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Effective Clinical Practice

March/April 2002

ORIGINAL ARTICLES

Pharmaceutical Care and Health Care Utilization in an HMO
Lucy Rose Fischer, Terese A. DeFor, Susan Cooper, Lynn M. Scott, Diann M. Boonstra, Marilyn A. Eelkema, and Michael J. Goodman

The belief that expanding the role of pharmacists in patient care could improve the safety and efficacy of drug therapy is growing. However, whether such programs reduce medication-related problems or health care utilization is unknown.
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Benchmarking the Future Generalist Workforce
Jon D. Lurie, David C. Goodman, and John E. Wennberg

Although workforce analyses have concluded that the United States has too few (or just enough) generalists, recent trends suggest that more physicians are entering primary care, raising the possibility of a future surplus.
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POLICY MATTERS

Will Electronic Order Entry Reduce Health Care Costs?
Christian M. Birkmeyer, Joshua Lee, David W. Bates, and John D. Birkmeyer

While few dispute the potential for electronic order entry to reduce medication errors, many question whether hospitals can afford them. Although there are currently insufficient data on which to calculate the financial "bottom line" for hospitals, we quantify costs and savings of electronic order entry as much as possible.
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Behavioral Medicine: The Challenge of Integrating Psychological and Behavioral Approaches into Primary Care
Peter C. Trask, Steven M. Schwartz, Stephanie L. Deaner, Amber G. Paterson, Tim Johnson, Melvyn Rubenfire, and Ovide F. Pomerleau

A growing literature supports the efficacy of behavioral medicine interventions. Integrating behavioral medicine into primary care is an important challenge.
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BACK OF THE ENVELOPE

Expected Adverse Events in a Mass Smallpox Vaccination Campaign
Alex R. Kemper, Matthew M. Davis, and Gary L. Freed

The decision to resume mass vaccination must weigh potential harms against the effectiveness of vaccination and the substantial morbidity and mortality that would result from a smallpox attack.
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EDITORIALS

The Role of Pharmacists in Clinical Care: Where Do We Go from Here?
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The Delicate Task of Workforce Determination
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A Mass Smallpox Vaccination Campaign: Reasonable or Irresponsible?
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PRIMER

Before-After Studies
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LETTER TO THE EDITOR

Delayed Discharge: When Is It Important?
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MARKETING MEDICINE

Gentlemen. . . Start Your Engines
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Note: Due to budgetary pressures on our sponsors, the American College of Physicians-American Society of Internal Medicine and the Alliance of Community Health Plans, Effective Clinical Practicewill not be published in its current format past the May/June 2002 issue.

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