16 results on '"Tami Freud"'
Search Results
2. Ageism Among Physicians and Nurses in Russia
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N. V. Sharashkina, Tami Freud, Olga N. Tkacheva, V. S. Ostapenko, Tali Samson, Yan Press, Boris Punchik, and Nadezda K Runikhina
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0301 basic medicine ,Aging ,medicine.medical_specialty ,Medical staff ,Nurses ,Russia ,Ageism ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,Cross-Sectional Studies ,Family medicine ,Political science ,Physicians ,Surveys and Questionnaires ,medicine ,Western world ,Humans ,Prospective Studies ,Geriatrics and Gerontology ,030217 neurology & neurosurgery ,Aged - Abstract
The phenomenon of ageism has been studied extensively in the Western world, but there is only a small number of studies among medical staff in Russia. The aim of this study was to assess the prevalence of ageism and to identify variables that can explain ageism in a sample of physicians and nurses in Russia. This is a prospective cross-sectional study of physicians and nurses who participated in a training course in the years 2016-2018 in Russia. Data collected before the start of training included the Fraboni scale of ageism (FSA) questionnaire, and sociodemographic characteristics including age, gender, profession, professional seniority, place of work, and number of older adults treated by the study participant over the past half year. In total, 903 physicians and nurses participated in the study. The mean FSA score was 2.75 ± 0.49, which indicates a moderate degree of ageism. There was a trend to higher scores among nurses compared with physicians (2.78 ± 0.50 vs. 2.76 ± 0.48
- Published
- 2021
3. Chronic urticaria and irritable bowel syndrome: a cross-sectional study of 11 271 patients
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Eli Magen, Guy Shalom, Tami Freud, Arnon D. Cohen, Doron Comaneshter, Meir Babaev, G. Ben Yakov, Daniel A. Vardy, and Amir Horev
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Male ,medicine.medical_specialty ,Urticaria ,Cross-sectional study ,Dermatology ,Gastroenterology ,Irritable Bowel Syndrome ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,parasitic diseases ,medicine ,Humans ,Irritable bowel syndrome ,Chronic urticaria ,Asthma ,business.industry ,Case-control study ,Middle Aged ,medicine.disease ,Cross-Sectional Studies ,Chronic disease ,Case-Control Studies ,Chronic Disease ,Female ,030211 gastroenterology & hepatology ,business ,human activities - Abstract
The human body interacts with the environment mainly through three major tissues: the lungs, skin, and gastrointestinal (GI) tract. In each one, an intensive nervous network is present, conjugated with abundant mast cells (MC). While MC-mediated disorders in airways and the skin are extensively discussed, MC-mediated disorders of the GI tract remain relatively uncommon. Since the GI tract is one of the three main environment-interacting tissues, it is reasonable that MC-mediated disorders of the GI may have the same weight and impact as asthma or chronic urticaria (CU). This article is protected by copyright. All rights reserved.
- Published
- 2018
4. Atopic dermatitis and the metabolic syndrome: a cross-sectional study of 116 816 patients
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Amir Horev, Guy Shalom, Khalaf Kridin, Doron Comaneshter, Jacob Dreiher, Tami Freud, R. Khoury, A.D. Cohen, and Erez Battat
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0301 basic medicine ,Adult ,Male ,medicine.medical_specialty ,Cross-sectional study ,Prevalence ,Dermatology ,Severity of Illness Index ,Dermatitis, Atopic ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Diabetes mellitus ,Severity of illness ,medicine ,Humans ,Israel ,Metabolic Syndrome ,business.industry ,Atopic dermatitis ,Middle Aged ,medicine.disease ,Obesity ,030104 developmental biology ,Infectious Diseases ,Cross-Sectional Studies ,Population study ,Female ,Metabolic syndrome ,business - Abstract
BACKGROUND Data regarding the association between atopic dermatitis (AD) and the metabolic syndrome are controversial. OBJECTIVE To evaluate the prevalence of the metabolic syndrome and its components in a large group of patients with AD compared to a matched reference group. METHODS A cross-sectional study of AD patients diagnosed by a dermatologist between 1998 and 2016, and a matched comparison group was performed. We analysed the association between AD and metabolic syndrome, its components and possible complications for the entire study population, adults (age > 18) and adults with moderate-to-severe AD. RESULTS The study included 116 816 patients with AD and 116 812 comparison enrollees. AD in the entire group of patients and in the adult patients was associated with a higher prevalence of dyslipidaemia and a lower prevalence of diabetes and metabolic syndrome. Moderate and severe AD were associated, respectively, with higher prevalence rates of the metabolic syndrome (17.0% vs. 9.4%), its components (obesity: 22.2% vs. 18.6%; diabetes: 15.9% vs. 9.2%; hypertension 27.9% vs. 15.3%; dyslipidaemia 47.1% vs. 28.5%, all P values
- Published
- 2018
5. Glycaemic control in patients with diabetes and concomitant psoriasis
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J. Shapiro, Raed Khoury, Shlomo Vinker, Jacob Dreiher, A.D. Cohen, Doron Comaneshter, Tami Freud, Amir Horev, A. Nathan, and Guy Shalom
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Adult ,Blood Glucose ,Male ,medicine.medical_specialty ,Cross-sectional study ,Dermatology ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Diabetes mellitus ,Internal medicine ,Psoriasis ,medicine ,Humans ,Hypoglycemic Agents ,In patient ,Aged ,Glycated Hemoglobin ,030203 arthritis & rheumatology ,business.industry ,Middle Aged ,medicine.disease ,Cross-Sectional Studies ,Diabetes Mellitus, Type 2 ,Concomitant ,Female ,business - Published
- 2016
6. Chronic urticaria and atopic disorders: a cross-sectional study of 11 271 patients
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Arnon D. Cohen, Raed Khoury, Nancy Agmon-Levin, Daniel A. Vardy, B. Bogen, Guy Shalom, Jacob Dreiher, Tami Freud, Doron Comaneshter, and Eli Magen
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Hypersensitivity, Immediate ,Male ,medicine.medical_specialty ,Urticaria ,Cross-sectional study ,Dermatology ,Dermatitis, Atopic ,030207 dermatology & venereal diseases ,03 medical and health sciences ,Health services ,0302 clinical medicine ,Epidemiology ,Medicine ,Humans ,Israel ,Chronic urticaria ,Asthma ,business.industry ,Atopic dermatitis ,Middle Aged ,medicine.disease ,Rhinitis, Allergic ,body regions ,Cross-Sectional Studies ,030228 respiratory system ,Chronic Disease ,Female ,business ,Healthcare providers - Abstract
Chronic urticaria (CU) and atopic disorders such as atopic dermatitis (AD), allergic rhinoconjunctivitis (AR), and asthma are related to aberrant immune function. The relationship between atopic disorders and CU is controversial, mostly since epidemiological data are lacking. The aim of our study was to investigate the association between CU and asthma, AD, and AR using a database of Clalit Health Services (CHS) - the largest healthcare provider organization in Israel. This article is protected by copyright. All rights reserved.
- Published
- 2017
7. Constipation does not develop following elective hysterectomy: a prospective, controlled study
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Tami Freud, Miriam Katz, Douglas A. Drossman, Ami D. Sperber, Yefim Rusabrov, Anat Neville, Eyal Sheiner, Lev Greemberg, Carolyn B. Morris, Shrikant I. Bangdiwala, Yuming J. Hu, and David Goldstein
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Adult ,medicine.medical_specialty ,Abdominal pain ,Constipation ,Adolescent ,Physiology ,Bowel habit ,medicine.medical_treatment ,Hysterectomy ,Postoperative Complications ,Functional gastrointestinal disorder ,medicine ,Humans ,Prospective Studies ,Elective surgery ,Aged ,Aged, 80 and over ,Endocrine and Autonomic Systems ,business.industry ,General surgery ,Gastroenterology ,Middle Aged ,medicine.disease ,Gynaecological surgery ,Surgery ,Elective Surgical Procedures ,Functional constipation ,Female ,medicine.symptom ,business - Abstract
Although there have been reports that women develop constipation following hysterectomy, previous studies were either retrospective or uncontrolled. The aim of this prospective, controlled study was to assess whether constipation develops after elective hysterectomy. Women undergoing elective gynaecological surgery were compared to matched non-surgery controls at enrolment and 3 and 12 months after surgery. The subset of women who underwent elective hysterectomy was the study group for the present report. Fifty-eight of the 132 elective surgery patients underwent hysterectomy and were compared to 123 controls. There was no difference between the groups at any follow-up point in functional constipation (P = 1.0), frequency of stools (P = 0.92), stool consistency (P = 0.42), straining (P = 0.43), feeling of obstruction (P = 0.6) or need to manually evacuate stool (P = 1.0). Significantly, more hysterectomy patients without baseline pain did develop abdominal pain at 3 or 12 months than non-surgery controls (16.7%vs 3.6%, P = 0.008). We conclude that there was no significant change in bowel habit or stool characteristics in women undergoing hysterectomy even though many developed abdominal pain. This prospective, controlled study challenges existing data regarding the effect of hysterectomy on constipation.
- Published
- 2009
8. Prevalence of GERD Symptoms in a Representative Israeli Adult Population
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Anat Neville, Tami Freud, Alexander Fich, Ami D. Sperber, Zamir Halpern, Michael Friger, and Pesach Shvartzman
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Adult ,Male ,medicine.medical_specialty ,Population ,Disease ,Gastroenterology ,Surveys and Questionnaires ,Internal medicine ,Epidemiology ,Prevalence ,medicine ,Humans ,Israel ,education ,Irritable bowel syndrome ,Aged ,education.field_of_study ,Chi-Square Distribution ,business.industry ,Esophageal disease ,Reflux ,Middle Aged ,medicine.disease ,digestive system diseases ,Logistic Models ,Telephone interview ,Gastroesophageal Reflux ,GERD ,Female ,business - Abstract
The prevalence of gastroesophageal reflux disease (GERD) symptoms in the general population is lower in Asian than Western countries. Data are lacking for countries in the Middle East. The aim of the study was to determine the prevalence and severity of GERD symptoms among Israeli Jews. A questionnaire including 8 specific questions for GERD symptoms was administered by telephone interview to a representative sample of the population. One thousand two hundred twenty-one of 1839 individuals were successfully contacted and 981 had valid, complete data. The mean age was 45.0 years and 55% were females. Over the previous year 34.8% of the respondents reported suffering any GERD symptom. Of these 11.6% reported retrosternal burning, 11.7% retrosternal pain, 19.0% an acid taste in the mouth, and 17.5% reflux of gastric content. In all, 6.5%, 5.2%, 10.4%, and 7.9%, respectively, suffered these symptoms at least once a week, and 2.0%, 1.8%, 2.4%, and 2.3%, respectively, defined their symptoms as frequent and severe. Male sex (P = 0.01) and a functional lower gastrointestinal (GI) disorder (P < 0.0001) contributed significantly to the severity of upper GI refluxlike symptoms. In conclusion, GERD symptoms are common among Israeli Jews. The symptoms are generally of mild-to-moderate severity and are significantly associated with lower functional GI disorders.
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- 2007
9. Hidradenitis suppurativa and metabolic syndrome: a comparative cross-sectional study of 3207 patients
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A.D. Cohen, Ilana Harman-Boehm, Tami Freud, Guy Shalom, and I. Polishchuk
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Adult ,Male ,medicine.medical_specialty ,Cross-sectional study ,Hyperlipidemias ,Dermatology ,Diabetes Complications ,Internal medicine ,Diabetes mellitus ,Medicine ,Humans ,Hidradenitis suppurativa ,Obesity ,Israel ,Metabolic Syndrome ,business.industry ,Odds ratio ,medicine.disease ,Confidence interval ,Surgery ,Hidradenitis Suppurativa ,Cross-Sectional Studies ,Cohort ,Hypertension ,Female ,Metabolic syndrome ,business - Abstract
Summary Background Hidradenitis suppurativa (HS) is a chronic relapsing inflammatory skin disease. Objectives To evaluate the association between HS and metabolic syndrome and its component morbidities in a large, community-based cohort of patients with HS, using the database of Clalit Health Services, the largest public healthcare provider in Israel. Methods A cross-sectional study was performed. Metabolic syndrome was defined as the presence of at least three of the following conditions: diabetes, hyperlipidaemia, hypertension and obesity. The association between HS and metabolic syndrome was assessed by a multivariate logistic regression model, adjusting for age, sex, diabetes, hypertension, hyperlipidaemia, obesity and smoking status. Results The study included 3207 patients with HS (general frequency of 0·07%) diagnosed by a dermatologist in primary-care centres, and 6412 age- and sex-matched control patients without HS. HS was significantly associated with metabolic syndrome [odds ratio (OR) 1·61, 95% confidence interval (CI) 1·36–1·89], diabetes (OR 1·41, 95% CI 1·19–1·66), obesity (OR 1·71, 95% CI 1·53–1·91), hyperlipidaemia (OR 1·14, 95% CI 1·02–1·28) and hypertension (OR 1·19, 95% CI 1·03–1·38). Conclusions We found an association between HS and diabetes, hyperlipidaemia, obesity, hypertension and metabolic syndrome among a large community-based cohort of patients with HS. Clinicians should take into account that patients with HS may have one or more undiagnosed components of metabolic syndrome despite their young age. Thus, appropriate targeted screening is advised.
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- 2015
10. Patterns of Use of Nonbiomedical Medicine Services by Nonbiomedical Medicine Providers
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Tammy Soffer, Tami Freud, Hila Gotshal, Roni Peleg, and Aya Biderman
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Adult ,Complementary Therapies ,Male ,Response rate (survey) ,medicine.medical_specialty ,Primary Health Care ,Attitude of Health Personnel ,business.industry ,Alternative medicine ,Professional-Patient Relations ,Middle Aged ,Complementary and alternative medicine ,Health Care Surveys ,Surveys and Questionnaires ,Family medicine ,Humans ,Medicine ,Female ,Israel ,Practice Patterns, Physicians' ,Degree of confidence ,business - Abstract
The aim of this study was to characterize the patterns of use of nonbiomedical medicine compared to biomedical medicine among providers of nonbiomedical medicine in order to assess the degree of confidence the providers have in nonbiomedical medicine.Anonymous, self-administered questionnaires were distributed among the providers of care in nonbiomedical medicine clinics in Israel.Ninety-two (92) of 127 questionnaires were completed (73% response rate). Fifty-four percent (54%) were women and 76% were Israeli-born. Nineteen percent (19%) had M.D. degrees and 83% received training in nonbiomedical medicine in Israel. In the course of the 12 months preceding the survey, 62% of the providers were treated by nonbiomedical medicine techniques; of these, 54% chose these techniques as their first treatment of choice. The vast majority (97%) expressed satisfaction with the results of this treatment. Fifty-five percent (55%) stated that they would turn to both nonbiomedical and biomedical medicine in the future for acute medical problems; 28% declared that they would turn first to nonbiomedical medicine, compared to 14%, who said they would turn first to biomedical medicine. A similar result was seen for chronic medical problems. More than two thirds of those who turned to nonbiomedical medicine treatment asked for acupuncture. Eighty-seven percent (87%) of acupuncture providers also preferred this mode of treatment.Providers of nonbiomedical medicine care prefer to combine nonbiomedical and biomedical medicine treatment for their own acute and chronic medical problems. The preferred method of therapy was acupuncture. These patterns of use demonstrate that providers have confidence in these methods of treatment alongside biomedical medicine.
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- 2005
11. A co-payment for consultant services: primary care physicians' referral actualization
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Arnon D. Cohen, Pesach Shvartzman, Daniel A. Vardy, Dan Goldfarb, Ofer Spilberg, Shlomo Mor-Yosef, Tami Freud, and Michael Sherf
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Adult ,Male ,medicine.medical_specialty ,Referral ,Medical Records Systems, Computerized ,MEDLINE ,Medicine (miscellaneous) ,Health Informatics ,Primary care ,Health informatics ,Interviews as Topic ,Appointments and Schedules ,Health Information Management ,Nursing ,Medicine ,Outpatient clinic ,Humans ,Term effect ,Cost Sharing ,Israel ,Referral and Consultation ,health care economics and organizations ,Aged ,business.industry ,Physicians, Family ,Middle Aged ,Family medicine ,Cost sharing ,Patient Compliance ,Female ,business ,Information Systems ,Co-payment - Abstract
Prospective evaluation of the effect of a new co-payment for specialists consultations on actualization of referrals (2,432 patient), was examined. Actualization of the appointment, reasons for not actualizing, and sociodemographic characteristics were recorded. Actualization was 85.1% in community consultation clinics and 91.7% in hospital outpatient clinics. The main reasons for non actualization were: inability to reach the clinic (53.4%), the problem had resolved (15%), and co-payment (2%). In addition, 19.1% stated that they did not actualize a past consultant visit due to co-payment. Referring physicians noted that co-payment had some effect on their decision, especially with the elderly or lower income patients. A relatively small compulsory co-payment was not found to have a long term effect on utilization of specialists' services.
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- 2008
12. [Trend in opioids use for chronic pain treatment at Clalit Health Services (2000-2004)]
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Tami, Freud, Silviu, Brill, Michael, Sherf, Yoram, Singer, Daniel, Vardy, and Pesach, Shvartzman
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Analgesics, Opioid ,Male ,Morphine ,Chronic Disease ,Humans ,Pain ,Female ,Community Health Services ,Israel ,Middle Aged ,Drug Prescriptions ,Aged ,Retrospective Studies - Abstract
Opioids are considered a cornerstone in the treatment of cancer and non-cancer pain. The World Health Organization considers a country's morphine consumption to be an important indicator of the quality of pain control. There is little or no use of opioids in nearly half of the countries in the world.To assess the change in trends of opioids use for chronic pain treatment over a period of five years (2000-2004) among members of Clalit Health Services (CHS) in Israel.Data on the consumption of opioid analgesic drugs that were authorized for use in Israel during the years 2000-2004 were obtained from the computerized data bases of CHS. In addition, patient's demographic details and cancer morbidity were also extracted. To make the patient's use of opioids comparable, we analyzed the data by translating all opioids consumption (fentanyl patch, oxycodone, methadone, hydromorphone) to oral morphine equivalents.An increase of 68% in total morphine consumption was found between the years 2000 and 2004 (from 56.4 Kg to 94.9 Kg) and in mg morphine per prescription from 15.7 to 25.3 mg. The total amount of morphine per prescription increased from 834.2 mg to 892.9 mg. The total number of patients who received an opioid prescription multiplied by 1.47 (from 18,551 to 27,302) while the growth in total number of CHS members was significantly smaller. No significant differences were found during the years in the characteristics of patients who received opioids; regarding gender (58% were woman) and age (about 80% were 65 years old and above). During the year 2004, a preliminary examination of opioids consumption, comparing cancer and non-cancer pain patients, showed that cancer pain patients used 2.74 times higher dosage than non-cancer pain patients (6110.8 vs. 2225.6 mg/patients/year).During the 5 year period evaluated, there is a growing trend in use of opioids at CHS in Israel. This trend may be an indication of the improvement in treatment of chronic pain.
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- 2008
13. Development of abdominal pain and IBS following gynecological surgery: a prospective, controlled study
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David Goldstein, Carolyn B. Morris, Ami D. Sperber, Yuming Hu, Anat Neville, Eyal Sheiner, Miriam Katz, Lev Greemberg, Tami Freud, Shrikant I. Bangdiwala, Douglas A. Drossman, and Yefim Rusabrov
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Adult ,medicine.medical_specialty ,Abdominal pain ,Time Factors ,Adolescent ,Visual analogue scale ,medicine.medical_treatment ,Irritable Bowel Syndrome ,Gynecologic Surgical Procedures ,Risk Factors ,Internal medicine ,medicine ,Humans ,Prospective Studies ,Irritable bowel syndrome ,Gynecological surgery ,Hepatology ,business.industry ,Incidence (epidemiology) ,Gastroenterology ,Middle Aged ,medicine.disease ,Pathophysiology ,Abdominal Pain ,Socioeconomic Factors ,Elective Surgical Procedures ,Anesthesia ,Injury Severity Score ,Female ,medicine.symptom ,business ,Psychosocial ,Follow-Up Studies - Abstract
Background & Aims: Irritable bowel syndrome (IBS) develops after bacterial enteritis that causes injury to the bowel mucosa. It's unclear whether abdominal pain or IBS results from gynecological surgery that could injure abdominopelvic nerves. The aim of this prospective, controlled study was to assess the incidence of pain or IBS in women undergoing elective gynecological surgery compared to non-surgical controls and to identify factors associated with their development. Methods: One hundred thirty-two women without GI symptoms undergoing elective gynecological surgery for non-painful conditions were compared with 123 non-surgery controls without GI symptoms. Socio-demographic, psychosocial, and surgery-related variables were potential predictor variables of pain at 3 and/or 12 months. Results: Three surgical patients (2.7%), but no controls, developed IBS at 12 months. Significantly more surgical patients had abdominal pain at 3 or 12 months (15.3% vs 3.6%, P=.003). No socio-demographic or surgery-related variables predicted pain development, but it was predicted by psychosocial factors including anticipation of difficult recovery from surgery (P=.01), perception of severity/constancy of illness (P=.04), and reduced sense of coherence (P=.01). Conclusions: Among women undergoing gynecological for non-pain indications the development of IBS was not significantly greater than controls. However, abdominal pain did develop in 17% of women in the surgical group, suggesting that surgery facilitated its development. Notably, only psychosocial variables predicted pain development, implying that pain development associated with central registration and amplification of the afferent signal (via cognitive and emotional input) must be considered along with the peripheral injury itself. These findings contribute to understanding the pathophysiology of functional GI pain.
- Published
- 2007
14. Introducing co-payment for consultant specialist services
- Author
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Daniel A, Vardy, Tami, Freud, Pesach, Shvartzman, Michael, Sherf, Ofer, Spilberg, Dan, Goldfarb, and Shlomo, Mor-Yosef
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Adult ,Male ,Adolescent ,Prospective Payment System ,Infant, Newborn ,Health Maintenance Organizations ,Infant ,Hospitals, Community ,Middle Aged ,Ambulatory Care Facilities ,Socioeconomic Factors ,Child, Preschool ,Humans ,Female ,Israel ,Child ,Referral and Consultation ,Aged ,Retrospective Studies - Abstract
Full medical coverage may often result in overuse. Cost-sharing and the introduction of a co-payment have been shown to cause a reduction in the use of medical services.To assess the effects of the recently introduced co-payment for consultant specialist services on patient utilization of these services in southern Israel.Computerized utilization data on specialist services for 6 months before and 6 months after initiation of co-payment were retrieved from the database of Israel's largest health management organization.A decrease of 4.5% was found in the total number of visits to Soroka Medical Center outpatient clinics and 6.8% to community-based consultants. An increase of 20.1% was noted in the number of non-actualized visits to the outpatient clinics. A decrease of 6.2% in new visits to hospital outpatient clinics and 6.5% to community clinics was found. A logistic regression model showed that the residents of development towns and people aged 75+ and 12-34 were more likely not to keep a prescheduled appointment.After introduction of a modest co-payment, a decrease in the total number of visits to specialists with an increase in "no-shows" was observed. The logistic regression model suggests that people of lower socioeconomic status are more likely not to keep a prescheduled appointment.
- Published
- 2006
15. Techniques for terminating patient-physician encounters in primary care settings
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Olga, Bronshtein, Vera, Katz, Tami, Freud, and Roni, Peleg
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Adult ,Male ,Physician-Patient Relations ,Patient Education as Topic ,Primary Health Care ,Attitude of Health Personnel ,Office Visits ,Communication ,Health Care Surveys ,Humans ,Time Management ,Female ,Middle Aged - Abstract
Physicians in the community work on a tight and often pressured schedule; verbal and non-verbal techniques to terminate the patient-physician encounter are therefore necessary.To characterize ways of terminating the encounter.Using a structured questionnaire we observed seven family physicians and nine consultants and recorded patient-physician encounters to assess techniques for terminating the encounter.In all, 320 encounters were recorded, 179 (55.9%) by consultants and 141 (44.1%) by family physicians. The mean duration of the encounters was 9.02 +/- 5.34 minutes. The mean duration of encounters with family physicians was longer than with consultants (10.39 vs. 7.93 minutes, P0.001). In most cases the encounter ended with the patient receiving printed documentation from the physician (no difference between family physicians and with consultants). Consultants were more likely to end the encounter with a positive concluding remark such as "feel good" or "be well" (P0.01). There was no single occasion where termination of the encounter was initiated by the patient.Giving a printed document to the patient appears to be perceived by both patients and physicians as an accepted way to end an encounter. Another good way to end the encounter is a positive comment such as "feel good" or "be well."
- Published
- 2006
16. Verbal and physical violence towards hospital- and community-based physicians in the Negev: an observational study
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Tal Carmi-Iluz, Tami Freud, Roni Peleg, and Pesach Shvartzman
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Adult ,Male ,medicine.medical_specialty ,Time Factors ,Waiting Lists ,Poison control ,Observation ,Violence ,Suicide prevention ,Occupational safety and health ,Security Measures ,Health administration ,Hospitals, University ,Nursing ,Occupational Exposure ,Physicians ,Surveys and Questionnaires ,Injury prevention ,medicine ,Prevalence ,Humans ,Community Health Services ,Israel ,Workplace ,business.industry ,lcsh:Public aspects of medicine ,Health Policy ,Nursing research ,Public health ,lcsh:RA1-1270 ,Fear ,Middle Aged ,Family medicine ,Workforce ,Observational study ,Female ,business ,Research Article - Abstract
Background Over recent years there has been an increasing prevalence of verbal and physical violence in Israel, including in the work place. Physicians are exposed to violence in hospitals and in the community. The objective was to characterize acts of verbal and physical violence towards hospital- and community-based physicians. Methods A convenience sample of physicians working in the hospital and community completed an anonymous questionnaire about their experience with violence. Data collection took place between November 2001 and July 2002. One hundred seventy seven physicians participated in the study, 95 from the hospital and 82 from community clinics. The community sample included general physicians, pediatricians, specialists and residents. Results Ninety-nine physicians (56%) reported at least one act of verbal violence and 16 physicians (9%) reported exposure to at least one act of physical violence during the previous year. Fifty-one hospital physicians (53.7%) were exposed to verbal violence and 9 (9.5%) to physical violence. Forty-eight community physicians (58.5%) were exposed to verbal violence and 7 (8.5%) to physical violence. Seventeen community physicians (36.2%) compared to eleven hospital physicians (17.2%) said that the violence had a negative impact on their family and on their quality of life (p < 0.05). The most common causes of violence were long waiting time (46.2%), dissatisfaction with treatment (15.4%), and disagreement with the physician (10.3%). Conclusion Verbal and/or physical violence against physicians is common in both the hospital and in community clinics. The impatience that accompanies waiting times may have a cultural element. Shortening waiting times and providing more information to patients and families could reduce the rate of violence, but a cultural change may also be required.
- Published
- 2005
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