Major depressive disorder is commonly treated in primary care settings. Psychotherapy occurring in primary care should take advantage of the unique aspects of the setting and must adapt to the problems and limitations of the setting. In this open trial, the authors used a treatment development model to adapt behavior therapy for primary care…

The three reviews of the Major Contribution in this issue of The Counseling Psychologist provide thought-provoking critiques of counseling psychology's role in patient-centered culturally sensitive health care. In this rejoinder, the authors situate these critiques within the historical context of enduring paradoxes and barriers confronting…

We developed eight heavily illustrated booklets covering patients' rights and responsibilities, antiepileptic medicines, and most psychotropic medicines. The language level was very basic but covered a wide range of information. We distributed free copies of the booklets, together with standardized questionnaires, to consumers with and without…

Analysis of interactions among 377 patients and 38 physicians, compared to their self-reports, showed that neither doctors nor patients accurately reported health counseling discussions nor agreed about what was discussed. Smoking and diet discussions were most accurately reported, physical activity, alcohol, and stress discussions less so. (SK)

Describes a skills-oriented training program for a step-by-step patient-centered interviewing method. This method fosters positive attitudes towards patient-centered interviewing and uses a learner-controlled approach that pays special attention to the teacher-resident relationship and to the resident's self-awareness. This training can be adapted…

Midwives in Ghana provide the majority of rural primary and maternal healthcare services, but have limited access to data for decision making and knowledge work. Few mobile health (mHealth) applications have been designed for midwives. The study purpose was to design and test an mHealth application (mClinic) that can improve data access and reduce…

Current research in health care lacks a systematic investigation to identify and classify various sources of threats to information privacy when sharing health data. Identifying and classifying such threats would enable the development of effective information security risk monitoring and management policies. In this research I put the first step…

This article examines associations between cumulative adverse financial circumstances and patient health in a sample of 1,506 urban emergency department (ED) patients. Study participants completed a previously validated Social Health Survey between May and October 2009. Five categories of economic deprivation were studied: food insecurity, housing…

Backsourcing is the act of an organization changing an outsourcing relationship through insourcing, vendor change, or elimination of the outsourced service. This study discovered numerous problematic outsourcing manipulations conducted by suppliers, and identified backsourcing methodologies to correct these manipulations across multiple supplier…

Health care is one of the most highly regulated industries in the United States. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandates the implementation of information systems security to protect the personal information of patients. Properly planned implementations ease the process of introducing new technologies like…

Cognitive processes require a functional interaction between specialized multiple, local and remote brain regions. Although these interactions can be strongly altered by an acquired brain injury, brain plasticity allows network reorganization to be principally responsible for recovery. The present work evaluates the impact of brain injury on…

Objective: The purpose of this study was to identify determinants of comprehension of an educational pamphlet on colon cancer, by adults at least 50 years of age living in the United States. Design: Data were analysed from the "2003 National Assessment of Adult Literacy" survey. The survey was designed to assess functional English…

Introduction: Surgical site infection accounts for 20% of all health care-associated infections (HCAIs); however, a program incorporating the education of surgeons has yet to be established across the specialty. Methods: An audit of surgical practice in infection prevention was carried out in Beaumont Hospital from July to November 2009. An…

Systems-based practice (SBP) is rarely taught or evaluated during medical school, yet is one of the required competencies once students enter residency. We believe Texas A&M College of Medicine students learn about systems issues informally, as they care for patients at a free clinic in Temple, TX. The mandatory free clinic rotation is part of…

A group of 41 Tulsa Tech students and two instructors volunteered to the Mission of Mercy, a free, two-day dental clinic co-sponsored by the Oklahoma Dental Association, the Delta Dental of Oklahoma Charitable Foundation and the Oklahoma Dental Foundation held downtown at the Tulsa Convention Center. The clinic was designed to meet the critical…