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Effective Clinical Practice

January/February 1999

ORIGINAL ARTICLES

A Randomized Trial of the Use of Patient Self-Assessment Data To Improve Community Practices
John H. Wasson, Therese A. Stukel, Julia E. Weiss, Ron Hays, Anne M. Jette, and Eugene C. Nelson

A randomized trial suggests that combining self-assessment data and educational materials improves how older patients evaluate their health care.
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How Ready Are Health Plans for Medicare?
Gary Gaumer, Terry Moore, Meryl Friedman, and Barbara Bix

A survey of health plans shows that many are not ready to provide programs that experts believe to be important for Medicare enrollees.
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Use of an Automated Pharmacy Systems and Patient Registries To Recruit HMO Enrollees for an Influenza Campaign
Dave Pearson, Lisa A. Jackson, Beatrice Winkler, Elizabeth Foss, and Beverly Wegener

Researchers detail Group Health Cooperative's strategy to identify, recruit, and immunize adults and children at high risk for influenza.
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PATTERNS OF PRACTICE

Capitation among Medicare Beneficiaries
Dorothy A. Bazos and Elliott S. Fisher

The proportion of Medicare enrollees in capitated plans varies widely in different regions of the country.
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BACK OF THE ENVELOPE

Efficacy versus Effectiveness of Carotid Endarterectomy
David A. Gould and John D. Birkmeyer

The degree of stenosis, symptoms, and local operative mortality all influence the number of carotid endarterectomies needed to prevent one major stroke or death (NNT).
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UNANSWERED QUESTIONS: RESEARCH UNDER CONSTRUCTION

When Should This Patient Be Seen Again?
Michael H. Chapko, Elliott S. Fisher, and H. Gilbert Welch

How can decisions about the appropriate interval between patient visits be evaluated in ambulatory practice?
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EDITORIALS

Simple Strategies, Complex Issues
H. Gilbert Welch and Stephen C. Schoenbaum
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Primer on Type I and Type II Errors
Full Text

Endnotes
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POLICY MATTERS

Managed Medicare at the Crossroads
Donald W. Parsons
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