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M P Naditch

Publications and source records attributed to M P Naditch.

14 recordsLinked to original sources
PubMed1995

Practice guidelines and the emperor's new clothes.

Clinical guidelines are problematic because it is difficult to get people to follow them, effective mechanisms are usually not in place to determine guideline compliance, and the belief that guideline compliance is associated with higher clinical quality or lower cost is usually based on faith rather than data. These issues can be addressed by combining practice guidelines with outcome research and clinical information system technology which can result in a method to track adherence to and variance from guidelines; determine the effectiveness of guidelines in improving quality and decreasing costs; and create a dynamic system for guidelines development and differentiation based on empirical results related to which guidelines and variations are most effective for different types of patients.

Cost Control↗
PubMed1975

Individual differences and setting as determinants of acute adverse reactions to psychoactive drugs.

The relationship between setting and individual differences in determining acute adverse reactions to psychoactive drugs was examined using retrospective data from 483 drug users. Five dimensions of setting were identified. Although there were some small setting main effects, these effects failed to reach significance when shared variance with individual difference variables was considered. For acute adverse reactions to LSD, however, there were seven independent interaction effects between setting and individual difference variables. There were two interaction effects of smaller magnitude related to acute adverse reactions to marijuana. The significance of these results for the current controversy over the relative importance of situational vs. personality determinants of behavior was discussed.

Adult↗
PubMed1975

Ego functioning and acute adverse reactions to psychoactive drugs.

The relationship between ego functioning and acute adverse reactions to psychoactive drugs was examined using retrospective data. The data were consistent with a causal model in which characteristic use of regression (and to a lesser extent repression) was associated with acute adverse reactions to marijuana and to LSD. Regression also had an indirect effect through increased usage of LSD. Subjects characterized by the use of intellectualization and denial were less likely to report developing acute adverse reactions. A higher score on a general measure of coping was related to avoiding acute adverse reactions to LSD, but not to marijuana. Projection, regression in the service of the ego, and tolerance of ambiguity has no effect on acute adverse reactions.

Adaptation, Psychological↗
PubMed1975

Locus of control and competence.

The relation of locus of control and competence in school achievement, social interactions, sports, and home related activities was examined. The sample consisted of 346 ninth-grade students, and competence was measured using self-report, antional battery test scores, grades, and sociometric ratings. Among males, locus of control was significantly related to competent performance only among those subjects who placed a high value on outcomes in each area. Among females, the pattern was exactly reversed. Locus of control and various forms of competence were related only in areas of low interest value. The implications of these findings were discussed.

Achievement↗
PubMedDate not supplied

Shifting to a new paradigm to measure clinical outcomes.

Most clinical outcomes monitoring systems have relied on paper- and pencil-driven forms and/or interviews to collect information. The following article outlines some methodological and logistical problems inherent in these approaches, as well as describing the implementation of a ground-breaking new effort in how outcomes data are collected and analyzed. This computer-assisted interview approach can be less costly, provide more accurate information, allow for a broader range of questions to be addressed and even lead to a new paradigm for outcomes management programs--one that is practical in real-world settings and offers clinicians instant norms. Decision-makers in behavioral healthcare organizations can use the principles described here to develop systems tailored to their organizations' specific needs.

Ambulatory Care Information Systems↗