Combining Medications Often Best Strategy To Battle Rheumatoid Arthritis Nov 21, 2007
Katrina Donahue, M.D., M.P.H., an assistant professor of family medicine in the UNC School of Medicine and a fellow in the Cecil G. Sheps Center for Health Services Research at UNC, is lead author of the report ... The report, Comparative Effectiveness of Drug Therapy for Rheumatoid Arthritis and Psoriatic Arthritis in Adults, was conducted by AHRQ's RTI-UNC Evidence-based Practice Center -- a collaboration between RTI and the five health professions schools and the Cecil G. Sheps Center for... (Science Daily)
Randomised controlled trials for evaluating the prescribing impact of information meetings led by pharmacists and of new information formats, in General Practice in Italy Sep 29, 2007
BMC Health Services Research 2007, 7:158doi:10. 1186/1472-6963-7-158. (BioMed Central)
PCMH earns stroke center credentials Sep 15, 2007
In 2005, eastern North Carolinians were 14 percent more likely to die of stroke than other North Carolinians, according to East Carolina University's Center for Health Services Research and Development. "Achieving certification means that we are committed to stroke care, and that we are in it with our patients," stroke nurse practitioner Susan Freeman said in a news release. (The Daily Reflector)
Sources: Associated Press, Centers for Disease Control and Prevention Sep 11, 2007
"The main thing we want is to make sure we have an impact," said Doebbeling, who is also the Regenstrief Institute's director of health services research and the director of the Indiana University Center for Health Services and Outcomes Research. Doebbeling received a $400,000 government grant for the 18-month study. (Indianapolis Star)
Duke-NUS Graduate Medical School to double its intake Sep 7, 2007
" Those efforts will be focused on four areas - infectious diseases; cancer and stem cell biology; neurobehavourial disorders; and cardiovascular and metabolic disorders.The school intends to add health services research as a fifth area of research focus.The school is in the process of identifying the various clinical teams where the students can be part of.And when its intake is doubled next year, there will be over 100 faculties to support the school's unique curriculum. - CNA/ir Copyright ?... (Channel NewsAsia, Singapore)
High Co-Pays Cause Seniors to Go Without Meds Sep 7, 2007
Writing in the online September issue of Health Services Research, the researchers reported that people enrolled in three-tiered plans spent 14. 3 percent less on prescriptions and filled 14. (MEDLINEplus)
A Sinister Development Jul 5, 2007
From the Division of Cardiology, Emory University, Atlanta (R.F.); the Departments of Internal Medicine (J.B.F., S.S., B.K.N.) and Radiology (D.M.W.), University of Michigan, Ann Arbor; and the Health Services Research and Development Center of Excellence, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, MI (S.S., B.K.N.). Address reprint requests to Dr. Fazel at the Division of Cardiology, Emory University, 1639 Pierce Dr., Suite 319, Atlanta, GA 30322, or at rfazel@emory. (New England Journal of Medicine)
MRI Plus X-ray Mammography Doubles Breast Cancer Detection Jul 3, 2007
The TARGET emerging technology evidence report is published by ECRI Institute, an independent nonprofit health services research agency that researches the best approaches to improving patient care. The institute produces systematic reviews on medical devices, drugs, biotechnologies, procedures and health services. (Newsmax)
Food Nutrition Labels a Puzzle? Here's Help Jul 2, 2007
(SOURCES: Susan Moores, R.D., nutrition consultant, Minneapolis, and spokeswoman, American Dietetic Association; Russell Rothman, M.D., M.P.P., assistant professor, internal medicine and pediatrics, Center for Health Services Research, Vanderbilt University, Nashville, Tenn ... "The biggest problem is (figuring) serving size," said Dr. Russell Rothman, an assistant professor of internal medicine and pediatrics at the Center for Health Services Research at Vanderbilt University, who led the study... (Health-Finder)
MRI plus X-ray mammography doubles breast cancer detection in women at high risk Jul 2, 2007
The TARGET emerging technology evidence report is published by ECRI Institute, an independent nonprofit health services research agency that researches the best approaches to improving patient care ... ECRI is a nonprofit international health services research agency that researches the best approaches to improving patient care. (EurekAlert!)
Do pediatricians face a malpractice crisis? Jul 2, 2007
Dr. Carroll and co-author Jennifer Buddenbaum, MHA are with Children's Health Services Research in the IU School of Medicine's Department of Pediatrics. . (EurekAlert!)
Doctors' poor penmanship can have deadly results Jun 29, 2007
The study, published in the journal Health Services Research, shows that having doctors write electronic prescriptions - by typing them into a computer rather than writing them by hand - reduces medication errors by a staggering 66 per cent.. "These medication errors are very painful for doctors, as well as the patients. Nobody wants to make a mistake," said Tatyana Shamliyan, a research associate at the University of Minnesota School of Public Health, and the lead author of the paper. (Globe and Mail)
Computerized Ordering Cuts Medication Errors Jun 29, 2007
The findings are published online in the journal Health Services Research. Almost 25 percent of U.S. hospital patients experience medication errors, such as receiving an incorrect dosage, the wrong drug, medication at the wrong time, or no medication at all. (MEDLINEplus)
U of M researchers assess effectiveness of computerized physician order entry system Jun 28, 2007
The review, recently published in the online journal Health Services Research, analyzed 12 studies conducted between 1990 and 2005 that compared the number of handwritten and computerized medication errors made by hospital physicians. Medication errors, which include prescribing the wrong drug, ordering an inaccurate dosage, or administering a drug at the wrong time, dropped by as much as 66 percent in United States hospitals that switched to a CPOE system. (EurekAlert!)
VA Hospital program receives extended funding Jun 26, 2007
The center, at the , is one of 15 VA Health Services Research and Development Centers of Excellence specializing in health decision-making and communication, health services delivery and organization, clinical epidemiology and outcomes, and health policy and quality. In fiscal 2006, HCQCUS investigators participated in 112 funded projects and published more than 80 manuscripts in peer-reviewed journals. (Houston Business Journal, TX)
Talking sex on the factory floor in China May 30, 2007
Young, single women in urban China are aware of contraceptive methods but some may be too shy to ask for them, research published in the online open access journal BMC Health Services Research reveals ... Article: Promoting contraceptive use among unmarried female migrants in one factory in Shanghai: a pilot workplace intervention Xu Qian, Helen J Smith, Wenyuan Huang, Jie Zhang, Ying Huang and Paul Garner BMC Health Services Research (In press) ... Earlier study: Unintended pregnancy and... (EurekAlert!)
Pediatricians And Pathologists See Traumatic Brain Injury Differently May 16, 2007
"Our study results will help facilitate the development of more uniform research definitions for future comparative studies of unintentional vs. inflicted pediatric traumatic brain injury," said Dr. Laskey, of the section of Children's Health Services Research of the IU School of Medicine and of Riley Hospital for Children of Clarian Health. "Our [pediatricians] role as mandatory reporters of child abuse cause pediatricians to err on the side of caution, reporting our suspicions, and then... (Science Daily)
Inside Politics (Greg Pierce) May 4, 2007
The 2007 AcademyHealth Research Meeting is slated for Disney's posh Swan and Dolphin resort, which boasts "an environment of elegance and opulence" featuring "the beauty and tranquility of waterways and tropical landscaping." Federal sponsors include the Agency for Healthcare Research and Quality (AHRQ), the Centers for Medicare and Medicaid Services, the National Center for Health Statistics, and the Health Services Research and Development Service of the Department of Veterans Affairs. The Web... (Washington Times, DC)
The Drenched Doctor May 3, 2007
From the Division of Infectious Diseases (D.R.K.), Section of Thoracic Surgery, Department of Surgery (M.B.O.), and Division of General Medicine (S.S.), University of Michigan Medical School; and the Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence (S.S.) both in Ann Arbor, MI; and the Department of Medicine, Legacy Good Samaritan and Emanuel Hospitals, Oregon Health and Sciences University, Portland (S.R.J.). Address reprint requests to Dr. Kaul at the... (New England Journal of Medicine)
Informed Consent: 'No' Doesn't Always Mean 'No' For Research Study Participants May 2, 2007
Just because someone decides not to participate in a research project doesn't necessarily mean that they fundamentally object to taking part, a study published online in BMC Health Services Research suggests ... BMC Health Services Research 2007, 7:59 (26 April 2007). (Science Daily)
Shapiro Honored for Commitment to Cultural Diversity in Medicine UCLA, Apr. 30 May 1, 2007
Dr. Martin F. Shapiro, professor of medicine and chief of the division of general internal medicine and health services research at the David Geffen School of Medicine at UCLA, has received the Herbert W. Nickens Award, recognizing his commitment to cultural diversity in medicine ... He joined the UCLA faculty in 1980 as assistant professor of medicine in the division of general internal medicine and health services research and was promoted to associate professor in 1986 ... Shapiro became... (University of California Newswire, CA)
Omega-3s are three-fers Apr 30, 2007
In one, conducted at the Centre for Prevention and Health Services Research in the Netherlands, the researchers calculated the intake of fish oil supplements in 210 men between 70 and 89 years of age in 1990 and then followed their cognitive status over the next five years. At the end of the study, those taking supplements had less cognitive decline than people who didn't. (Newsday -- Health)
'No' doesn't always mean 'no' Apr 26, 2007
Just because someone decides not to participate in a research project doesn't necessarily mean that they fundamentally object to taking part, a study published online in BMC Health Services Research suggests ... Article: When no might not quite mean no; the importance of informed and meaningful non-consent: results from a survey of individuals refusing participation in a health-related research project Brian Williams, Linda Irvine, Alison R McGinnis, Marion E T McMurdo and Iain K Crombie BMC... (EurekAlert!)
Are Higher Doses Of Cholesterol Drugs Worth The Extra Money? Only Sometimes, Study Says Apr 25, 2007
"Our study illustrates that simply having a 'positive' clinical trial may not be as informative as reporting what the actual gains in life expectancy and quality of life are with positive trials, and we propose using decision analysis as a way to appreciate the impact of trials that use multiple end points that are dissimilar (e.g., death and rehospitalization)," says Chan, who is also a member of the VA Health Services Research and Development Center of Excellence at VA Ann Arbor. The authors... (Science Daily)
Surgery, Shock Waves Both Effective For Removing Kidney Stones Mar 21, 2007
The most important finding from our review is that current practice of managing urerteric stones is based on poor-quality evidence, mostly from small trials with a lot of heterogeneity, said lead investigator Ghulam Nabi, a lecturer in the Health Services Research Unit of the University of Aberdeen in Scotland. The review appears in the current issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. (Science Daily)
Health-care inequities underscore racial disparities in prostate cancer Mar 12, 2007
Led by James A. Talcott, M.D., S.M. of the Massachusetts General Hospital and Harvard Medical School in Boston in conjunction with collaborators at the University of North Carolina Lineberger Comprehensive Cancer Center and Sheps Center for Health Services Research, researchers surveyed 84 African-Americans and 253 whites from North Carolina recently diagnosed with prostate cancer to better characterize the role of knowledge and attitudes, socioeconomic status, demography, and healthcare access... (EurekAlert!)
Middle Age Brings Substantial Fitness Declines, Weight Gains Mar 1, 2007
These research findings come from the Coronary Artery Risk Development in Young Adults (CARDIA) Fitness Study, funded by a grant from the National Heart Lung and Blood Institute (NHBLI), in conjunction with the CARDIA study, a 20- year observational study also funded by the NHLBI and conducted at four research centers across the U.S. The Kaiser Permanente Division of Research conducts, publishes, and disseminates epidemiologic and health services research to improve the health and medical care... (PR Newswire)
Netherlands braces for flu epidemic Feb 28, 2007
Surveys by the Institute for Health Services Research (NIVEL) showed last week that the Netherlands was on the brink of an official flu epidemic, with an average of 51 in 10,000 people reporting to the doctor with flu symptoms. A flu epidemic is declared if the number of flu victims reaches 60 in 10,000. (People's Daily Online, China)
Kids Living Near Green Spaces Less Likely to Be Overweight Feb 23, 2007
This is probably because children are more active if they have access to green spaces that make physical activity more enjoyable, said lead author Dr. Gilbert Liu, of the Children's Health Services Research Program at Indiana University School of Medicine. The study, in the March/April issue of the American Journal of Health Promotion, included 7,334 children, ages 3 to 18, in Marion County, Ind. (MEDLINEplus)
Supplemental Therapy Can Ease Pain For People Suffering From Common Jaw Disorder Feb 21, 2007
The National Institutes of Health-funded study has earned the Giddon Award for Distinguished Research in the Behavioral Sciences from the Behavioral Sciences and Health Services Research Group of the International Association for Dental Research. Note: This story has been adapted from a news release issued by UT Southwestern Medical Center. (Science Daily)
The eSMAF: a software for the assessment and follow-up of functional autonomy in geriatrics. Feb 14, 2007
The objective of this project was to develop a software version of the SMAF to facilitate the evaluation of the functional status of older adults in health services research and to optimize the clinical decision-making process. Results. (BioMed Central)
Record linkage research and informed consent: who consents? Feb 12, 2007
BMC Health Services Research 2007, 7:18 doi:10 ... Linking computerized health insurance records with routinely collected survey data is becoming increasingly popular in health services research. (BioMed Central)
Go team -- 2 kinds of teamwork improves care for chronic heart failure Feb 3, 2007
"We found hospitals providing complex care like the care needed for chronic heart failure perform significantly better when members of the patient's health-care team collectively work together to follow processes and procedures incorporated in national guidelines. Facilities with providers receptive to the guidelines, which have guideline-specific task forces to support implementation and a well-planned implementation process were those who gave the highest quality of care for patients with... (EurekAlert!)
Direct-to-Consumer TV Advertising May Lead to Overmedication UCLA, Jan. 29 Jan 30, 2007
Lead author Dominick L. Frosch, assistant professor of general internal medicine and health services research at the David Geffen School of Medicine at UCLA, said that the television ads have virtually no educational value. In addition, they generally rely on emotional appeals that fail to describe who is most at risk for certain health problems, what the symptoms of these problems are, and whether lifestyle changes such as diet and exercise are viable alternatives to drugs. (University of California Newswire, CA)
Study finds dangers in rosy TV drug ads Jan 30, 2007
"Prescription drugs are not like buying soap," said Dr. Dominick Frosch, assistant professor of internal medicine and health services research at the University of California-Los Angeles. "If you make the wrong decision about a prescription, it could have serious adverse effects.". (Atlanta Journal-Constitution -- Living)
Efficacy Similar Among Antidepressants, Side Effects Drive Multiple Prescriptions Jan 30, 2007
"Based on our review of the available research, we found very little difference in the effectiveness of various antidepressants," said Dr. Gerald Gartlehner, lead author of the report and a research associate at UNC's Sheps Center for Health Services Research. Despite their similarities, the drugs create different side effects that lead only about 60 percent of patients to respond to an initial treatment regimen, said Linda Lux, an RTI researcher. (Science Daily)
Resource allocation within the National AIDS Control Program of Pakistan: A qualitative assessment of decision makers opinions Jan 24, 2007
BMC Health Services Research 2007, 7:11 doi:10. 1186/1472-6963-7-11. (BioMed Central)
Bullying can be reduced but many common approaches ineffective Jan 12, 2007
"We found bullying can be curbed, but that many common methods of dealing with the problem, such as classroom discussions, role playing or detention, are ineffective. Whole school interventions involving teachers, administrators, and social workers committed to culture change are the most effective and are especially effective at the junior and senior high school level," says the paper's first author, Rachel Vreeman, M.D. She and co-author Aaron Carroll, M.D., M.S. are with the Indiana... (EurekAlert!)
Spacer insertion may offer less invasive option for lumbar problems Nov 29, 2006
The report is published by ECRI, an independent nonprofit health services research agency that produces systematic reviews on medical devices, drugs, biotechnologies, procedures, and health services ... ECRI is a nonprofit international health services research agency that provides information and technical assistance to the health care community. (EurekAlert!)
Big Drug Companies Keep Getting Better Oct 28, 2006
Those ousters were a turning point, says Albert Wertheimer, professor at Temple University's pharmacy school and director of its health services research center. "These companies had been in a world of their own. They saw themselves doing wonderful things to help people," Wertheimer said. (Investors Business Daily)
Most HIV-Positive Individuals with Inadequate Outpatient Care Are Minorities UCLA, Oct. 24 Oct 25, 2006
"As we expected, they are much less likely to get routine outpatient care but more likely to get acute care, when they are at their sickest," said Cunningham, who is professor of medicine in the Division of General Internal Medicine and Health Services Research at the David Geffen School of Medicine at UCLA. "This is just the group that needs to get grassroots outreach service.". For this study, to be published in the November issue of the journal Medical Care, the researchers compared... (University of California Newswire, CA)
Optimism expressed for dental school Oct 7, 2006
Twenty-eight percent of all Brody graduates have gone on to work in rural N.C. counties, according to the Sheps Center for Health Services Research, a division of the University of North Carolina at Chapel Hill. Phillips updated the trustees on other events within the UNC system. (The Daily Reflector)
Feasibility and validity of International Classification of Diseases based case mix indices Oct 6, 2006
BMC Health Services Research 2006, 6:125 doi:10 ... Severity of illness is an omnipresent confounder in health services research. (BioMed Central)
Personal appearance 'influences NHS treatment' Sep 29, 2006
A study published in today's Journal of Health Services Research and Policy argues that the central NHS commitment to equity is being undermined by an unconscious preference among GPs for those who look wealthier. GPs, presented with pictures of a variety of parents from different socio-economic backgrounds by researchers, instinctively chose those who looked younger and those who appeared better off as the more attractive patients. (InTheNews.co.uk)
Nutrition Labels Confuse Consumers Sep 28, 2006
"Even though most people told us that they read food labels on a regular basis, people have a hard time understanding food labels," said study author Dr. Russell L. Rothman, an assistant professor at the Center for Health Services Research at Vanderbilt University. "Food labels are pretty complex pieces of information, particularly the nutrition panel on the side of the food label.". (MEDLINEplus)
Americans puzzled by food labels Sep 27, 2006
Science & Technology at Scientific American. CURRENT ISSUE HIGHLIGHTS. (Scientific American)
Study Finds Some Prostate Cancer Patients Potentially Overtreated Aug 17, 2006
"There are many men with prostate cancer who will benefit from early treatment with surgery or radiation therapy. However, prostate cancer is not a one-size-fits-all condition and we now know that many men are diagnosed with slowly growing cancers that are unlikely to cause symptoms or be fatal. Given that the average patient often has bothersome side effects of surgery or radiation, it is important to evaluate the barriers to greater use of expectant management approaches including active... (Science Daily)
More is not always better: routine screening not always beneficial Aug 12, 2006
Dr. Downs, who heads the Pediatrics Department's Division of Child Health Services Research and is director of general and community pediatrics, is also a Regenstrief Institute, Inc. affiliated scientist. "Often medical interventions seem intuitively good on the surface, but careful analysis of the evidence and the trade-offs patients face sometimes uncovers unintended harms or unreasonable costs," according to Dr. Downs, senior author of the study. (EurekAlert!)
Many breech babies misdiagnosed: study Aug 6, 2006
Of 1,633 pregnant women studied, 130 had foetuses in a breech or other hazardous position and 39 of these went undiagnosed, Dr Natasha Nassar, from the Sydney University-based Centre for Perinatal Health Services Research, found. Also, one in 20 babies in the correct position were wrongly assessed by trainee doctors, specialists or midwives as being breech, Fairfax reported on Friday. (Ninemsn)
Breech babies missed by doctors Aug 5, 2006
Caesarean section is recommended to deliver babies that are not head-first at the end of pregnancy, but this may not occur if the true position is not established, said Natasha Nassar, from the Centre for Perinatal Health Services Research at the University of Sydney. "If it's undiagnosed and the woman goes into labour, then if things go wrong they can go quite badly wrong," said Dr Nassar, an epidemiologist. (Sydney Morning Herald)
Usual Exam Can Miss Potential Breech Births Aug 4, 2006
"Most babies are born from 37 weeks of pregnancy, and are born in a head-down position," said lead researcher Natasha Nassar, a research associate at the Centre for Perinatal Health Services Research in the School of Public Health at the University of Sydney. But breech presentation is when the baby "presents" with the buttocks or feet -- rather than the head -- first. (Forbes)
Quitting Smoking Boosts Weight by 21 Pounds Jul 11, 2006
"The (new) findings highlight the need to provide effective dietary and physical activity counseling along with smoking cessation programs," the study authors advised in the current issue of Health Services Research. The team, from the University of Michigan and the University of California, Berkeley, re-analyzed data from the 1998 Lung Health Study of 5,887 American smokers. (MEDLINEplus)
BioMed Central Journals join Medscape Publishers' Circle Jul 7, 2006
The newly included BioMed Central journals are: BMC Family Practice, BMC Gastroenterology, BMC Health Services Research, BMC Musculoskeletal Disorders, BMC Nephrology, BMC Neurology, BMC Nuclear Medicine, BMC Pediatrics, BMC Psychiatry, BMC Public Health, BMC Surgery, Comparative Hepatology, Harm Reduction Journal, Health and Quality of Life Outcomes, Human Resources for Health, International Journal of Health Geographics, Journal of Neuroinflammation, and Respiratory Research. These journals... (EurekAlert! -- Business News)
Pricey Heart Procedure Best for Younger Patients Jun 22, 2006
"Before LACA is more generally adopted as a treatment option, it's important to ask from a societal perspective if it's cost effective, and under what conditions," study author Dr. Paul Chan, a fellow in cardiovascular medicine at the U-M Medical School and member of the VA Health Services Research opment Center, said in a prepared statement. The computer model calculated outcomes by accounting for anticipated life expectancy, cost of the procedure and potential complications, lifetime cost of... (MEDLINEplus)
Important study facts often missing in media reports about medical research Jun 9, 2006
Woloshin and Schwartz were supported by Veterans Affairs Career Development Awards in Health Services Research and Development and Robert Wood Johnson Generalist Faculty Scholar Awards. This study was supported by a grant from the National Cancer Institute and from a Research Enhancement Award from the Department of Veterans Affairs. (EurekAlert!)
Markets may open locally Jun 4, 2006
Founder Yuting Wong, who works in the Health Services Research Center at UCLA, said an application to develop a new market on Broxton Avenue has been obtained, and the organization is currently looking to gain approval for the market from Broxton Avenue merchants and property owners. She said 70 percent of Broxton Avenue merchants must support the street closure in order to establish the market on that street. (The Daily Bruin, CA)
Drug promotions raise concerns May 6, 2006
I think those are legitimate concerns,'' said Dr. Richard Kravitz, the director of the Center for Health Services Research at the University of California, Davis, Medical Center in Sacramento. Promotions aimed at children have drawn particular concern. (The Miami Herald)
Incidence rates and management of urinary tract infections among children in Dutch general practice: results from a nation-wide registration study Apr 4, 2006
This study was performed by the Netherlands Institute for Health Services Research (NIVEL) in 2001. Of 82,053 children aged 0 to 18 years, the following variables were collected: number of episodes per patient, number of contacts per episode, month of the year in which the diagnosis of urinary tract infection was made, age, gender, urbanisation level, drug prescription and referral. (BioMed Central)
Stigma Still Shadows Psychiatric Care Mar 3, 2006
While people increasingly understand mental illness, have sympathy for it and appreciate advances in its treatment, the stigma associated with taking antidepressants and psychiatric drugs remains high, according to a new report from researchers at the Indiana Consortium for Mental Health Services Research at Indiana University, Bloomington ... The report will be published online Tuesday by the Indiana Consortium for Mental Health Services Research. (MEDLINEplus)
All that glisters is not gold: a comparison of electronic monitoring versus filled prescriptions - an observational study Feb 11, 2006
BMC Health Services Research 2006, 6:8 doi:10. 1186/1472-6963-6-8. (BioMed Central)
Former Baxter CEO William Graham dies Jan 26, 2006
To honor his memory, the Baxter International Foundation has established the William B. Graham Prize for Health Services Research, a $50,000 annual award to be administered by the Association of University Programs in Health Administration (AUPHA) and given to a researcher who has made major contributions to public health. Mr. Graham, a University of Chicago graduate, also served as director for the boards of First Chicago Corp., First National Bank of Chicago, Deere nd others. (Crain's Chicago Business)
Can you catch cancer? Jan 24, 2006
"Fifteen to 20 years ago," says Heather Dickenson, principal research associate at Newcastle University's centre for health services research, "nobody would have taken seriously the theory that stomach cancer was the result of infection.". Helicobacter pylori is a bacterium that enters the stomach in food and drink, but does not get destroyed by the acid there. (Guardian Unlimited)
Profit and loss analysis for an intensive care unit (ICU) in Japan: a tool for strategic management Jan 11, 2006
Abstract (provisional). Accurate cost estimate and a profit and loss analysis are necessary for health care practice. (BioMed Central)
