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••Spring 2007/Vol. 11, No. 2


A Focus on the Electronic Medical Record

Original articlesClinical articlesReview ArticlesCase StudiesEditorial ComentsCommentaryAbstracts from articles published in other journalsPoetry, Art, Musings from Permanente clinicians
Book Reviews

 

 

 

 

 

 

 

 

 


Original Articles


 

Editorial Overview
Doctors and Patients Using an Electronic Health and Medical Record: Research Studies Offer Multiple Views of 21st Century Health Care.
By Tom Janisse, MD

to article >> | to pdf >>

 

Adverse Childhood Experiences and Smoking Persistence in Adults with Smoking-Related Symptoms and Illness.
By Valerie J Edwards, PhD; Robert F Anda, MD, MS; David Gu, PhD; Shanta R Dube, PhD, MPH; Vincent J Felitti, MD, FACP

Using data from the Adverse Childhood Experiences Study, researchers explore the reasons adults continue to smoke after diagnosis of diseases and conditions that contraindicate smoking.
to article >> | to pdf >>

 

MyChart -- A New Mode of Care Delivery: 2005 Personal Health Link Research Report.
By Carl A Serrato, PhD; Sally Retecki, MBA; David E Schmidt, MD

A secure member Web site where registered patients may view portions of their medical record and exchange secure messages with their primary care physicians was evaluated on the basis of a survey, content analysis, and physicians logs.
to article >> | to pdf >>

 

Implementing the Electronic Medical Record in the Exam Room: The Effect on Physician-Patient Communication and Patient Satisfaction.
By Vivian Tong Nagy, PhD; Michael H Kanter, MD

Introducing the computer into the exam room raises important questions about physician-patient communication and patient satisfaction. Patient satisfaction scores were compared to evaluate how scores changed as physicians started using computers in the exam room.
to article >> | to pdf >>

 

Obesity in the Kaiser Permanente Patient Population and Positive Outcomes of Online Weight-Management Programs.
By Keith H Bachman, MD; Trina M Histon, PhD; Carol Remmers, MPH

The effects of obesity in the Kaiser Permanente population are reviewed and two nationally available online self-care weight management programs are discussed with assessments of potential problems and recommendations.
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Decreasing Medication Discrepancies Between Outpatient and Inpatient Care Through the Use of Computerized Pharmacy Data.
By Charles S Salemi, MD, MPH; Norvella Singleton, BS

This study provides an example of a positive impact of modern computer technology and upon the quality of medical care.
to article >> | to pdf >>

 

Perioperative Tight Glycemic Control: The Challenge of Bariatric Surgery Patients and the Fear of Hypoglycemic Events.
By Bellal Joseph, MD; Jeff Genaw, MD; Arthur Carlin, MD; Jack Jordan, MS; Jean Talley, RN, BSN, MSN, APRN; Ilan Rubinfeld, MD, MBA

Although tight glycemic control has resulted in improved outcomes, fear of hypoglycemia has been an important barrier to implementation. This triple arm prospective trial demonstrates improved hyperglycemic control in bariatric surgery patients with no increase in hypoglycemia.
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