Michael Chapko

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BACKGROUND To compare VA inpatient and outpatient utilization and expenditures of veterans seeking primary care in community-based outpatient clinics (CBOCs) and VA medical centers (VAMCs) in fiscal years 2000 (FY00) and 2001. METHODS The sample included 25,092 patients who obtained primary care exclusively from 108 CBOCs in FY00, 26,936 patients who(More)
The contribution of non-biomedical factors to the experience of pain in the cancer patient has not been well established. Although intensity of pain reports cannot be fully explained by extent of identifiable nociception or neuropathy, behavioral factors have been only modest predictors of cancer pain report. Most studies that have demonstrated associations(More)
Purpose The purpose of this study was to assess the feasibility of using a multimedia program to instruct caregivers in providing massage as supportive care for Veterans with cancer. Methods Dyads received a training program including DVD and manual, and were instructed to watch and practice at least 20 minutes/day over 8 weeks. The training program was(More)
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