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Ergonomically sound medical devices.

The importance of employing ergonomic principles in the design of medical devices is the way to achieve patient safety, product efficacy and business advantage. This article emphasises the importance of incorporating research findings into the design process.

Consumer Behavior↗

[Comparing students in inclusive education to those in special schools: the view of parents of children with learning disabilities].

The paper presents the results of a survey of 755 parents of learning disabled children with certified special needs who either attended classes within regular education or special schools. All parents were involved in the decision on the school placement of their children. The experiences of 547 parents of learning disabled students in inclusive classes were contrasted with those of 207 parents of children in special schools. Besides a rather high satisfaction with previous school experiences of their children a number of differences between the two groups of parents could be observed. Parents of students in special schools viewed their children as rather little challenged by their educational requirements whereas those in inclusive education found their children to be overtaxed. The social development of the students in inclusive education was judged as more positive and, generally, a higher rate of parents of learning disabled students in inclusive classes were satisfied with their choice of the educational setting. Although the requirements for parental support concerning studying were higher in inclusive classes this cannot solely explain the differences of experiences with school. In a second step, satisfied parents were compared to dissatisfied parents. It could be found that the group of dissatisfied parents had to make their choice on the educational setting of their children under less favourable conditions and many could not accept that their child had been classified as having special needs. This applied to parents of students in inclusive education as well as to parents of children in special schools. Additionally, parents of students with German as a second language reported to be discontented more frequently. No significant discrepancies could be found between different grades or federal states with different quotas of inclusive education.

Attitude↗

Discount medical cards: innovation or illusion?

Discount medical cards have come under increasing scrutiny by regulators and law enforcement officials as a result of mounting consumer-reported problems. For their study, the authors tested five cards available in the Washington, D.C., metro area; interviewed card company representatives, state attorneys general insurance regulators, and insurance agents; and reviewed court and administrative actions. While some cards provide a measure of value, other cards were found to have serious drawbacks, including: high-pressure sales tactics; misleading or inaccurate promotion; exaggerated claims of savings; difficulty finding participating doctors; and providers who failed to give cardholders promised discounts. Some discount card companies are seeking to reform the market through a trade association and voluntary code of conduct. Still, legislative and regulatory interventions will be needed to protect consumers in an unregulated and growing market.

Advertising↗

The readership of health magazines:the role of health orientation.

Two important trends have drawn the attention of medical practitioners and academics in recent years: the growth of health consciousness within the United States, and the proliferation in the number of health-oriented media outlets. In the face of the growing health care consumerism, accompanied by the proliferation of health-oriented media delivery systems, it is important to explore the audience profile of health magazines so these magazines may be effectively used for media planning. This paper applies a motivation-driven approach to health magazine readership, arguing that health orientation influences the readership of health magazines. Based on an analysis of the Healthstyles data gathered in 1999 and building upon selective exposure theory, the study demonstrates that health orientation positively predicts health magazine readership. The study results provide guidelines for strategic media planning.

Adult↗

Factors influencing patients' choice of primary medical doctors.

This study investigated factors that influence adult patients' choice of primary care physicians and aimed to determine whether patients know the difference between internal medicine and family medicine. One thousand patients who had seen their primary care physician in either the family medicine or internal medicine department at Mayo Clinic in 2001 were sent a questionnaire to determine 1) the factors that influenced their choice of physician and 2) their knowledge of the characteristics of both specialties. Forty-six percent of the patients responded. Patients most often cited the doctor's "Approach to patient care" and "Interpersonal skills/communication" as affecting their choice of physician. Results also showed patient knowledge of the difference between family medicine and internal medicine was poor. The authors conclude that patients must be educated about the differences in the training of and care provided by different types of primary care physicians.

Choice Behavior↗