Search PubMed⌕ Search

Biomedical subjects

L Casebeer

Publications and source records attributed to L Casebeer.

7 recordsLinked to original sources
PubMed2000

Knowledge, attitudes, and behaviors of Alabama's primary care physicians regarding cancer genetics.

PURPOSE: To determine Alabama's primary care physicians' knowledge, attitudes, and behaviors regarding cancer genetics. METHOD: A questionnaire was mailed to a random sample of 1,148 physicians: family and general practitioners, internists, and obstetrician-gynecologists. RESULTS: Of the surveyed physicians, 22.1% responded. Of the respondents, 63% to 85% obtained family histories of cancer from 76% to 100% of their patients. Obstetrician-gynecologists referred more patients for cancer genetic testing (p = .008) and were more confident in their abilities to tailor preventive recommendations based on the results (p = .05) than were the other physicians. Primary care physicians were more likely than were obstetrician-gynecologists to identify lack of time during the patient visit as hindering efforts to do genetic counseling (p = .01). Physicians in practice for ten years or less were more confident in explaining genetic test results than were those in practice for more than 20 years (p = .01). CONCLUSION: These data validate gaps in primary care practices in obtaining family history of cancer, as well as lack of confidence in explaining genetic test results and in tailoring recommendations based on the tests.

Adult↗
PubMed1995

Community hospital and medical school cooperation in continuing medical education.

PURPOSE: To determine the extent and trends of cooperation in continuing medical education (CME) between community teaching hospitals and medical schools in the United States. METHOD: A questionnaire was sent in September 1992 to the directors of CME at 276 teaching hospital members of the Association for Hospital Medical Education (AHME). The survey was designed to answer two questions: (1) What is the extent of cooperation between hospital CME providers and medical schools? (2) In the next three years will community hospitals seek competitive or collaborative relationships in CME with medical schools? RESULTS: By late April 1993, 216 (78%) of the questionnaires had been returned. Of these, 177 (64% of the sample) were analyzed. Of the responding hospitals, 91 (52%) cooperated with 92 medical schools in CME; 75 (45%) of the hospitals planned to increase cooperation. Only ten (11%) of the hospitals described their current CME relationship with a medical school as "competitive in most areas"; 23 (14%) expected to increase competition in the next three years. Forty-one (24%) of the respondents were part of a community hospital CME consortium; only 20 (16%) of the other institutions expected to participate in a consortium in the next three years. Hospital size and membership in the Association of American Medical Colleges' Council of Teaching Hospitals were generally correlated with current and future competition in CME with a medical school and likely participation in a community CME consortium. CONCLUSION: The majority of teaching hospital members of the AHME perceived that they would have cooperative relationships in CME with affiliated medical schools in the three years following the survey. These collaborative relationships should provide an important basis for the further planning and development of medical education consortia.

Data Interpretation, Statistical↗
PubMed1995

Patient informatics: using a computerized system to monitor patient compliance in the treatment of hypertension.

A group of investigators at a major teaching hospital have prepared a study designed to test the hypothesis that patient outcomes related to hypertension will be improved by increased compliance, as defined by consistent daily compliance with prescribed medical regimen. The study will test the effectiveness of the following interventions in improving compliance: 1) improved access to medication, 2) computerized phone follow-up, and 3) one-on-one follow-up conversations concerning compliance issues. This paper is intended to describe the pending study in detail while focusing on the computerized phone system that will be used in the treatment group of the controlled study for compliance.

Computer Systems↗
PubMedDate not supplied

Fostering decision making in nursing.

Health care organizations have focused on external nursing recruitment incentives such as improved pay scales, greater bonuses, and flexible scheduling. Frequently, they have failed to take into account a fundamental source of professional satisfaction: the opportunity to make decisions. It is important for nurse managers, nurse educators, and clinical nurse specialists to understand the anatomy of the decision-making process, which includes gathering patient data, recalling possible nursing diagnoses and interventions, analyzing, synthesizing, making judgments, and implementing, following through, and evaluating the intervention. More decision making will put more fulfillment into the role of the professional nurse.

Decision Support Techniques↗