Biomedical subjects

H R Reames

Publications and source records attributed to H R Reames.

3 recordsLinked to original sources

PubMed2001

Physician satisfaction revisited.

UNLABELLED: Nineteen US physicians were interviewed in 1987 to identify how they defined and addressed the changes facing them. Attitudes and problem-solving approaches of physicians who remained satisfied were compared with those deemed dissatisfied. In this ten-year follow-up study, the original subjects were re-contacted and asked to describe changes in their practices, and other questions regarding their professional lives. They were rated by themselves and the authors for satisfaction. Eighteen responded and could be rearranged into three groups by ratings of satisfaction. Representative responses delineate each group and explore various aspects differentiating responses within the grouping. CONCLUSION: past satisfaction with medical practice is no predictor of current satisfaction. Only those who either embraced change or found a means of escape from the issues facing them earlier were judged satisfied. The majority describe strategies to reduce fatigue, and to maintain some control over their professional lives.

Attitude of Health Personnel↗

PubMed1989

Professional satisfaction of physicians.

Nineteen physicians were interviewed to identify how they defined and solved the problems facing their profession. Problems cited by the physicians included loss of control over medical decisions, loss of control of the referral process, the threat of malpractice suits, ethical issues facing health maintenance organization physicians, and reduction of income. The attitudes and problem-solving approaches of physicians who remained satisfied with their profession are presented and compared with those of physicians who are essentially dissatisfied with the practice of medicine. Among satisfied physicians, happiness in medicine was attributed more to attitudinal adjustments than to success at the "business of medicine."

Adaptation, Psychological↗

PubMed1975

Flouride. Ten-year prospective study of deciduous and permanent dentition.

A ten-year longitudinal prospective study compared the effect of fluoride on dentition of 1,500 children from infancy through age 10 years. In Kalamazoo, Mich, and Oneida, NY, parallel groups were given a fluoride-vitamin supplement from infancy and from age 4 and compared with fluoridated water and control groups. Incidence of new caries activity in both deciduous and permanent teeth was measured by mean number of new decayed and filled teeth, as well as percentage of children with no caries throughout the periods studied. Prevalence of caries was also studied in six-year molars. The results indicate a consistent (and, for selected groups, a statistically significant) diminution in caries activity for both deciduous and permanent teeth for groups ranked from greatest retardation of caries to least: infant fluoride group, water fluoride group, age 4 fluoride group, and controls.

Child↗