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Relevant Reading

Four Generations of Clinical Decision Making Research

NERI researchers explore the what, who, where, and how of clinical decision making.

Tools

NERI Announces NIH Launch of Online Resource on Behavioral and Social Science Research Methods

A Web-based interactive anthology will provide psychologists, economists, anthropologists, sociologists and other scientists with the latest research methods and tools to address emerging challenges in public health, such as the obesity epidemic and the rise of chronic diseases such as heart disease. The Office of Behavioral and Social Sciences Research (OBSSR) at the National Institutes of Health collaborated with New England Research Institutes to create the free resource, called e-Source.

Topical Issue

Only Half the Problem is Being Addressed: Underinsurance is as Big a Problem as Uninsurance.

Link CL, McKinlay JB This article examines the sociodemographic and health characteristics of the underinsured—people who have some health insurance but are having trouble paying for health care or medications. Published in the International Journal of Health Services.

Topical Issue

The Mammogram Controversy

McKinlay JB “No good deed goes unpunished” is a dictum that applies to the ongoing controversy surrounding recommendations of the U.S. Preventive Services Task Force (USPSTF), an independent group of 16 private sector clinicians and scientists appointed by the federal Department of Health and Human Services (DHHS), which rigorously assesses ever changing evidence on medical care, and makes recommendations based on explicit criteria.

Presentation

2012 Annual CAHSPR Conference, Montreal, QC

McKinlay JB Dr. John McKinlay presented at the 2012 Annual CAHSPR Conference in Montreal, QC.

News & Events

46th Congress of General Practice and Family Medicine, 2012, Rostock, Germany

McKinlay JB John McKinlay delivers keynote address at the 46th Congress of General Practice and Family Medicine in Rostock, Germany.

Cartoon

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Doctor's Decisions Contribute to Disease Disparities


Tools

NERI Announces NIH Launch of Online Resource on Behavioral and Social Science Research Methods

A Web-based interactive anthology will provide psychologists, economists, anthropologists, sociologists and other scientists with the latest research methods and tools to address emerging challenges in public health, such as the obesity epidemic and the rise of chronic diseases such as heart disease. The Office of Behavioral and Social Sciences Research (OBSSR) at the National Institutes of Health collaborated with New England Research Institutes to create the free resource, called e-Source.

NERI Clinical Decision Making Work Featured by Health Behavior News Service

Health Behavior News Service is featuring a NERI article published in a recent issue of the Journal of Health and Social Behavior.

Publication

A qualitative inquiry of patient-reported outcomes: the case of lower urinary tract symptoms.

Welch LC, Botelho EM, Joseph JJ, Tennstedt SL Patient-reported outcomes are a valuable tool for assessing healthcare, particularly for symptom-based conditions that lack definitive physiological measures of treatment efficacy. This article explore the value of qualitative methods for understanding and developing patient-reported outcomes of medical care for symptom-based conditions by examining the case of lower urinary tract symptoms. Published in Nursing Research.

Publication

Diagnosis and Management of Depression in 3 Countries: Results From a Clinical Vignette Factorial Experiment.

Link CL, Stern TA, Piccolo RS, et al. International differences in disease prevalence rates are often reported and thought to reflect different lifestyles, genetics, or cultural differences in care-seeking behavior. However, they may also be produced by differences among health care systems. We sought to investigate variation in the diagnosis and management of a "patient" with exactly the same symptoms indicative of depression in 3 different health care systems (Germany, the United Kingdom, and the United States). Published in The Primary Care Companion for CNS Disorders.

Publication

Diagnosis and therapy of depression in the elderly--influence of patient and physician characteristics.

Von dem Knesebeck O, Bonte M, Siegrist J, et al. Studies from the United States and the United Kingdom show variations in medical decision making concerning the primary care of depression. Patient and physicians attributes independently influence doctors' decisions regardless of the patients' condition. In this paper results are presented on how these factors influence primary care doctors' diagnostic and management decisions regarding a depression in Germany. Published in Psychotherapie, Psychosomatik, medizinische Psychologie. Article in German.

Publication

Differences between internists and family practitioners in the diagnosis and management of the same patient with coronary heart disease.

Shackelton-Piccolo R, McKinlay JB, Marceau LD, et al. It has been suggested that internists and family practitioners have somewhat different "disease" perspectives, which may be generated by use of different explanatory models during medical training (pathophysiological vs. biopsychosocial, respectively). This article explores differences between internists and family practitioners in their suggested diagnoses, level of diagnostic certainty, test and prescription ordering, when encountering exactly the same "patient" with coronary heart disease (CHD). Published in Medical Care Research and Review.

Publication

Differences in the diagnosis and management of type 2 diabetes in 3 countries (US, UK, and Germany): Results from a factorial experiment.

Von dem Knesebeck O, Gerstenberger E, Link C, et al. This article examines the diagnosis and management of type-2 diabetes when exactly the same "patient" is encountered by 192 randomly selected primary care doctors in 3 different health care systems--the United States, United Kingdom, and Germany. Published in Medical Care.

Curriculum Corner
Heretic's Corner
10/4/2011 - Posted by NERI Upstream
For example, how useful is it to encourage households in poverty (experiencing food insecurity) to consume more costly “healthful” diets (lean meats, whole grains and fresh vegetables and fruit). The examples are endless............