A randomised trial of two information packages distributed to new cancer patients before their initial appointment at a regional cancer centre EA Mohidel-'5. TJ 161 were excluded post-randomisation and 304 completed the entire interview: 100 s,ere randomised to the NIPIP. 102 to the mini-N'PIP and 102 to the control group. Emotional distress as measured bv the BSI u-as similar for all groups (P=0.98). Most patients preferred to receive the information (980°o). receive it before the first appointment (840/o) and bv mail (790 o). These preferences were more evident for those gisen the information packages. The majorit) of patients found the information packages eas) to understand (880o) and useful (890°o). and no differences were detected betseen packages. The cost of production and dissemination of N-PIP w-as more than double the cost for mini-NRPIP S8.93 vs S3.98 (Canadian dollars) per patient. For patients presenting to a cancer centre for the first time. packages of procedural information do not appear to reduce psychological distress. but are preferred bv patients. Given the cost of producing NPIP. mini-NPIP is the preferred approach.Kevwords: randomised controlled tnral; patient information: neoplasm: psychological distress
A self-administered mailed questionnaire was sent to a stratified random sample of medical administrators in Ontario homes for the aged (HFAs) and nursing homes (NHs) in 1991 in order to explore the types and extent of medical-administrative activities undertaken by these physicians, and their perceptions of skills, attitudes and knowledge that were important in carrying out their roles. Three key findings emerged from the survey. First, considerable variation exists in the extent of medical administrative activities undertaken within each of the two facility types and, in some cases, across the two facility types. Second, there were few activities which ≥75 per cent of medical administrators reported undertaking on all occasions and many activities which ≥25 per cent of physicians reported not undertaking on any occasion. Third, in general, medical administrators did not express values congruent with adoption of a broader management role in facility administration, financing, and planning activities. Research and policy implications for the evolving role of medical administrators in NHs and HFAs are discussed.
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