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Biomedical subjects

G L Oppenheim

Publications and source records attributed to G L Oppenheim.

5 recordsLinked to original sources

The family physician's knowledge of the cost of prescribed drugs.

In this study practicing physicians, residents and teaching faculty estimated cost to the patient of ten commonly prescribed drugs. Physician estimates were compared to averaage pharmacy prices. On the whole, physicians overestimated the costs of the drugs. Practicing physicians had the highest estimated while residents were the most accurate. Accuracy of price estimates differed greatly among the drugs. Physicians were also asked about their sources of drug price information and their prescribing policies in relation to cost. Residents and faculty relied heavily on pharmacists for the drug price information, whereas practicing physicians rellied on sales representatives and patients. Virtually all responders assign at least some importance to drug costs when prescribing. Residents and faculty reported prescribing generically more often than practicing physicians.

Costs and Cost Analysis↗

Metronidazole in breast milk.

Breast milk concentrations of metronidazole were assayed in 3 women who had been treated with a single 2.0-g dose for trichomoniasis. Highest concentrations of the drug were found 2 and 4 hours after administration, and they declined over the next 12 to 24 hours. It appears that if breast-feeding is withheld for 12 to 24 hours after the dose, infants will be exposed to a greatly reduced amount of metronidazole. As the use of metronidazole in nursing mothers is currently not recommended, this may be the regimen of choice for the treatment of trichomoniasis in lactating women.

Female↗

Failed appointments: a review.

Failed appointments disrupt office operations. Most studies involved hospital clinics with low socioeconomic populations, which have shown fail rates between 19 and 28 percent. Family practice centers report fail rates which vary from 5 to 11 percent. Young adults, adults with young children, and patients in low socioeconomics groups tend to increase the fail rate. Sex and race are probably not a factor. Reasons for failing appointments include communication problems, the absence of a sense of urgency for keeping the appointment, and the lack of a personal physician. An interval greater than two weeks between appointment scheduling and the appointment date places patients most at risk for failing the appointment. Mail and telephone reminders significantly reduced the fail rate and are cost efficient. Incentives are also used in reducing the fail rate. By examining the process, the patients, the provider, and the environment with respect to appointment keeping behavior, a more quantitative approach to research on the subject can be effected.

Ambulatory Care↗