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STUDY DESIGN This study is an analysis of national survey data from 5 sample years. OBJECTIVES The authors characterized the frequency of office visits for low back pain, the content of ambulatory care, and how these vary by physician specialty. SUMMARY OF BACKGROUND DATA Few recent data are available regarding ambulatory care for low back pain or how(More)
The term "rural" suggests many things to many people, such as agricultural landscapes, isolation, small towns, and low population density.However, defining "rural" for health policy and research purposes requires researchers and policy analysts to specify which aspects of rurality are most relevant to the topic at hand and then select an appropriate(More)
CONTEXT Cancer care requires specialty surgical and medical resources that are less likely to be found in rural areas. PURPOSE To examine the travel patterns and distances of rural and urban colorectal cancer (CRC) patients to 3 types of specialty cancer care services--surgery, medical oncology consultation, and radiation oncology consultation. METHODS(More)
CONTEXT The US government is expanding the capacity of community health centers (CHCs) to provide care to underserved populations. OBJECTIVE To examine the status of workforce shortages that may limit CHC expansion. DESIGN AND SETTING Survey questionnaire of all 846 federally funded US CHCs that directly provide clinical services and are within the 50(More)
We assessed the quality of life of 859 patients undergoing dialysis or transplantation, with the goal of ascertaining whether objective and subjective measures of the quality of life were influenced by case mix or treatment. We found that 79.1 per cent of the transplant recipients were able to function at nearly normal levels, as compared with between 47.5(More)
BACKGROUND Despite growing popularity of complementary and alternative medical (CAM) therapies, little is known about the patients seen by CAM practitioners. Our objective was to describe the patients and problems seen by CAM practitioners. METHODS We collected data on 20 consecutive visits to randomly sampled licensed acupuncturists, chiropractors,(More)
Ambulatory care, accounting for over half a billion visits to physicians per year, is a major component of the health-care system and is the core of primary health care. This study uses data from the National Ambulatory Medical Care Survey to describe the most common problems seen in an ambulatory-care setting, to identify the medical specialties that(More)
OBJECTIVE To test the hypothesis that physicians with greater malpractice claims exposure, either through personal experience or in their practice environment, will use more prenatal resources and have a higher cesarean delivery rate than physicians with lesser claims exposure. DESIGN Retrospective cohort study using county malpractice defendant rate data(More)
BACKGROUND Despite the growing popularity of complementary and alternative medical (CAM) therapies, little is known about the professionals who provide them. Our objective was to describe the characteristics of the four largest groups of licensed CAM providers in the United States and to compare them with the characteristics of conventional physicians. (More)