medicine and the minimal changes in healthcare processes leads to(More)
We used an adhesion assay for cells cultured under high dynamic strain to measure human osteoblast-like HOS cell adherence to immobilized type I collagen, fibronectin, and vitronectin. These conditions were designed to model the increased forces present at unstable fractures or loose joint prostheses. At a constant, low protein-coating density (1000(More)
OBJECTIVE To test the hypothesis that 3 distinct domains of patient satisfaction with musculoskeletal care--satisfaction with the office environment, provider-patient interaction, and treatment outcomes--can be measured reliably and, when considered separately, are more valid indicators of satisfaction than global measures. METHODS Three hundred(More)
BACKGROUND The medical record serves as an important source of information regarding the care process, but few studies have examined whether thoroughness of documentation is associated with outcomes. OBJECTIVE The objectives of this study were to analyze the initial visit note for 513 patients presenting with acute musculoskeletal pain, compare(More)
PURPOSE Previous studies have suggested that specialists may achieve better clinical outcomes for patients, albeit often at greater cost. We sought to compare outcomes of care and resource utilization among patients with shoulder or knee problems who were treated by general internists, rheumatologists, and orthopedic surgeons. SUBJECTS AND METHODS(More)
A peer tutorial programme which is available to all first- and second-year medical students has been in operation at Case Western Reserve University School of Medicine since 1972. A retrospective study of the classes of 1982, 1983 and 1984 was undertaken to assess the participation levels in the tutorial programme and to compare the participation level to(More)