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September/October 2007 Annals of Family Medicine tip sheet
Date:9/24/2007

Patients Seeking Care for Urgent Health Problems Report Highest Satisfaction When Seen by Their Own Family Physician; Satisfaction Lowest at Walk-in Clinics

Patient satisfaction with after-hours care for an urgent problem is higher if provided by their own family physician or their physicians after-hours clinic, compared with a walk-in clinic, the emergency department and telephone health advisory services. According to a survey of 1,227 patients from 36 practices in Thunder Bay, Ontario, who were asked to rate their satisfaction on a 7-point scale, patients reported highest satisfaction when care was received from their own family physician (6.1) followed by an after-hours clinic affiliated with their physician (5.6). Those who obtained care at a walk-in clinic or who used more than one service reported the lowest satisfaction rating (4.7).

As health systems emphasize improved access and continuity for patients, this study can inform the proliferation new models of care. The authors suggest that these findings support increasing financial and human resources to enhance access to practice-based primary care services.

Patient Satisfaction With Care for Urgent Health Problems: A Survey of Family Practice Patients
By Michelle Howard, M.Sc., Ph.D., et al


Anger and Psychological Stress Play a Role in the Development of Coronary Heart Disease in Prehypertensive Middle-Aged Adults

Prehypertensive middle-aged men who have high levels of trait anger a tendency to experience anger across a range of situations are at increased risk of progressing to hypertension and developing coronary heart disease, according to a secondary analysis of a large population-based study. The analysis of 2,334 men and women aged 45-64 years also found that long-term stress is associated with increased risk of coronary heart disease in both men and women.

Specifically, researchers found that men with high trait anger score
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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