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20 April 1999 Annals of Internal Medicine Tip Sheet

Annals of Internal Medicine is published by the American College of Physicians-American Society of Internal Medicine (ACP-ASIM), an organization of more than 115,000 physicians trained in internal medicine.

Philadelphia Physicians Discuss Access to Health Care

Universal Access: Managed Care Won't Be Quality Care Without It (Perspective, p. 686)

A 28th Amendment: Guaranteeing a Right to Health Care? (Editorial, p. 692)


Primary Care Physicians Must Vigorously Follow Up on All Breast Symptoms

Women Should Tell Primary Care Physicians About Breast Problems at Once

A retrospective study of women over age 40 enrolled for at least ten years in an HMO found that 16 percent of the women reported a breast symptom to their primary care doctor and 6.2 percent were found to have breast cancer. (Article, p. 651.)

Oregon's Low In-Hospital Death Rate Comes From Availability of End-of-Life Services

A study of data from Oregon found that the low in-hospital death rate depended mostly on the availability of end-of-life services that help patients decide where they want to die and resources to make dying outside of a hospital feasible. (Perspective, p. 681)

Cardioversion Alone Is Best Strategy for Atrial Fibrillation in Most Patients (Article, p. 625)

Aging Brothers of Patients With Abdominal Aortic Aneurysms Are at Risk for the Disease (Article, p. 637)

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