Catalogue Search | MBRL
Are you sure you want to remove the book from the shelf?
{{itemTitle}}
33
result(s) for
"McCord, Gary"
Sort by:
A Comparison of the National Ambulatory Medical Care Survey (NAMCS) Measurement Approach With Direct Observation of Outpatient Visits
Background: The National Ambulatory Medical Care Survey (NAMCS) informs a wide range of important policy and clinical decisions by providing nationally representative data about outpatient practice. However, the validity of the NAMCS methods has not been compared with a reference standard. Methods: Office visits of 549 patients visiting 30 family physicians in Northeastern Ohio were observed by trained research nurses. Visit content measured by direct observation was compared with data reported by physicians using the 1993 NAMCS form. Results: Outpatient visit physician reports of procedures and examinations using the NAMCS method showed generally good concordance with direct observation measures, with kappas ranging from 0.39 for ordering a chest x-ray to 0.86 for performance of Pap smears. Concordance was generally lower for health behavior counseling, with kappas ranging from 0.21 for alcohol counseling to 0.60 for smoking cessation advice. The NAMCS form had high specificity (range, 0.90-0.99) but variable (range, 0.12-.84) sensitiv compared with direct observation, with the lowest sensitivities for health behavior counseling. The NAMCS physician report method overestimated visit duration in comparison with direct observation (16.5 vs. 12.8 minutes). Conclusions: Compared with direct observation of outpatient visits, the NAMCS physician report method is more accurate for procedures and examinations than for health behavior counseling. Underreporting of behavioral counseling and over of visit duration should lead to cau in interpreting findings based on these variables.
Journal Article
Golf all-in-one for dummies
Shows you not only how to get the most physical benefit from a round of golf, but also the tools you need to enjoy the game.
Book
The Medically Underserved: Who Is Likely to Exercise and Why?
Adults who exercise regularly have better health, but only 15% of U.S. adults engage in regular exercise, with some social groups, such as people with lower incomes and women, having even lower rates. This study investigates the rate at which medically underserved patients receive exercise counseling from health care providers, characteristics of those who exercise, and barriers and motivations to exercise. The convenience sample was predominantly female and White and exclusively low-income and uninsured or underinsured. On average, participants were obese, by Federal Obesity Guidelines; 43% smoked. Although 60% of 126 patients reported that providers discussed exercise with them, the discussions had no relationship with patients' engagement in exercise. Women and those with lung problems, diabetes, or children in the home were less likely than others surveyed to exercise. The highest rated motivations included body image and health issues. The most important barriers were time, cost, and access to exercise facilities and equipment. In order for exercise counseling to be more effective, health care providers' interventions must consider patients' personal characteristics, health status, readiness to engage in an exercise program, and motivations and barriers to exercise.
Journal Article
IT'S THE BEGINNING OF A BEAUTIFUL RIVALRY
The young kid was going was after the old man of 23 like a puppy, and you can't find the leash. I've never seen a kid have so much fun. He's talking to the crowd, cajoling people, running windsprints. It's no wonder the crowds adopted him.
Newspaper Article
TIGER ON THE PROWL, APPEARS IN CONTROL
So we've got Tiger Woods and Mike Weir in the last pairing Sunday. Weir-Woods: Sounds like a good name for a country club.
Newspaper Article
It's the beginning of a beautiful rivalry
That was celestial. Orbital. Giganormous.
Newspaper Article
Tiger on the prowl, appears in control
So we've got Tiger Woods and Mike Weir in the last pairing Sunday. Weir-Woods: Sounds like a good name for a country club.
Newspaper Article
IRWIN, HAAS SHOW OLD-TIMERS KNOW MEDINAH FORMULA
The funny thing is Hale (Irwin) kind of was dreading playing here. He told me at the Ameritech that Medinah was playing to 7,400 yards. He thought he was going to get annihilated.
Newspaper Article
Irwin, Haas show old-timers know Medinah formula
They say we old guys on the PGA Senior Tour can't play a lick. We play from the front tees and have magnets in our shoes.
Newspaper Article