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Biomedical subjects

N J Zervanos

Publications and source records attributed to N J Zervanos.

At least 19 recordsLinked to original sources
PubMed1994

Supporting primary care medical education.

A number of fundamental issues must be considered in preparing the education system to produce more primary care physicians. Governmental controls and redirection of resources will force significant changes in the structuring of approaches to both undergraduate and graduate education in primary care. Particularly challenging will be restructuring and funding medical student programs in primary care, given a nearly certain requirement that more than 50% of medical school graduates enter primary care disciplines. Institutions will need to make strategic resource allocations to compete for the funding once the allocation process begins. Educational institutions will also face a cultural adaptation to primary care as an educational priority. This paper presents a model to study costs and funding for residency programs as they move from the traditional inpatient orientation to an outpatient focus. The authors suggest that for medical student education, the development of large academic health care systems may make funding primary care education more feasible.

Adult↗
PubMed1994

Acute, disruptive cough. Symptomatic therapy for a nagging problem.

Acute, disruptive cough should be viewed as a physiologic response to an intruder or irritant to the respiratory system and not as an isolated pathologic problem. Evaluation should include thorough history taking and physical examination supplemented by limited diagnostic tests. Once the cause is established, specific therapy can be implemented. If cough persists for days to weeks and is disruptive, symptomatic cough therapy should be instituted on the basis of the mechanisms of action of the available agents. Further controlled studies in the primary care setting are needed.

Acute Disease↗
PubMed1993

Dental care.

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Adolescent↗
PubMed1990

Obstetric care among family physicians in Pennsylvania. Trends, association with residency training, and policy implications.

A study was designed to investigate the status of obstetric practice by Pennsylvania family physicians and its relationship to family practice residency training. A 50% probability sample of all family and general physicians and of all graduates of Pennsylvania family practice residency programs was surveyed by mail. Ten percent of Pennsylvania family physicians and general practitioners reported currently practicing obstetrics, 44% of whom said they planned to stop within 3 years. Telephone survey information from nonresponders suggests that even fewer (5%) of the state's family physicians may actually be practicing obstetrics. Family practice residency training, postresidency obstetric training, and small community size were the best predictors of current obstetric practice. Family physicians in the smallest communities, however, were also those most likely to be planning to stop, and graduates of residency programs were increasingly choosing not to practice obstetrics. Cost of liability insurance and fear of lawsuits were primary reasons cited for stopping obstetrics. Family physicians have been major providers of obstetric care in the nation's rural areas. Now, increasingly firm evidence that fewer family physicians are practicing obstetrics signals increasing shortages in obstetric care for women in rural communities. Changes in the practice climate and obstetric training programs for family physicians seem essential to help reverse these trends.

Adult↗
PubMed1986

Atrial fibrillation.

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Anti-Arrhythmia Agents↗
PubMedDate not supplied

Continuity of care and outcome in nursing home patients transferred to a community hospital.

This study prospectively investigated the effect of continuity of primary physician care on functional ability and outcome of nursing home patients transferred to a community hospital. Evaluated were 335 consecutive transfers with concurrent chart review and a standardized functional rating scale on admission and discharge from the hospital. Continuity of care by the primary physician was more likely with a greater length of stay. There was no association of continuity with age, sex, initial functional status or mental status of the patient, type of admission, or payment source. No significant relationship was found between outcome and continuity of care by the primary physician. Logistic regression analysis indicated that emergency admission to the hospital conferred an increased risk of mortality but that the level of primary physician continuity did not.

Aged↗
PubMedDate not supplied

"Pro family".

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Family↗