Table 3 Cancer diagnosis and relative risk of termination. African American 80 (65) 2873 (32.9).8 (2.65.5 white 42 (34.1) 5363 (61.4).33 (0.220.47) Other 1 (0.8) 492 (5.6).14 (0.010.69) Insurance Medicaid 50 (40.3) 1058 (12.1) 5 (3.47.1) Medicare 35 (28.4) 2528 (29).98 (0.51.4) Private 29 (23.1) 4798 (55).35 (0.160.38) Uninsured. Once the termination letter was sent, our group recommends physicians have no further contact with the terminated patient, except for extenuating circumstances after termination (i.e. Among terminated Medicaid patients, 50 (15/50) had a diagnosis of cancer, with cervix being the most common site and 78 (39/50) were terminated for missed appointments. Keywords: Patient-centered care, Qualitative research, Patient-physician relationship, Outcomes. Study approval was obtained from our institution review board (bmhirb1349) and determined exempt review. Within this cohort 123 patient-physician relationships were terminated. Noncompliance to treatment plan was defined as documented episodes of noncompliance to prescribed medications (including chemotherapy not showing up to scheduled surgery, and failing to follow recommended treatment plan (including failure to show for radiation treatment appointments or surgery). The physician receives writing a great essay introduction records and needs to direct them to the patient, the patient was on a medication that now has been recalled and the physician needs to contact the patient for further instructions, or for release of records). The most common reason for termination was missing appointments (78/123;.4 followed by non-compliance to treatment, disruptive behavior, and drug abuse.
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Code of Medical Ethics, 1996 ). Factor, terminated patients N retained patients. Among cancer patients, the overwhelming reasons for termination were missed appointments and noncompliance to treatment (91). American Medical Association, 1995 ). We postulate that socio-economic status may be an underlying cause. We sought to identify the incidence of patient termination and potential contributing factors in a gynecologic practice. Results, in the five year study period, 8851 new patients presented to the division of gynecologic oncology. Patients with Medicaid (OR 5; 95 CI:.47.1) were more likely to be terminated; while private insurance was protective (OR.35; 95 CI:.160.38). Patient-navigator assistant program may be able to aid patients.
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