Problem: Sepsis is a nocuous host response to infection that leads to organ dysfunction and hypotensive shock. Now deemed a public health burden, sepsis is predicted to increase as the population in the United States ages. Recent research conducted by the Centers for Disease Control and Prevention concluded that 80 percent of sepsis begins outside…

Unwillingness to share depression experiences with primary care physicians contributes to the undertreatment of depression. This project examined college students' reasons for depression nondisclosure to primary care providers (PCPs). Undergraduate participants read a vignette describing someone with depression and completed measures of disclosure…

Although screening, brief intervention, and referral to treatment (SBIRT) has been a popular model to address potential substance abuse issues in primary care, there is a need for innovative approaches for training providers and staff on SBIRT protocols. An interdisciplinary approach to SBIRT training, named ICARE, was implemented at 3 different…

Given the chorus of approval for primary care emanating from every party to the health reform debate, one might suppose that the future for primary physicians is bright. Yet this is far from certain. And when one looks to history and recognizes that primary care medicine has failed virtually every conceivable market test in recent years, its…

Context: Rural women in the United States experience disparity in breast cancer diagnosis and treatment when compared to their urban counterparts. Given the 11% chance of lifetime occurrence of breast cancer for women overall, the continuum of breast cancer screening, diagnosis, treatment, and recovery are of legitimate concern to rural women and…

Results of a survey to document the nature and volume of ambulatory care in the community, based on an assessment of the visit, indicate that nearly four of five ambulatory visits made to physicians are for primary care and that all physicians, even the most specialized, provide a substantial amount of primary care. Implications for medical…

Maintains that cultural beliefs of both the care provider and the patient affect the patient's care-seeking behavior, treatment options, and treatment choices. Provides cross-cultural examples of how they impact on several chronic illnesses and argues for a dual medical approach for treatment. (MJP)

The National Assembly on School-Based Health Care conducted the 2004-05 Census, the tenth count of school-based health centers (SBHCs) since 1986, to: (1) provide a better understanding of the role of SBHCs in meeting the needs of underserved children and adolescents; (2) collect up-to-date data on demographics, staffing services, operations,…