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July 1997, No. 206
Contents
About
Research Activities
Feature Story
Ischemic Heart Disease
PORT finds benefits of hormone replacement therapy far outweigh risks for most
women and reaffirms link between angioplasty volume and outcomes
Departments
Outcomes/Effectiveness
Research
Higher costs
of care for cardiac bypass patients do not necessarily correlate with better
outcomes
Not all heart attack
patients benefit from costly angiography and angioplasty
Better management of
patients already diagnosed with heart disease is more cost effective than
primary prevention
Primary care
physicians often see BPH patients, but their practices sometimes depart from
treatment guidelines or urologists' practices
Substantial
differences found in the way American and British physicians care for patients
at risk for stroke
Management of
cataract patients varies greatly among developed countries
Family Health
Private
practices can provide enhanced prenatal services for poor women as effectively
as public clinics
Pediatric ICU
providers vary markedly in their attitudes about life-support
interventions
Childhood diabetes
exacts a heavy economic toll on families, even those with health
insurance
Quality of Care
Advance
directives often don't influence end-of-life patient care
Increased use of DNR
orders is concentrated on sicker patients, but varies by diagnosis, hospital,
and patient's sex
AHCPR to focus on
strengthening the evidence base about proven clinical practices
Consumers need more
information to understand and use health care report cards
HIV/AIDS Research
Better
doctor-patient communication could enhance treatment compliance for
HIV-infected patients
Special Populations
Addressing
health care needs among the homeless must first take into account their
subsistence needs
AHCPR News and
Notes
Contracts
awarded for 12 Evidence-based Practice Centers
AHCPR and the
American Academy of Nursing announce selection of second Senior Nurse
Scholar
Announcements
Five new
projects focus on quality-of-life and cost-effectiveness issues
AHCPR funds new
grants
Managed care
audiotapes now available
Research Briefs
Detection of
genitourinary tract Chlamydia trachomatis infection in pregnant women
by ligase chain reaction assay
Promoting mealtime
communication between adolescent mothers and their infants through
videotape
Clinic services for
persons with AIDS
The Federal and
private sector roles in the development of minimum data sets and core health
data elements
Mortality and
complications associated with laparoscopic cholecystectomy: A
meta-analysis
The three faces of
performance measurement: Improvement, accountability, and research
AHCPR Publication No. 97-0064
Current as of July 1997
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