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"Physician motivation"

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https://www.readbyqxmd.com/read/27501867/a-tale-of-loss-of-privilege-resilience-and-change-the-impact-of-the-economic-crisis-on-physicians-and-medical-services-in-portugal
#1
Giuliano Russo, Inês Rego, Julian Perelman, Pedro Pita Barros
That the current economic crisis is having an impact on population health and healthcare utilisation across Europe is fairly established; how national health systems and markets are reacting is however still poorly understood. Drawing from the economic literature we conducted 21 interviews with physicians, policy-makers and healthcare managers in Portugal, to explore their perceptions on the impact of the crisis on the country's market medical services, on physicians' motivation, and the ensuing coping strategies...
September 2016: Health Policy
https://www.readbyqxmd.com/read/27385557/the-physician-as-stakeholder-an-exploratory-qualitative-analysis-of-physicians-motivations-for-using-shared-decision-making-in-the-emergency-department
#2
Elizabeth M Schoenfeld, Sarah L Goff, Tala R Elia, Errel R Khordipour, Kye E Poronsky, Kelly A Nault, Peter K Lindenauer, Kathleen M Mazor
BACKGROUND: Shared decision making (SDM) is increasingly recognized as an important facet of patient-centered care. Despite growing interest in SDM in the emergency department (ED), little is known about emergency physicians' (EPs') motivations for using SDM. Understanding current patterns of SDM use and EP's rationale for using SDM is essential for the development of interventions to increase use. OBJECTIVES: Recognizing the EP as an important stakeholder in SDM research, we sought to identify and explore factors that may motivate EPs' engagement in SDM...
July 7, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27209164/beverly-rationale-and-design-of-a-randomized-open-label-phase-iii-trial-comparing-bevacizumab-plus-erlotinib-versus-erlotinib-alone-as-first-line-treatment-of-patients-with-egfr-mutated-advanced-nonsquamous-non-small-cell-lung-cancer
#3
Cesare Gridelli, Antonio Rossi, Fortunato Ciardiello, Filippo De Marinis, Lucio Crinò, Alessandro Morabito, Floriana Morgillo, Agnese Montanino, Gennaro Daniele, Maria Carmela Piccirillo, Nicola Normanno, Ciro Gallo, Francesco Perrone
BACKGROUND: About 20% of advanced non-small-cell lung cancer (NSCLC) cases harbor somatic mutations in the tyrosine kinase domain of the epidermal growth factor receptor (EGFR) gene. In these patients, the standard first-line treatments are the EGFR-tyrosine kinase inhibitors, such as gefitinib, erlotinib, or afatinib. Most of these patients develop resistance and relapse within about 1 year of initiation of an EGFR-tyrosine kinase inhibitor. Consequently, it is important to develop new combination strategies to delay this resistance...
April 22, 2016: Clinical Lung Cancer
https://www.readbyqxmd.com/read/27155958/teaching-physicians-motivational-interviewing-for-discussing-weight-with-overweight-adolescents
#4
Kathryn I Pollak, Cynthia J Coffman, James A Tulsky, Stewart C Alexander, Truls Østbye, David Farrell, Pauline Lyna, Rowena J Dolor, Alicia Bilheimer, Pao-Hwa Lin, Michael E Bodner, Terrill D Bravender
PURPOSE: We tested whether an online intervention combined with a patient feedback report improved physicians' use of motivational interviewing (MI) techniques when discussing weight with overweight and obese adolescents. METHODS: We randomized 46 pediatricians and family physicians and audio recorded 527 patient encounters. Half of the physicians received an individually tailored, online intervention. Then, all physicians received a summary report detailing patient's weight-related behaviors...
July 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/26878429/-physician-counseling-about-physical-and-sports-activity-in-neurological-practices-in-germany-results-of-a-survey-among-members-of-the-german-neurological-society
#5
C D Reimers, I Reuter, A Straube, B Tettenborn, K M Braumann, A K Reimers
Physical inactivity is a major but modifiable risk factor for morbidity and mortality. Regular physical activity has preventive and therapeutic effects on numerous diseases including neurological disorders. Therefore, it is desirable that physicians motivate their patients to increase their physical and sports activities and that they help them to overcome barriers to exercising. The present study is a survey of neurologists who are members of the German Neurological Society with their own practices; they were asked whether they advised their patients on the benefits of physical activity...
January 2016: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/26860890/the-moderating-effect-of-job-satisfaction-on-physicians-motivation-to-adhere-to-financially-incentivized-clinical-practice-guidelines
#6
Anthony C Waddimba, Howard B Beckman, Thomas L Mahoney, James F Burgess
We examined moderating effects of professional satisfaction on physicians' motivation to adhere to diabetes guidelines associated with pay-for-performance incentives. We merged cross-sectional survey data on attitudes, from 156 primary physicians, with prospective medical record-sourced data on guideline adherence and census data on ambulatory-care population characteristics. We examined moderating effects by testing theory-driven models for satisfied versus discontented physicians, using partial least squares structural equation modeling...
February 9, 2016: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/26385993/diffusion-of-newer-hiv-prevention-innovations-variable-practices-of-frontline-infectious-diseases-physicians
#7
Douglas S Krakower, Susan E Beekmann, Philip M Polgreen, Kenneth H Mayer
BACKGROUND: US Public Health Service guidelines recommend early initiation of antiretroviral treatment (ART) for human immunodeficiency virus infection (HIV)-infected patients and preexposure prophylaxis (PrEP) as a prevention option for persons at risk for HIV acquisition. Before issuance of these guidelines, few clinicians reported prescribing early ART or PrEP. METHODS: The Emerging Infections Network, a national network of infectious diseases physicians in the United States and Canada, was surveyed in September 2014 to assess practices of adult HIV-care providers with early ART, PrEP, and other guideline-recommended HIV prevention methods...
January 1, 2016: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/26214008/challenges-in-developing-primary-care-physicians-motivational-interviewing-skills
#8
Daniel J Mullin, Lisa Forsberg, Judith A Savageau, Barry Saver
INTRODUCTION: Motivational interviewing (MI) skills are relevant for primary care providers (PCPs) who are responsible for caring for patients with diseases affected by behavior. There are significant challenges associated with developing PCP's MI skills. We report on an effort to document the acquisition of MI skills by PCPs using an objective measure of MI competence, the Motivational Interviewing Treatment Integrity (MITI) coding system. METHOD: Eleven PCPs volunteered to participate in 6 MI workshops over a period of 6 months and to submit work samples between each of these workshops to be assessed with the MITI coding system...
December 2015: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/25935131/initiation-of-rivaroxaban-in-patients-with-nonvalvular-atrial-fibrillation-at-the-primary-care-level-the-swiss-therapy-in-atrial-fibrillation-for-the-regulation-of-coagulation-star-study
#9
Rolf P Engelberger, Georg Noll, Dominique Schmidt, Adriano Alatri, Benedikt Frei, Walter E Kaiser, Nils Kucher
BACKGROUND: Rivaroxaban has become an alternative to vitamin-K antagonists (VKA) for stroke prevention in non-valvular atrial fibrillation (AF) patients due to its favourable risk-benefit profile in the restrictive setting of a large randomized trial. However in the primary care setting, physician's motivation to begin with rivaroxaban, treatment satisfaction and the clinical event rate after the initiation of rivaroxaban are not known. METHODS: Prospective data collection by 115 primary care physicians in Switzerland on consecutive nonvalvular AF patients with newly established rivaroxaban anticoagulation with 3-month follow-up...
September 2015: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/25075230/physicians-motives-for-professional-internet-use-and-differences-in-attitudes-toward-the-internet-informed-patient-physician-patient-communication-and-prescribing-behavior
#10
Martina Moick, Ralf Terlutter
BACKGROUND: Physicians have differing motives for using the Internet and Internet-related services in their professional work. These motives may affect their evaluation of patients who bring with them health-related information from the Internet. Differing motives may also affect physician-patient communication and subsequent prescribing behavior. OBJECTIVES: to segment physicians into types based on their motives for using the internet in connection with professional activities and to analyze how those segments differ in their attitudes in three areas: toward patients who bring along Internet-sourced information; in their own subsequent prescribing behavior; and in their attitudes toward using the Internet to communicate with patients in future...
July 2012: Medicine 2.0
https://www.readbyqxmd.com/read/24937733/using-motivational-interviewing-for-smoking-cessation-in-primary-care
#11
COMPARATIVE STUDY
S Lee Ridner, Michael Ostapchuk, Richard N Cloud, John Myers, Anna Jorayeva, Jiying Ling
OBJECTIVES: To compare the effects of resident physician motivational interviewing (MI), resident physician MI plus registered nurse (RN), and the standard of care counseling approach--ask, advise, assess, assist, and arrange follow-up (5 As)--on current smokers' behaviors (readiness to quit, cigarettes smoked per day, current smoking rates), self-efficacy to quit smoking, and nicotine dependence. METHODS: The study design was quasi-experimental pretest/posttest with a comparison group...
May 2014: Southern Medical Journal
https://www.readbyqxmd.com/read/24666431/decisions-that-hasten-death-double-effect-and-the-experiences-of-physicians-in-australia
#12
Steven A Trankle
BACKGROUND: In Australian end-of-life care, practicing euthanasia or physician-assisted suicide is illegal. Despite this, death hastening practices are common across medical settings. Practices can be clandestine or overt but in many instances physicians are forced to seek protection behind ambiguous medico-legal imperatives such as the Principle of Double Effect. Moreover, the way they conceptualise and experience such practices is inconsistent. To complement the available statistical data, the purpose of this study was to understand the reasoning behind how and why physicians in Australia will hasten death...
2014: BMC Medical Ethics
https://www.readbyqxmd.com/read/24641880/other-regarding-behavior-and-motivation-in-health-care-provision-an-experiment-with-medical-and-non-medical-students
#13
RANDOMIZED CONTROLLED TRIAL
Heike Hennig-Schmidt, Daniel Wiesen
Other-regarding motivation is a fundamental determinant of public service provision. In health care, one example is physicians who act benevolently towards their patients when providing medical services. Such patient-regarding motivation seems closely associated with a personal sacrifice that health service providers are willing to make. Surprisingly, evidence on physicians' motivation is rare. This paper contributes to the literature by investigating prospective physicians', in particular, medical students', motivations and behavior...
May 2014: Social Science & Medicine
https://www.readbyqxmd.com/read/24568606/disseminating-a-cervical-cancer-screening-program-through-primary-physicians-in-hong-kong-a-qualitative-study
#14
Cecilia S Fabrizio, Christopher M Shea
BACKGROUND: Organized screening programs are more effective and equitable than opportunistic screening, yet governments face challenges to implement evidence-based programs. The objective of this study was to identify reasons for low levels of adoption among primary care physicians of a government sponsored Cervical Screening Program (CSP). METHODS: We conducted in-depth interviews with a snowball sample of primary care private and public primary care physicians in Hong Kong...
2014: BMC Health Services Research
https://www.readbyqxmd.com/read/23029272/a-survey-to-assess-family-physicians-motivation-to-teach-undergraduates-in-their-practices
#15
Marcus May, Peter Mand, Frank Biertz, Eva Hummers-Pradier, Carsten Kruschinski
BACKGROUND: In Germany, family physicians (FPs) are increasingly needed to participate in undergraduate medical education. Knowledge of FPs' motivation to teach medical students in their practices is lacking. PURPOSE: To describe a novel questionnaire that assesses the motivation of FPs to teach undergraduates in their practices and to show the results of a subsequent survey using this instrument. METHODS: The questionnaire was developed based on a review of the literature...
2012: PloS One
https://www.readbyqxmd.com/read/22061038/randomized-controlled-trial-of-primary-care-physician-motivational-interviewing-versus-brief-advice-to-engage-adolescents-with-an-internet-based-depression-prevention-intervention-6-month-outcomes-and-predictors-of-improvement
#16
RANDOMIZED CONTROLLED TRIAL
Willemijn Hoek, Monika Marko, Joshua Fogel, Josien Schuurmans, Tracy Gladstone, Nathan Bradford, Rocco Domanico, Blake Fagan, Carl Bell, Mark A Reinecke, Benjamin W Van Voorhees
We believe that primary care physicians could play a key role in engaging youth with a depression prevention intervention. We developed CATCH-IT (Competent Adulthood Transition with Cognitive Behavioral and Interpersonal Training), which is an adolescent Internet-based behavior change model. We conducted a randomized comparison of two approaches in engaging adolescents with the Internet intervention: primary care physician (PCP) motivational interview + CATCH-IT Internet program (MI) vs PCP brief advice + CATCH-IT Internet program (BA)...
December 2011: Translational Research: the Journal of Laboratory and Clinical Medicine
https://www.readbyqxmd.com/read/21842318/barriers-to-and-motivations-for-physician-referral-of-patients-to-cancer-genetics-clinics
#17
Carrie F Prochniak, Lisa J Martin, Erin M Miller, Sara C Knapke
Although it is well known that under-referral of colon cancer patients to cancer genetics clinics is a chronic problem, no study has yet examined why physicians may be ordering testing independently rather than referring patients to cancer genetics clinics. The current study explored variables which may impact a physician's preference for ordering testing independently or referring patients to outside cancer genetics experts. An online questionnaire, distributed to the membership of the American College of Gastroenterology and the American Society of Colorectal Surgeons, yielded responses from 298 physicians...
April 2012: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/20532720/private-practice-outcomes-validated-outcomes-data-collection-in-private-practice
#18
Jack Goldstein
BACKGROUND: Improved patient care is related to validated outcome measures requiring the collection of three distinct data types: (1) demographics; (2) patient outcome measures; and (3) physician treatment. Previous impediments to widespread data collection have been: cost, office disruption, personnel requirements, physician motivation, data integration, and security. There are currently few means to collect data to be used for collaborative analysis. QUESTIONS/PURPOSES: We therefore developed an inexpensive, patient-centric mechanism to reduce redundant data entry, limiting cost and personnel requirements...
October 2010: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/20528417/pay-for-performance-and-beyond
#19
Meredith B Rosenthal
Pay for performance has become almost a cliché in health policy discussions during the past 5 years. Proponents and opponents have tended to take sides based largely on abstractions, but in reality pay for performance is likely to be more beneficial than critics allow and less transformational than its strongest advocates suggest. Both economic theory and common sense support the notion that payment for healthcare should be determined, at least in part, based on meaningful indicators of quality or value, but precisely how this should occur depends on a number of factors, including the importance of patient differences and the nature of physician motivation...
August 2007: Expert Review of Pharmacoeconomics & Outcomes Research
https://www.readbyqxmd.com/read/20122120/opioid-contracts-and-random-drug-testing-for-people-with-chronic-pain-think-twice
#20
Mark Collen
The use of opioid contracts, which often require patients to submit to random drug screens, have become widespread amongst physicians using opioids to treat chronic pain. The main purpose of the contract is to improve care through better adherence to opioid therapy but there is little evidence as to its efficacy. The author suggests the use of opioid contracts and random drug testing destroys patients' trust which impacts health outcomes, and that physicians' motivation for their use are concerns about prosecution, medication abuse and misuse, and addiction...
2009: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
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