Thematische Bibliographien / Medicare Assignment

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Auswahl der wissenschaftlichen Literatur zum Thema „Medicare Assignment“

Autor: Grafiati

Veröffentlicht am 4. Juni 2021

Zuletzt aktualisiert am 31. Januar 2023

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Zeitschriftenartikel zum Thema "Medicare Assignment"

Culbertson, Richard A. „The Medicare Assignment Controversy“. Journal of Aging & Social Policy 3, Nr. 4 (09.03.1992): 47–68. http://dx.doi.org/10.1300/j031v03n04_05.

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Holahan, John, und Stephen Zuckerman. „Medicare Mandatory Assignment: An Unnecessary Risk?“ Health Affairs 8, Nr. 1 (Januar 1989): 65–79. http://dx.doi.org/10.1377/hlthaff.8.1.65.

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Davidoff, Amy J., Lindsey Enewold, Courtney Williams, Manami Bhattacharya und Janeth I. Sanchez. „Reliability of cancer registry primary payer information and implications for policy research.“ Journal of Clinical Oncology 40, Nr. 16_suppl (01.06.2022): 1587. http://dx.doi.org/10.1200/jco.2022.40.16_suppl.1587.

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1587 Background: Researchers commonly use “Primary Payer at Diagnosis” measured in cancer registry data to assess the impact of health policy, such as the Affordable Care Act, on insurance, and the impact of insurance on cancer care and outcomes. Measurement error may bias estimated effect size and significance. Little is known about patterns of Medicaid or Medicare misreporting in registry databases commonly used for policy analysis. Methods: We used the National Cancer Institute’s Surveillance, Epidemiology and End Results registry data for adults aged 19-64 years at diagnosis with known cancer stage, linked to most recently available (2007-2011) CMS records on Medicaid and Medicare enrollment at diagnosis month. We recoded the registry Primary Payer variable into 6 categories: private/managed care, Medicare, Medicaid, other government, status unknown, uninsured. State-year policy data regarding Medicaid eligibility and managed care enrollment were also linked. We compared the registry data to Medicaid and/or Medicare enrollment data, and calculated underreporting rates by patient characteristics and state policy. Results: The linked sample (N = 896,031) was 68% non-Hispanic white, 49% male. Overall, the registry data reported 7.8% Medicare and 10.1% Medicaid, while enrollment was 5.5% Medicare, 10.4% Medicaid, and 3.4% dual Medicare-Medicaid. The registry data concordantly identified 61.4% and 57.7% of persons identified per enrollment data to be Medicaid-only and Medicare-only, respectively (Table). Most Medicaid-only enrollees without concordant registry information were reported to have private insurance or be uninsured. Medicaid underreporting (39% overall), was higher for males (43%) vs females (37%), in low (46%) vs high (38%) poverty areas, for Medicaid poverty expansion or waiver enrolled (50%) vs cash assistance related eligibility (33%), and in states with large managed care enrollment, all at p<.001. If Medicaid and Medicare enrollment data were used to edit the registry data, 8% of persons would switch insurance assignment. Conclusions: Primary Payer data reported by cancer registries are subject to measurement error and may result in biased estimates of insurance-related policy impacts. Enhancement with objective Medicaid and Medicare enrollment data will reduce measurement error and may result in unbiased estimates necessary to support policy assessment. [Table: see text]

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Burney, Ira, und Julia Paradise. „Trends In Medicare Physician Participation And Assignment“. Health Affairs 6, Nr. 2 (Januar 1987): 107–20. http://dx.doi.org/10.1377/hlthaff.6.2.107.

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Ross, Stacey L. „The effect of mandatory Medicare assignment on health care“. Journal of Legal Medicine 10, Nr. 3 (September 1989): 527–44. http://dx.doi.org/10.1080/01947648909513583.

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Zhang, Mingliang. „Physician Case-by-Case Assignment and Participation in Medicare“. Journal of Aging & Social Policy 9, Nr. 2 (16.07.1997): 19–35. http://dx.doi.org/10.1300/j031v09n02_03.

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Einav, Liran, Amy Finkelstein, Yunan Ji und Neale Mahoney. „Randomized trial shows healthcare payment reform has equal-sized spillover effects on patients not targeted by reform“. Proceedings of the National Academy of Sciences 117, Nr. 32 (27.07.2020): 18939–47. http://dx.doi.org/10.1073/pnas.2004759117.

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Changes in the way health insurers pay healthcare providers may not only directly affect the insurer’s patients but may also affect patients covered by other insurers. We provide evidence of such spillovers in the context of a nationwide Medicare bundled payment reform that was implemented in some areas of the country but not in others, via random assignment. We estimate that the payment reform—which targeted traditional Medicare patients—had effects of similar magnitude on the healthcare experience of nontargeted, privately insured Medicare Advantage patients. We discuss the implications of these findings for estimates of the impact of healthcare payment reforms and more generally for the design of healthcare policy.

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Trinh, Quoc-Dien, Christian Meyer, Anna Krasnova, Jesse Sammon, Stuart R. Lipsitz, Joel S. Weissman und Maxine Sun. „Accountable care organizations and the use of prostate cancer screening and breast cancer screening.“ Journal of Clinical Oncology 35, Nr. 15_suppl (20.05.2017): e18308-e18308. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e18308.

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e18308 Background: Accountable Care Organizations (ACOs) were established under the Affordable Care Act as a new payment model intended to impose greater responsibility on all stakeholders for cost control and quality improvement. Preventive services are an ideal target to monitor the effectiveness of new health care delivery models. We sought to examine and compare the prevalence of breast cancer screening (BCa-S), and prostate cancer screening (PCa-S) between ACO and traditional Medicare beneficiaries. We hypothesized that the use of BCa-S is higher among beneficiaries attributed to an ACO, whereas the use of PCa-S, a non-recommended test, would be unaffected by ACO assignment. Methods: Using a random 20% sample of Medicare beneficiaries, we assessed BCa-S in women aged < 75, (evidence-based cancer screening), and PCa-S in men < 75 (non-recommended cancer screening) between January 1, 2013 and December 31, 2013 with appropriate exclusion criteria following the review of guideline recommendations. ACO coverage was ascertained from the quarterly assignment in the Shared Savings Program ACO Beneficiary-level file. Propensity-score weighting was performed to balance out patient and sociodemographic covariates. Results: Following propensity-score weighting, our final cohorts of ACO and traditional Medicare beneficiaries included 52,987 and 526,063 women for BCa-S; 86,936 and 814,221 men for PCa-S, respectively. The prevalence of screening in ACO vs. traditional Medicare were 35.0% vs. 25.2% for BCa-S, and 54.6% vs. 41.7% for PCa-S (all p < 0.001) Conclusions: The ACO model appears to have a salutary effect on preventive service utilization. Our findings vis-à-vis PCa-S among ACOs are likely a reflection of improved health care access rather than vetted screening practices. There is hope that such nonrecommended screening will decrease if more ACOs are required to move towards a “two-sided” risk shared savings and loss model.

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Hasnain, Romana, Judith H. Hibbard und Edward C. Weeks. „Determinants of Physician Acceptance of Assignment: An Examination of Medicare Beneficiary Characteristics“. Medical Care 30, Nr. 1 (Januar 1992): 58–66. http://dx.doi.org/10.1097/00005650-199201000-00005.

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Tomkins, Julia. „Medicare Assignment and Participation: Excerpts From Practical Tips for the Oncology Practice“. Journal of Oncology Practice 6, Nr. 5 (September 2010): 253–54. http://dx.doi.org/10.1200/jop.000119.

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Dissertationen zum Thema "Medicare Assignment"

Shlifer, Marc. „Determinants of physician participation in the medicare assignment program“. Thesis, Virginia Tech, 1988. http://hdl.handle.net/10919/43055.

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The Medicare Participating Physician Program was enacted in 1984 in an effort to increase physician assignment of Medicare claims, and thereby reduce beneficiary out of-pocket expenses. The program offers the physician the security of near-certain payment on all claims, although at rates that are in many cases, at levels substantially, less than actual physician fees. This paper examines the economic factors that influence the physician's decision on participation. Physicians of the Medical Society of Prince William County, Virginia, were surveyed for information relevant to making the participation decision and the responses tabulated and used as input to a ergre rgersessisioonn equation estimated using the logit technique. Physicians are more likely to participate the higher the relative price received for participating and the lower the probability of payment by Medicare-eligible patients. Additionally, salaried physicians are more likely to partiCipate than those who are self-employed.
Master of Arts

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Montazeri, Amine. „Developing a Pathologists’ Monthly Assignment Schedule: A Case Study at the Department of Pathology and Laboratory Medicine of The Ottawa Hospital“. Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/33028.

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In the Department of Pathology and Laboratory Medicine, at the beginning of each month, the clinical managers use expert knowledge to assign pathologists to expected daily specimens based on the criteria of workload restrictions, clinical sub-specialties, and availability. Since the size of the pathologists’ assignment problem is large, finding a feasible assignment manually is a very time-consuming process that takes a number of iterations over a number of days to complete. Moreover, every time there is a need to make a revision, a new assignment needs to be developed taking into account all the above criteria. The goal of this research is to develop an optimization model and a decision support tool that will help with monthly staffing of pathologists based on the criteria outlined above. The developed model is rooted in the classical operations research assignment problem and it is extended to account for the following requirements: each pathologist should be assigned to a similar specimen type throughout a week; for a given pathologist, there should be a rotation of the specimen types between the weeks; and the clinical managers’ preferences in terms of assigning a particular specimen type to a particular pathologist on a specific day need to be considered. A monthly assignment model covering 36 pathologists and 26 specimen types was solved using IBM ILOG CPLEX Optimization Studio. It is embedded in a decision support tool that helps clinical managers to make staffing decisions. The decision support tool has been validated using data from The Ottawa Hospital (TOH).

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Guthrie, Samuel Ashley. „A knowledge-based assignment methodology for remains identification following a mass disaster“. Thesis, Georgia Institute of Technology, 1990. http://hdl.handle.net/1853/24563.

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Vaughn, L. Michelle, Brian Cross, Larissa Bossaer, Emily K. Flores, Jason Moore und Ivy A. Click. „Analysis of an Interprofessional Home Visit Assignment: Student Perceptions of Team-Based Care, Home Visits, and Medication-Related Problems“. Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6368.

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BACKGROUND AND OBJECTIVES: Interprofessional education (IPE) is recommended by many as a means by which to prepare clinicians for collaborative practice and a mechanism by which to improve the overall quality of health care. The objective of this study was to determine the impact of an interprofessional medicine-pharmacy student home visit experience on students’ self-assessments of skills and abilities related to team-based care and identification of medication-related problems. METHODS: Third-year medical and fourth-year pharmacy students completed an interprofessional home visit centered on identification of medication-related problems. Students were surveyed before and after the IPE assignment to assess changes in self-assessed skills and abilities. Survey items consisted of Likert-type statements on a 5-point scale (1=strongly disagree, 5=strongly agree) and free-text responses. Students also completed reflection papers regarding their experiences. RESULTS: Twenty-two medical and 20 pharmacy students conducted medication-focused interviews of 22 patients at home as interprofessional teams. Medical and pharmacy student self-assessments of skills and abilities related to team-based care and identification of medication-related problems improved after completion of the assignment. Both groups of students perceived an improvement in confidence regarding communication skills, both with patients and with other health professions students. Changes were reported on 12 survey items. Student feedback on the IPE experience was positive. CONCLUSIONS: Students’ self-perception of skills and abilities related to interprofessional team-based care and identification of medication-related problems are improved after IPE medication-focused home visit assignment. Student feedback supports the value of interprofessional patient care clinical experiences.

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Chimuti, Abigail. „Knowledge, perceptions and attitudes of males in Bindura urban (Zimbabwe) towards medical male circumcision (MMC)“. Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79964.

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Thesis (MPhil)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: Background: Medical male circumcision (MMC) has emerged as one of the Human Immunodeficiency Virus (HIV) prevention methods for HIV negative men engaged in heterosexual contact. Many studies have documented its efficiency in reducing the risk of contracting HIV infection in men. Because of that, Zimbabwe like other countries in the Southern Africa region, with generalised HIV infections is finding ways to scale-up MMC in non-circumcised communities. This study searched for knowledge, perceptions and attitudes of males in Bindura urban towards MMC. Bindura is the capital city of the Mashonaland Central Province of Zimbabwe. This town has diverse people with different social backgrounds who economically depend on the surrounding mines and commercial farms. Given the enormous differences in culture, religion, social and value systems among these people it was of particular importance to understand how they perceive medical male circumcision. Methodology: The study was conducted using quantitative data collection method. Random selection was done to choose respondents and age was used to determine eligibility to the study. The qualifying age was 18-49 and a sample size of 60 was considered to be appropriate taking into consideration financial and time associated with large samples. Structured questionnaire with open-ended and closed questions were used to gather data. Likert scale was used on some questions to determine perceptions and attitudes of respondents. The questionnaires used to solicit information did not require respondent to provide his name for purposes of maintain confidentiality but contained identification number. In some cases, Chi-square test for independence was conducted to test for associations between demographic characteristics and observed responses. Comparison of responses between the age groups 18-29 and 30-49 years were also done to determine if there were some differences in representations of respondents in observed responses. Results: The study aimed to assess knowledge, perceptions and attitudes of males in Bindura urban towards MMC and barriers they were confronting in accessing MMC. Respondents showed high level of awareness about HIV/AIDS intensity in Zimbabwe. Male circumcision (MC) was perceived by the majority of respondents as important in curbing HIV infections. A significant proposition of respondents regarded medical reasons as the most common reason why people undergo MC. However respondents demonstrated poor knowledge or understanding of other strategies that must be used in conjunction with MC. Risks associated with operation, its cost and protection of confidentiality and consideration of family concerns were considered by respondents as barriers to MMC. Availability of accurate information about MMC and easing of access to MMC services were considered to be very important facilitating factors. Religious and cultural reasons and stigma from peers and friends were considered non barriers. Statistically significant associations were only detected between MMC being motivated by medical reasons and demographic characteristics of age and marital status and also an association between education level and stigma as a barrier for MMC. The study failed to show a significant association between other observed responses and demographic characteristics.
AFRIKAANSE OPSOMMING: Agtergrond: Mediese manlike besnyding (MMB) het na vore gekom as een van die metodes vir die voorkoming van die oordrag van die menslike immuniteitsgebreksvirus (MIV) deur MIV-negatiewe mans betrokke by heteroseksuele kontak. Baie studies het reeds die doeltreffendheid daarvan ten opsigte van die vermindering van die risiko van MIV-infeksie by mans gedokumenteer. As gevolg daarvan is Zimbabwe, soos ander lande in die Suider-Afrika-streek met algemene MIV-infeksies, op soek na maniere om MMB by onbesnyde gemeenskappe uit te brei. Hierdie studie wou kennis, persepsies en gesindhede van manlike persone in die Bindura-stadsgebied ten opsigte MMB bepaal. Bindura is die hoofstad van die sentrale provinsie Masjonaland in Zimbabwe. Hierdie stad word bewoon deur diverse mense met verskillende maatskaplike agtergronde wat ekonomies van die omliggende myne en kommersiële plase afhanklik is. Gegewe die groot verskille in kultuur, godsdiens, maatskaplike en waardestelsels onder hierdie mense, was dit van besondere belang om te begryp hoe hulle mediese manlike besnyding verstaan. Metodologie: Die studie het van die kwantitatiewe data-insamelingsmetode gebruik gemaak. Ewekansige seleksie is gebruik om respondente te kies en ouderdom is gebruik om geskiktheid vir deelname aan die studie te bepaal. Die kwalifiserende ouderdom was 18-49 jaar en ŉ monstergrootte van 60 is geskik beskou in ag geneem finansiële beperkinge en tyd verbonde aan groot monsters. ŉ Gestruktureerde vraelys met oop en geslote vrae is gebruik om data in te samel. ŉ Likert-tipe skaal is by sommige vrae gebruik om persepsies en gesindhede van respondente te bepaal. Die vraelyste wat gebruik is om inligting te ontlok, het dit nie vir respondente nodig gemaak om hulle name te verskaf nie ten einde vertroulikheid te verseker, maar het ’n identifikasienommer bevat. In sommige gevalle is die chi-kwadraattoets vir onafhanklikheid gedoen om te toets vir verbande tussen demografiese eienskappe en response wat waargeneem is. Vergelyking van response tussen die ouderdomsgroepe 18-29 en 30-49 jaar is ook gedoen om te bepaal of daar enige verskille in verteenwoordigings van respondente in die waargenome response was. Resultate: Die studie wou kennis, persepsies en gesindhede ten opsigte van MMB by manlike persone in die Bindura-stadsgebied en hindernisse waarvoor hulle te staan kom ten einde toegang tot MMB te verkry, bepaal. Respondente het ŉ hoë vlak van bewustheid omtrent die intensiteit van MIV/VIGS in Zimbabwe getoon. Manlike besnyding (MB) is deur die meerderheid respondente as belangrik by die beperking van MIV-infeksies beskou. ŉ Beduidende aantal respondente het mediese redes gesien as die algemeensien rede waarom mense MB ondergaan. Respondente het egter swak kennis of begrip van ander strategieë wat tesame met MB gebruik moet word, getoon. Risiko’s geassosieer met die operasie, die koste daarvan en beskerming van vertroulikheid en agting vir die familie se bekommernisse is deur respondente as hindernisse met betrekking tot MMB beskou. Beskikbaarheid van akkurate inligting omtrent MMB en vergemakliking van toegang tot MMB-dienste is gesien as baie belangrike fasiliterende faktore. Godsdienstige en kulturele redes en stigmatisasie deur portuurs en vriende is nie as hindernisse beskou nie. Statisties beduidende verbande is slegs tussen MMB gemotiveer deur mediese redes en demografiese eienskappe van ouderdom en huwelikstatus bespeur en ook ŉ verband tussen opvoedingspeil en stigma as ŉ hindernis vir MMB. Die studie het nie daarin geslaag om ŉ beduidende verband tussen ander waargenome response en demografiese eienskappe aan te toon nie.

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He, Jun. „Evaluating and Reducing the Effects of Misclassification in a Sequential Multiple Assignment Randomized Trial (SMART)“. VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5678.

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SMART designs tailor individual treatment by re-randomizing patients to subsequent therapies based on their response to initial treatment. However, the classification of patients being responders/non-responders could be inaccurate and thus lead to inappropriate treatment assignment. In a two-step SMART design, by assuming equal randomization, and equal variances of misclassified patients and correctly classified patients, we evaluated misclassification effects on mean, variance, and type I error/ power of single sequential treatment outcome (SST), dynamic treatment outcome (DTRs), and overall outcome. The results showed that misclassification could introduce bias to estimates of treatment effect in all types of outcome. Though the magnitude of bias could vary according to different templates, there were a few constant conclusions: 1) for any fixed sensitivity the bias of mean of SSTs responders always approached to 0 as specificity increased to 1, and for any fixed specificity the bias of mean of SSTs non-responders always approached to 0 as sensitivity increased to 1; 2) for any fixed specificity there was monotonic nonlinear relationship between the bias of mean of SSTs responders and sensitivity, and for any fixed sensitivity there was also monotonic nonlinear relationship between the bias of mean of SSTs non-responders and specificity; 3) the bias of variance of SSTs was always non-monotone nonlinear equation; 4) the variance of SSTs under misclassification was always over-estimated; 5) the maximized absolute relative bias of variance of SSTs was always ¼ of the squared mean difference between misclassified patients and correctly classified patients divided by true variance, but it might not be observed in the range of sensitivity and specificity (0,1); 6) regarding to sensitivity and specificity, the bias of mean of DTRs or overall outcomes was always linear equation and their bias of variance was always non-monotone nonlinear equation; 7) the relative bias of mean/ variance of DTRs or overall outcomes could approach to 0 where sensitivity or specificity wasn’t necessarily to be 1. Furthermore, the results showed that the misclassification could affect statistical inference. Power could be less or bigger than planned 80% under misclassification and showed either monotonic or non-monotonic pattern as sensitivity or specificity decreased. To mitigate these adverse effects, patient observations could be weighted by the likelihood that their response was correctly classified. We investigated both normal-mixture-model (NM) and k-nearest-neighbor (KNN) strategies to attempt to reduce bias of mean and variance and improve inference at final stage outcome. The NM estimated the early stage probabilities of being a responder for each patient through optimizing the likelihood function by EM algorithm, while KNN estimated these probabilities based upon classifications for the k nearest observations. Simulations were used to compare the performance of these approaches. The results showed that 1) KNN and NM produced modest reductions of bias of point estimates of SSTs; 2) both strategies reduced bias on point estimates of DTRs when the misclassified patients and correctly classified patients from same initial treatment had unequal means; 3) NM reduced the bias of point estimates of overall outcome more than KNN; 4) in general, there were little effect on power adjustment; 5) type I error should always be preserved at 0.05 regardless of misclassification when same response rate and same treatment effects among responders or among non-responders were assumed, but the observed type I error tended to be less than 0.05; 6) KNN preserved type I error at 0.05, but NM might increase type I error rate. Even though most of time both KNN and NM strategies improved point estimates in SMART designs while we knew misclassification might be involved, the tradeoff were increased type I error rate and little effect on power. Our work showed that misclassification should be considered in SMART design because it introduced bias, but KNN or NM strategies at the final stage couldn’t completely reduce bias of point estimates or improve power. However, in future by adjusting with covariates, these two strategies might be used to improve the classification accuracy in the early stage outcomes.

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Hassan, Soelaylah A. M. „The impact of stroke on the primary caregiver“. Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/3387.

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MPhil (Rehabilitation)
Thesis (MPhil (Interdisciplinary Health Sciences))--University of Stellenbosch, 2009.
ENGLISH ABSTRACT: A stroke comes suddenly and has a devastating effect on the lives of the patient and the caregiver. It is disabling and often leaves the patient dependent on care. Providing this care can put tremendous physical, emotional, social and financial demands on the caregiver. The purpose of the study is to determine the impact of caregiving on the primary caregivers of patients who suffered a stroke and were admitted to the Western Cape Rehabilitation Centre (WCRC), for intensive rehabilitation during 2006. This is a descriptive study that utilised both quantitative and qualitative methods of data collection. Quantitative data were collected through two data coding forms, one for caregivers and one for patients, the Bartel Index, the Caregiver Strain Index (CSI) and the Satisfaction With Life Scale (SWLS). Qualitative data were collected through indepth interviews with caregivers. Fifty-seven caregivers participated in the study. According to CSI findings 58% of caregivers were under levels of strain high enough to require support and intervention. The SWLS indicated that the life areas most adversely affected were employment and self and social life. Loss of employment by the caregiver (p = 0.04) and financial difficulties (p = 0.06), cognitive and perceptual problems (p = 0.01), personality changes (p = 0.01), level of physical dependency of patient (0.0012) and nervous strain experienced by the caregiver (0.01) were found to significantly impact on caregiver strain. Caregivers perceived their caregiving duties as overwhelming and a great strain. This was aggravated in some instances by poor health care service delivery at the time of the stroke, no or inadequate explanations on stroke, poor or no training of caregivers, no home visits and a lack of follow-up services in the community. They experienced the period just after discharge as especially challenging and required support, assistance and guidance at that time. Caregivers identified a need for community rehabilitation facilities, adult day care centres, outpatient rehabilitation services, home-based nursing care and caregiver support groups in the community.
AFRIKAANSE OPSOMMING: ’n Beroerte gebeur skielik en sonder enige waarskuwing met ’n vernietigende uitwerking op die lewens van die pasiënt asook die versorger. Dit veroorsaak gestremdheid en laat dikwels die pasiënt afhanklik van sorg. Die voorsiening van hierdie sorg kan erge fisiese, emosionele, sosiale en finansiele eise aan die versorger stel. Die doel van die navorsing is om die impak van versorging op die primêre versorger van beroerte pasiënte, wat gedurende 2006 intensiewe rehabilitasie by WKRS ontvang het, te ondersoek. Dit is ’n beskrywende studie wat gebruik gemaak het van beide kwantitatiewe en kwalitatiewe metodes om data in te samel. Kwantitatiewe data was verkry deur twee datakoderingsvorms, een vir pasiente en een vir versorgers, die Bartel Index, die Caregiver Strain Index (CSI) en die Satisfaction With Life Scale (SWLS). In diepte onderhoude was gevoer met versorgers om kwalitatiewe data te verkry. Sewe en vygtig versorgers het aan die studie deelgeneem. Bevindinge van die CSI dui daarop dat 58% van versorgers hoë vlakke van spanning ervaar en ondersteuning sowel as intervensie benodig. Volgens die SWLS was die areas wat die ernstigste be-invloed was werk en eie en sosiale lewe. Die volgende areas het volgens resulate ’n statisties beduidende impak op die spanning wat versorgers ervaar het gehad: finansiële spanning en verlies van werk (p = 0.04), in gevalle waar pasiente persoonlikheids veranderinge ondergaan het (p = 0.01) of kognitiewe en perseptuale skade oorgehou het (p = 0.01) na die beroerte en die emosionele impak van versorging (p = 0.01). Versorgers het hulle versorgings take as oorweldigend en as ’n bron van groot spanning gesien. Dit is in sommige gevalle vererger deur swak ondersteuning van gesondheidssorgdienste direk na die beroerte, geen of swak verduidelikings oor wat ’n beroerte is, geen of swak opleiding aan versorgers, geen tuisbesoeke en ’n tekort aan opvolg dienste in die gemeenskap. Die tydperk direk na ontslag uit die rehabilitasie sentrum was besonder uitdagend en hulle het ondersteuning, hulp en leiding nodig in daardie tyd. Swak ondersteuning en ’n tekort aan of afwesigheid van hulpbronne in die gemeenskap het die situasie vererger. Versorgers het ’n behoefte aan gemeensskapsrehabilitasie fasiliteite, volwasse dagsorg sentrums, buite patiënte rehabilitasie dienste, tuis verpleegsorg en ondersteuningsgroepe uitgespreek.

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Birging, Amanda. „Assigned Gender Before Birth : A Critical Discourse Analysis of Desires, Identities, and Ideologies in Online Discussions of Non-medical Sex Selection“. Thesis, Linköpings universitet, Institutionen för tema, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-178030.

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Human reproduction is increasingly commodified, which paves the way for reproductive enhancement rather than just assistance. Non-medical gender/sex selection is one of the reproductive enhancement services that is offered on the fertility market, and it is a practice that raises severe concerns regarding the social and political impact of biotechnologies. Through Critical Discourse Analysis and Biomedicalization theory, I analyse how non-medical gender/sex selection is legitimised in online forum discussions. I argue that gender/sex selection is legitimized through gender- and family-conservative and neoliberal ideologies, and that gender/sex selection can be understood as a tool to enhance the family, increase privilege, and attain hypernormativity.

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Mubuuke, Aloysius Gonzaga. „The use of a structured formative feedback form for students` assignments in an African health sciences institution : an action research study“. Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/71659.

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Thesis (MPhil)--Stellenbosch University, 2012.
Background: Formative feedback is an important process in facilitating student learning as it helps students identify learning gaps early enough and devise means of covering those gaps. Most health professional educators spend most of the time designing summative assessment tools and pay little emphasis to giving qualitative feedback to students throughout the learning process. This problem has been identified at Makerere University College of Health Sciences (MaKCHS) and forms the basis of this study. Objectives: To investigate prior understanding of students and lecturers about formative feedback. The study also aimed at exploring experiences of students and lecturers regarding implementation of feedback in a resource-constrained context. Methods: This was an action research study using a participatory approach. Results: Initially, lecturers had some prior knowledge of feedback, however, students had misconceptions of what feedback could mean. After introducing a written feedback form, all participants expressed satisfaction with the feedback process. Key themes that emerged included: enhancing motivation, enhancing learning, promoting reflection and clarifying understanding. Conclusion: Students` motivation to learn can be greatly enhanced through formative qualitative feedback. A simple structured form is one way of providing qualitative formative feedback to students in resource-limited settings. Key words: formative feedback, structured form, action research.

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Abu, Mostafa Moussa K. „Perspectives on occupational therapy leadership functions in clinical practice“. Thesis, Stellenbosch : University of Stellenbosch, 2007. http://hdl.handle.net/10019.1/3350.

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Thesis (MOccTher (Interdisciplinary Health Sciences. Occupational Therapy))--University of Stellenbosch, 2007.
Objectives: The study aimed to identify the functions that occupational therapy leaders perform in clinical settings in the Metropole District of the Provincial Administration of the Western Cape (PAWC) and determine the influence of these functions on clinical practice. Methodology: The researcher used a descriptive design and a non-standardised questionnaire which was compiled to collect the data for the study. The questionnaire was piloted with a group of occupational therapy leaders from the Boland Overberg Region. Feedback was used to refine the final study questionnaire. Thirty-five study questionnaires were mailed or handed to the participants in the study and the researcher received 25 completed questionnaires; therefore, the response rate was 71.4%. The data were analysed using the Statistical Package for the Social Sciences (SPSS 10.0) for all the questions. Descriptive statistics were used to report the data. Inter-observer reliability was checked by using the split-half method. The results revealed that the study questionnaire was reliable as Cronbach's Alfa was calculated at 0.90, correlation coefficient Pearson’s r was calculated at 0.51, and Spearman-Brown was calculated at 0.67. Results: The results were presented in relation to the respondents’ number (N = 25). The participants identified 57 leadership functions, grouped as managerial, ethics-related, education, research, and consultation functions. The participants reported to have high performance in both direct and indirect occupational therapy services. Performance in the direct occupational therapy services functions was higher than the performance in the indirect occupational therapy services. Minimal performance in occupational therapy leadership functions was reported for consultation, ethics related, and research functions which need to be addressed by in-service training. The indirect occupational therapy services enabled the participants in the study to perform on a more optimum level regarding the direct occupational therapy services. The occupational therapy leaders had many empowering factors in their work place such as subordinates, supervisors, and top management. Conclusion: The 57 leadership functions identified in the study culminated in an occupational therapy leadership functions framework (OTLFF) which represents the managerial activities of the occupational therapy leaders in the PAWC. These study findings are useful guidelines for occupational therapy professionals and students as guidelines for leadership training, participant facilities to compile job descriptions, and educational facilities to set educational curricula. Recommendations: The study had many shortcomings; therefore, generalisation of results can't be done. The researcher recommends replication of the study using a larger and more representative sample.

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Bücher zum Thema "Medicare Assignment"

Carrier assignment of Medicare provider numbers. [Washington, D.C.?]: Dept. of Health and Human Services, Office of Inspector General, 1992.

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Dor, Avi. Medicare assignment rates after the physician participation program. Washington, DC: Urban Institute, 1990.

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Rosenbach, Margo L. Trends in Medicare participation and assignment rates, 1984-1987: Final report. Needham, MA: Health Economics Research, 1988.

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Centers for Medicare & Medicaid Services (U.S.). Does your doctor or supplier accept "assignment?". Baltimore, Maryland: U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, 2004.

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McMillan, Alma W. Trends in physician assignment rates for Medicare services, 1968-85. [Baltimore, MD?: Health Care Financing Administration, 1985.

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Nelson, Lyle. Assignment and the participating physician program: An analysis of beneficiary awareness, understanding, and experience. Washington, D.C: Physician Payment Review Commission, 1989.

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United States. Congressional Budget Office., Hrsg. Physician reimbursement under Medicare: Options for change. Washington, D.C: Congress of the U.S., Congressional Budget Office, 1986.

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United States. Department of Health and Human Services. Office of the Secretary. Report to Congress: Physician participation, assignment, and extra billing in the Medicare program. [Washington, D.C.?]: U.S. Department of Health and Human Services, Health Care Financing Administration, 1992.

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Schneider, John E. Beneficiary liability under Medicare: Analysis of physician participation, assignment, and billing practices : final report. Waltham, MA: Health Economics Research, Inc., 1991.

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Nobrega, Fred T. Feasibility of using CPT-4 codes for DRG assignment of surgical patients. Rochester, Minn: Mayo Foundation, Dept. of Internal Medicine, 1985.

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Buchteile zum Thema "Medicare Assignment"

McFetridge, Donald C. „National Hospital — Medical Records Office“. In Integrated Assignments in Secretarial, Office and Business Procedures, 147–53. London: Macmillan Education UK, 1989. http://dx.doi.org/10.1007/978-1-349-10685-1_17.

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Baldwin, Jim F., Carla Hill und Christiane Ponsan. „Mass Assignment Methods for Medical Classification Diagnosis“. In Fuzzy Logic in Medicine, 259–85. Heidelberg: Physica-Verlag HD, 2002. http://dx.doi.org/10.1007/978-3-7908-1804-8_11.

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Yaffe, David, Uri Nudel, Henryk Czosnek, Danielle Melloul und Batya Aloni. „The Chromosomal Assignment of Muscle-Specific Genes“. In Advances in Experimental Medicine and Biology, 295–307. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4684-4907-5_27.

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Li, Xiaobo, Yijia Zhang, Xingwang Li, Jian Wang und Mingyu Lu. „NIDN: Medical Code Assignment via Note-Code Interaction Denoising Network“. In Bioinformatics Research and Applications, 62–74. Cham: Springer Nature Switzerland, 2022. http://dx.doi.org/10.1007/978-3-031-23198-8_7.

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Reiner, William G. „Gender Identity and Sex Assignment: A Reappraisal for the 21st Century“. In Advances in Experimental Medicine and Biology, 175–97. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-1-4615-0621-8_11.

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Henriksson, Aron, Martin Hassel und Maria Kvist. „Diagnosis Code Assignment Support Using Random Indexing of Patient Records – A Qualitative Feasibility Study“. In Artificial Intelligence in Medicine, 348–52. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-22218-4_45.

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Meyer-Bahlburg, Heino F. L. „Gender Assignment and Reassignment in Intersexuality: Controversies, Data, and Guidelines for Research“. In Advances in Experimental Medicine and Biology, 199–223. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-1-4615-0621-8_12.

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Jaipuria, Garima, B. Krishnarjuna, Somnath Mondal, Abhinav Dubey und Hanudatta S. Atreya. „Amino Acid Selective Labeling and Unlabeling for Protein Resonance Assignments“. In Advances in Experimental Medicine and Biology, 95–118. Dordrecht: Springer Netherlands, 2012. http://dx.doi.org/10.1007/978-94-007-4954-2_6.

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Taboada, Martha, und Priscila Gagliardi. „The Challenge of Mistaken Sex Assignment in an 11-Year-Old with Virilizing CAH“. In Advances in Experimental Medicine and Biology, 163–68. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-8002-1_35.

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Zhu, Wentao, Qi Lou, Yeeleng Scott Vang und Xiaohui Xie. „Deep Multi-instance Networks with Sparse Label Assignment for Whole Mammogram Classification“. In Medical Image Computing and Computer Assisted Intervention − MICCAI 2017, 603–11. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-66179-7_69.

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Konferenzberichte zum Thema "Medicare Assignment"

Somprasonk, Krongsin, und Rein Boondiskulchok. „Multi-resource assignment with sequential assignment method in mobile medical service“. In Industrial Engineering (CIE-40). IEEE, 2010. http://dx.doi.org/10.1109/iccie.2010.5668280.

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Crammer, Koby, Mark Dredze, Kuzman Ganchev, Partha Pratim Talukdar und Steven Carroll. „Automatic code assignment to medical text“. In the Workshop. Morristown, NJ, USA: Association for Computational Linguistics, 2007. http://dx.doi.org/10.3115/1572392.1572416.

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Japarova, Damira. „Health System Reform in Kyrgyzstan: Problems and Prospects“. In International Conference on Eurasian Economies. Eurasian Economists Association, 2011. http://dx.doi.org/10.36880/c02.00368.

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Today all over the world costs of medical services are growing and alternative ways of effective financing of health care are being researched. During the reforms the Kyrgyz Republic introduced a system of compulsory medical insurance, the institution of family medicine and a "single payer" system. Methods of payment for hospital services flush to an artificial increase in the number of hospitalizations and unnecessary assignment of diagnostic and therapeutic procedures. The main brake of health care reform is underfunding of sector. Improving health care is possible by limiting the free medical care. The replacement of free care by paid services occurs spontaneously, there are abuses and the shadow economy in health care. The Compulsory medical insurance doesn’t have such terms as an accident, insurance risk, and the current model in Kyrgyzstan is not a real model of insurance and serves as a kind of state-funding health care. The most part of the population in rural areas is not involved in the payment of health insurance due to unemployment. Patients pay a fee in addition to medication, and also carry out informal payments to doctors, that is, patient with co-payments have to repeatedly pay for the same medical service without a guarantee of a cure. Taking into account the experience of other countries, the imposition of patient payment for their own care is more just to bringing the patient for his treatment.

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Wu, Ying, Yuan Gao und Wei Song. „Multi-robot Task Assignment Algorithm for Medical Service System“. In 2022 IEEE International Conference on Robotics and Biomimetics (ROBIO). IEEE, 2022. http://dx.doi.org/10.1109/robio55434.2022.10011939.

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Ramme, Austin J., Kiran H. Shivanna, Vincent A. Magnotta und Nicole M. Grosland. „A Comparison of Two Automated Block Placement Methods for Multi-Block Hexahedral Finite Element Meshing“. In ASME 2010 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2010. http://dx.doi.org/10.1115/sbc2010-19106.

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Finite element analysis is a method of continuum mechanics that has been vital to the biomechanics community due to its ability to evaluate structures with complicated geometries. Generation of patient-specific finite element models from medical imaging data requires a series of steps including image segmentation, mesh generation, assignment of material properties, and definition of loading and boundary conditions. Each of these steps can be challenging and time-consuming. Here, we aim to address the challenge of automating the generation of hexahedral meshes.

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Ibragimov, Bulat, Boštjan Likar, Franjo Pernuš und Tomaž Vrtovec. „Statistical shape representation with landmark clustering by solving the assignment problem“. In SPIE Medical Imaging, herausgegeben von Sebastien Ourselin und David R. Haynor. SPIE, 2013. http://dx.doi.org/10.1117/12.2006176.

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Ji, Shaoxiong, Shirui Pan und Pekka Marttinen. „Medical Code Assignment with Gated Convolution and Note-Code Interaction“. In Findings of the Association for Computational Linguistics: ACL-IJCNLP 2021. Stroudsburg, PA, USA: Association for Computational Linguistics, 2021. http://dx.doi.org/10.18653/v1/2021.findings-acl.89.

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Liu, Xiaoshuang, Guixia Kang, Ningbo Zhang, Hao Wu und Yuncheng Liu. „Optimality assignment of heterogeneous sensor nodes in emergency medical networks“. In 2015 2nd International Symposium on Future Information and Communication Technologies for Ubiquitous HealthCare (Ubi-HealthTech). IEEE, 2015. http://dx.doi.org/10.1109/ubi-healthtech.2015.7203324.

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Kouzu, Tomomi, Kaori Iwase, Yuki Mishima, Yukikatsu Terada, Takayuki Yuasa, Yoshitaka Ishisaki, Makoto S. Tashiro et al. „The time assignment system of ASTRO-H“. In 2011 IEEE Nuclear Science Symposium and Medical Imaging Conference (2011 NSS/MIC). IEEE, 2011. http://dx.doi.org/10.1109/nssmic.2011.6154471.

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Patuck, N. „Improved compression of medical images by classification and wavelet filter assignment“. In IEE Seminar Medical Applications of Signal Processing. IEE, 2002. http://dx.doi.org/10.1049/ic:20020287.

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Berichte der Organisationen zum Thema "Medicare Assignment"

Macambira, Danil Agafiev, Michael Geruso, Anthony Lollo, Chima Ndumele und Jacob Wallace. The Private Provision of Public Services: Evidence from Random Assignment in Medicaid. Cambridge, MA: National Bureau of Economic Research, August 2022. http://dx.doi.org/10.3386/w30390.

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Geruso, Michael, Timothy Layton und Jacob Wallace. Are All Managed Care Plans Created Equal? Evidence from Random Plan Assignment in Medicaid. Cambridge, MA: National Bureau of Economic Research, August 2020. http://dx.doi.org/10.3386/w27762.

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Uche, Chidi, Zita Ekeocha, Stephen Robert Byrn und Kari L. Clase. Retrospective Study of Inspectors Competency in the Act of Writing GMP Inspection Report. Purdue University, Dezember 2021. http://dx.doi.org/10.5703/1288284317445.

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The research was a retrospective study of twenty-five Good Manufacturing Practice (GMP) inspection reports (from March 2017 through to December 2018) of a national medicine regulatory agency, drug Inspectorate, in West Africa, designed to assess the inspectors’ expertise in the act of inspection report writing. The investigation examined a paper-based tool of thirteen pre-registration Inspection reports and twelve GMP reassessment reports written prior and following an intervention program by external GMP trainers to enhance inspectors’ skill in pharmaceutical cGMP inspection. The study made use of quantitative analysis to investigate each team’s expertise in the act of writing GMP inspection report. Likewise, each report’s compliance with the requirements of three regulatory standards on GMP inspection report writing was ascertained. Impact of intervention program on lead inspectors’ competence was assessed. Lastly, gap in each team writing effectiveness, and lead inspectors’ abilities to deliver an effective report were determined. The results showed one of the inspection team (4.0%) wrote an excellent report. Two (8.0%) of the twenty-five inspection teams penned good inspection reports. Eleven (44.0%) teams drafted needs improvement reports and the remaining eleven teams (44.0%) prepared unacceptable reports. The excellent report and the two good reports had report format that meet expectation. One (50.0%) of the good reports showed the authors possess excellent knowledge of cGMP technical areas. The remain good report (50.0%) revealed the writers’ knowledge.as good. The excellent report showed the authors displayed partial mastery in the use of objective evidence while the two good reports disclosed theirs as having partial and evolving abilities. One of the teams (50.0%) that wrote good reports displayed good use of third person narrative past tense in report writing whereas the other team used the same tense and voice excellently. Generally, a sort of marginal level of performance was prominent among the inspection teams. A gap, if not tackled, will slow down regulatory process through increase report review, litigations that query report factual accuracy (AIHO, 2017) and delay in issuance of marketing authorization. In conclusion, trainings on quality attributes, such as technical content (Quality Management System (QMS) and Site), the use of objective evidence, assignment of risk levels to GMP violations and citing of applicable laws, regulation and guidelines that substantiate GMP observations, were recommended, to enhance knowledge sharing and regulators’ performance in the act of writing inspection report.

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