The relationship between patient income and physician discussion of health risk behaviors

Article Abstract:

Many primary care physicians are not counseling all patients in all of the health risk factors recommended by the US Preventive Services Task Force. A survey of 6,549 Massachusetts residents revealed that low-income patients were more likely to be smokers and overweight than high-income patients. High-income patients were more likely to have stress and to abuse alcohol. However, physicians were more likely to discuss smoking cessation programs with low-income smokers and more likely to discuss diet and exercise with high-income overweight patients. Low-income patients were more likely to take their physician's advice.

Health aspects, Social aspects, Economic aspects, Physician and patient, Physician-patient relations, Social status, Income, Health education

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Physicians' Recommendations to Patients for Use of Antibiotic Prophylaxis to Prevent Endocarditis

Article Abstract:

Doctors may still be confused as to which patients at risk of infectious endocarditis need to take antibiotics before certain procedures and which do not. Infectious endocarditis is a bacterial infection inside the heart. Some procedures increase the risk of infectious endocarditis, so patients are told to take antibiotics before such procedures. In a study of 218 patients, 108 had risk factors for infectious endocarditis. Only 66% were told to take antibiotics before any potentially dangerous procedure. On the other hand, 26% of those with a very low risk were told to take antibiotics before any such procedure.

Antibiotics, Prevention, Endocarditis, Bacterial, Bacterial endocarditis

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Why Don't Physicians Follow Clinical Practice Guidelines? A Framework for Improvement

Article Abstract:

There may be many reasons why doctors don't adopt practice guidelines. Practice guidelines are documents describing the best ways to diagnose and treat certain conditions. They are usually published by a group of experts who review the scientific literature to find the most effective methods of diagnosing and treating the disease. Researchers analyzed 76 studies that identified barriers that prevent doctors from adopting practice guidelines. Many doctors are not aware of the guideline, don't agree with it, don't expect it to work, or cannot change their behavior easily.

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