Academic literature on the topic 'Medical assistants Medical assistants Medical assistants'

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Journal articles on the topic "Medical assistants Medical assistants Medical assistants"

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Fidler, James R. "Medical Assistants." Evaluation & the Health Professions 11, no. 3 (September 1988): 358–78. http://dx.doi.org/10.1177/016327878801100305.

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WEBBER, S. K., and M. N. JEFFREY. "Ophthalmic medical assistants." British Journal of Ophthalmology 83, no. 1 (January 1, 1999): 4. http://dx.doi.org/10.1136/bjo.83.1.4.

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McDERMOTT;, B., J. MARSDEN;, J. LEE;, M. N. JEFFREY, and S. K. WEBBER. "Ophthalmic medical assistants." British Journal of Ophthalmology 83, no. 5 (May 1, 1999): 634. http://dx.doi.org/10.1136/bjo.83.5.634.

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Helen, Marzola. "SURGICAL ASSISTANTS CORNER: Medical Assistants Get Their Say!" International Society of Hair Restoration Surgery 5, no. 5 (September 1995): 18. http://dx.doi.org/10.33589/5.5.0018.

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FIELDER, A., H. POINTER, and C. TIMMS. "Ophthalmic medical assistants: response." British Journal of Ophthalmology 83, no. 5 (May 1, 1999): 512. http://dx.doi.org/10.1136/bjo.83.5.512.

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Marzola, Helen. "Certification of Medical Assistants." International Society of Hair Restoration Surgery 8, no. 1 (January 1998): 30–31. http://dx.doi.org/10.33589/8.1.30.

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Tepe, Victoria, and Alexandrea Knott. "The Technical Assistant Model: Efficiency in Maternal Fetal Medicine." Journal of Diagnostic Medical Sonography 37, no. 5 (June 4, 2021): 458–64. http://dx.doi.org/10.1177/87564793211018668.

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Objective: To analyze how technical assistants benefit diagnostic medical sonography settings by improving efficiency and patient care. Materials & Methods: Credentialed obstetric sonographers who currently work in maternal fetal medicine were surveyed. Closed-ended and open-ended questions were used to examine effectiveness, usefulness, and overall satisfaction with the technical assistant position. In addition, quantitative methods were used to compare the time efficiency of technical assistants with medical assistants in obstetric settings. Results: The majority of sonographers and providers view technical assistants in a positive manner and indicated that the existence of the technical assistant role improved clinic flow. When compared with studies regarding medical assistant efficiency, this study showed shorter wait times for patients. Conclusion: The data supports that the presence of a technical assistant in clinic increases the overall efficiency of the clinic, which could allow providers to see more patients and reduce wait times for critical appointments. This could also lead to a more cost-effective system, especially when compared to alternative options such as hiring more providers or sonographers. These findings should encourage obstetric and gynecological sonography clinics to implement trained technical assistants to address clinic inefficiency, sonographer burnout, and sonographer and practitioner satisfaction.
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Neider, Sarah. "A Message to Medical Assistants." Journal of the Dermatology Nurses’ Association 6, no. 1 (2014): 42. http://dx.doi.org/10.1097/jdn.0000000000000022.

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Gray, Dana R. "Physician Assistants." AORN Journal 63, no. 1 (January 1996): 22. http://dx.doi.org/10.1016/s0001-2092(06)63420-0.

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Hughes, Nancy. "Physician Assistants." AORN Journal 63, no. 1 (January 1996): 22. http://dx.doi.org/10.1016/s0001-2092(06)63421-2.

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Dissertations / Theses on the topic "Medical assistants Medical assistants Medical assistants"

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Lentz, Margaret R. "Follow-up study of medical assistant graduates at Western Technical College." Online version, 2009. http://www.uwstout.edu/lib/thesis/2009/2009lentzm.pdf.

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Hooker, Roderick Stanton. "Cost-Benefit Analysis of Physician Assistants." PDXScholar, 1999. https://pdxscholar.library.pdx.edu/open_access_etds/4029.

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This study examined if physician assistants (PAs) are cost-beneficial to employers. In an era of cost accountability, questions arise about whether a visit to a PA for an episode of care differs from a visit to a physician, and if PAs erode their cost-effectiveness by the manner in which they manage patients. Four common acute medical conditions seen by PAs and physicians within a large health maintenance organization were identified to study. An episode approach was undertaken to identify all laboratory, imaging, medication and provider costs for these diagnoses. Over 12,700 medical office visits were analyzed and assigned to each type of provider and medical department. Patient variables included age, gender, and health status. A multivariate analysis identified significant cost differences in each cohort of patients. In every condition managed by PAs, the total cost of the visit was less than that of a physician in the same department. This was significant for episodes of shoulder tendinitis, otitis media, and urinary tract infections. In no instance were PAs statistically different from physicians in use of laboratory and imaging costs. In each instance the total cost of the episode was less when treated by a PA. Sometimes PAs ordered fewer laboratory tests than physicians. There were no differences in the rate of return visits for a diagnosis between physicians and PAs. Patient differences were held constant for age, gender, and health status. This study affirms that PAs are not only cost-effective from a labor standpoint but are also cost-beneficial to those who employ them. In most cases, they order resources for diagnosis and treatment in a manner similar to physicians for an episode of care, but the cost of an episode of an illness is more economical overall when the P A delivers the care. This study validates the federal policy of support for primary care P A education and suggests that PA employment should be expanded in many sectors of the health care system. These findings and the results of this cost-benefit model are evidence of its validity in predicting health care costs.
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Dickey, Geraldine Parker-Oliver Debra. "Perspectives of certified nurse assistants on sexual orientation." Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6776.

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Title from PDF of title page (University of Missouri--Columbia, viewed on Feb 11, 2010). The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Dissertation advisor: Dr. Debbie Parker Oliver Vita. Includes bibliographical references.
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Orcutt, Venetia L. Henson Robin K. "The supply and demand of physician assistants in the United States a trend analysis /." [Denton, Tex.] : University of North Texas, 2007. http://digital.library.unt.edu/permalink/meta-dc-3633.

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Norris, Tamala. "Workplace Violence Among Nurses and Nursing Assistants in Texas." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5510.

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Workplace violence (WPV) is ranked as one of the leading causes of occupational injury in the United States and is common in health settings. Nurses have the highest rate of violent victimization reported in the U.S., thus presenting a significant issue for healthcare leaders. Various researchers focus on prevalence rates of WPV among nurses discussing types of violence, location, and the setting where the WPV occurred. Less information exists regarding time taken off work and factors associated with WPV among nurses versus nursing assistants (NAs). This information is important due to the impact on safe work environments for nursing employees. The research questions for the study examined the prevalence of WPV and time taken off work among nurses compared to NAs. The study employed a retrospective secondary analysis of data collected by the Bureau of Labor Statistics, from 2011 to 2014, of nurses and NAs in the State of Texas. Multivariate analysis, partial correlation statistical test, and partition of the sum of squares (ANOVA) determined that NAs experienced more incidents of WPV and spent more time away from work due to injuries than nurses. The study was limited because the data did not provide clear indications of environmental factors that led to the injuries, nor did data related to the culture of the working environments and injuries exist. A recommendation for future research is evaluation of the impact of WPV on productivity, patient safety, and quality of care when nurses continue to work or return to work after experiencing WPV. Results of the study reveal the differences in injuries between the two groups and factors impacting the injuries. This information is important for social change as healthcare leaders evaluate opportunities to create a safe working environment for their staff and provide additional resources for nurses to prevent WPV incidents.
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SCHUCKMAN, CHRISTY M. "The Use of Personal Digital Assistants Across Four Medical Center Colleges at the University of Cincinnati." University of Cincinnati / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1141091676.

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Souza, Allison Marlene. "Introducing the Health Coach Method of Motivational Interviewing to Medical Assistants to Improve the Patient Care Approach." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3414.

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The emerging health care culture of accountability for patient outcomes compounds problems for already overwhelmed clinicians struggling to fit everything entailed in complicated office visits into 15-minute appointments. Unprocessed frustrations tempt clinicians to use ineffective and outdated methods for trying to get their patients to comply or adhere to their care plans, undermining effective health care management. The intention of this project was to evaluate whether educating medical assistants in the health coaching method of motivational interviewing can improve the patient care approach while simultaneously assisting clinicians struggling with insufficient time. Several individual scheduling conflicts limited the target population into two primary care medical assistants and two auxiliary primary care office staff who voluntarily chose to learn the new approach. Guided by the adult learning theory, an educational lecture project was designed to capture the spirit of motivational interviewing through basic descriptions and strategies that will assist learners to focus on person-centered conversation skills, helping to balance both the needs of the patient and clinician. Following the education, participants filled out an anonymous post-lecture evaluation questionnaire to provide immediate feedback about learner understanding. Responses indicated the project met its stated objectives, and results showed the versatility of the motivational interviewing method which can be learned and effectively applied by health care workers from a wide range of professional backgrounds. Motivational interviewing is an innovative approach that utilizes therapeutic communication to promote behavior changes that lead to improved health of our communities and country.
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Kirunda, Kakaire Ayub. "Using Personal Digital Assistants to Improve Healthcare Delivery in Uganda." Thesis, Malmö högskola, Fakulteten för kultur och samhälle (KS), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-23073.

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Effective Health Systems make service provision easy for health workers, especially if they have access to the latest guidelines in a dynamic profession where new technologies are ever emerging. However, available data indicates that the health system in Uganda is constrained and still using old technologies despite the availability of newer technologies. As a result, this study sought to investigate the adoptability, cost effectiveness, and sustainability with regard to Personal Digital Assistants. The study, which was cross sectional in nature, was carried out in Mbale District in Eastern Uganda between 2008 and 2010. In depth interviews were conducted with health workers and key informants. Also, published and unpublished literature about theUganda Health Information Network was reviewed.The findings revealed that the use of Personal Digital Assistants also known as handheld computers can go a long way towards improving healthcare delivery in countryside health facilities. To health workers in remote places, the PDAs are a source of the latest clinical care guidelines for several diseases including HIV and AIDS as well as malaria. Health information systems have been improved and data collection and reporting have been eased by this technology. However, while evidence of viability of this technology exists, it still has challenges like power and delays in software updates among others.
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Adams, Derek Westwood. "The rise and fall of the apothecaries' assistants, 1815-1923." Thesis, University of Hertfordshire, 2011. http://hdl.handle.net/2299/5554.

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The central theme of this work is the elucidation of the circumstances that led to the decline of the apothecaries’ assistants. The Apothecaries Act (1815) formerly recognised them as dispensers of medicine and provided an appropriate examination and qualification. Initially, starting in 1850, men were the only candidates for the examination and it was not until 1887 that the first woman qualified. From that time the occupation became increasingly popular among young women, as it provided them with respectable employment dispensing medicines in institutions and doctors’ surgeries. This situation prevailed until The National Insurance Act (1911) transferred almost all the dispensing to the chemists and druggists. This dissertation examines the aspirations of the Pharmaceutical Society, the Society of Apothecaries, the government and the assistants themselves, all of whom were intimately involved in the changes brought about by the Act. While much has been written about medical history in the nineteenth century, little interest has been shown in the apothecaries’ assistants who were the main dispensers of medicines for a period of about 70 years. This thesis advances our understanding on this subject. Additionally, as most of the assistants were women from middle class families, it opens a window on the social and cultural changes that these young women and their families were experiencing in the second half of the nineteenth century.
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Kenney-Moore, Patricia. ""Like Drinking Water Out of a Fire Hydrant" Medical Education as Transformation: A Naturalistic Inquiry Into the Physician Assistant Student Experience." PDXScholar, 2016. http://pdxscholar.library.pdx.edu/open_access_etds/2711.

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Physician assistants are medical professionals educated in an allopathic medical education model in the United States. In order to successfully matriculate, educate and graduate safe and effective health care providers in a 2-year time frame, the 4-year M.D. curriculum has been abbreviated and condensed leading to an intense, full-time cohort educational experience that taxes physician assistant students to their limits. The demanding workload can lead to fluctuations in mood and morale along with increased levels of psychological distress. This dissertation explores this under examined student experience by first introducing the physician assistant profession and the process by which it educates its members. The cohort patterns of mood and morale observed by faculty during the educational process are described using the conceptual and theoretical models of transformative learning, transition, change and cross-cultural adaptation as explanations for the observed experience. A retrospective naturalistic research paradigm utilizing focus groups elucidated the student perspective of the cohort medical education experience over the course of the didactic curriculum, and study results highlight a three-stage experience consistent with stages-of-change theories from multiple disciplines. In addition, a prominent pattern of emotional subthemes provide a window into the psychological significance of this transformative experience. A better understanding of the effects of this academically rigorous and psychologically challenging medical education process on physician assistant students clarifies opportunities for amelioration of student challenges while simultaneously enhancing the ultimate goal of developing safe and effective health care providers.
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Books on the topic "Medical assistants Medical assistants Medical assistants"

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E, Cooper David, and Burrows Neila J, eds. The medical assistant. 6th ed. St. Louis: Mosby Lifeline, 1993.

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Watts, E. A. Pharmacology for medical assistants. Hemel Hempstead: Prentice-Hall, 1989.

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The clinical medical assistant. Philadelphia: W.B. Saunders, 1994.

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A, Wise Barbara, ed. Medical assisting: Clinical competencies. Albany, NY: Delmar, 1994.

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1942-, Zakus Sharron M., ed. Clinical procedures for medical assistants. 3rd ed. St. Louis: Mosby-Year Book, 1995.

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Clinical procedures for medical assistants. 4th ed. Philadelphia: Saunders, 1995.

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Bonewit-West, Kathy. Clinical procedures for medical assistants. 3rd ed. Philadelphia: Saunders, 1990.

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A, Jones Shirley, and Molle-Matthews Elizabeth, eds. Lippincott's textbook for medical assistants. Philadelphia: Lippincott-Raven, 1997.

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Bonewit-West, Kathy. Clinical procedures for medical assistants. 5th ed. Philadelphia: W.B. Saunders, 2000.

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Jump-starting careers as medical assistants & certified nursing assistants. New York: Rosen Publishing, 2014.

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Book chapters on the topic "Medical assistants Medical assistants Medical assistants"

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Cockerham, William C. "Nurses, Physician Assistants, Pharmacists, and Midwives." In Medical Sociology, 310–30. 15th ed. New York: Routledge, 2021. http://dx.doi.org/10.4324/9781003203872-16.

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Schaefer, N. "PMDA — Personal Medical Digital Assistants Mobile computing in medical environments." In Digital (R)Evolution in Radiology, 149–54. Vienna: Springer Vienna, 2001. http://dx.doi.org/10.1007/978-3-7091-3707-9_18.

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Deutsch, Erwin, and Hans-Ludwig Schreiber. "Responsabilité des cliniques, des assistants et des choses." In Medical Responsibility in Western Europe, 102–11. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-70449-9_10.

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Tullock, Gordon. "Medical Assistance." In Economics of Income Redistribution, 133–44. Dordrecht: Springer Netherlands, 1997. http://dx.doi.org/10.1007/978-94-011-5378-2_8.

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Lujak, Marin, and Holger Billhardt. "Coordinating Emergency Medical Assistance." In Agreement Technologies, 597–609. Dordrecht: Springer Netherlands, 2012. http://dx.doi.org/10.1007/978-94-007-5583-3_35.

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Czejdo, Bogdan D., and Mikolaj Baszun. "An Interactive Medical Knowledge Assistant." In Communications in Computer and Information Science, 298–304. Berlin, Heidelberg: Springer Berlin Heidelberg, 2009. http://dx.doi.org/10.1007/978-3-642-04757-2_32.

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Fuior, Robert, Andrei Gheorghiță, and Călin Corciovă. "Intelligent Medical Distance Assistance Device." In 6th International Conference on Advancements of Medicine and Health Care through Technology; 17–20 October 2018, Cluj-Napoca, Romania, 65–71. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-13-6207-1_11.

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Felipe, M. A. Nalda, and J. L. Gonzalez Machado. "Medical Assistance at Automobile Racing Circuits." In Emergency and Disaster Medicine, 248–53. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-69262-8_41.

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Khachatryan, Arbak, Artur Tevosyan, David Novoselskiy, Gevorg Arakelyan, Alexey Yushkevich, and David Nazaretovich Nazarian. "Specifics of Working with an Assistant." In Microsurgery Manual for Medical Students and Residents, 57–60. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-73531-9_7.

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Paries, Calvin, Angela Lamson, Jennifer Hodgson, Amelia Muse, and Glenda Mutinda. "Medical Family Therapy in Employee Assistance Programs." In Clinical Methods in Medical Family Therapy, 497–535. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-68834-3_17.

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Conference papers on the topic "Medical assistants Medical assistants Medical assistants"

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Rexilius, Jan, and Heinz-Otto Peitgen. "Rapid prototyping of clinical software assistants." In Medical Imaging, edited by Katherine P. Andriole and Khan M. Siddiqui. SPIE, 2008. http://dx.doi.org/10.1117/12.771119.

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Schaekermann, Mike, Graeme Beaton, Elaheh Sanoubari, Andrew Lim, Kate Larson, and Edith Law. "Ambiguity-aware AI Assistants for Medical Data Analysis." In CHI '20: CHI Conference on Human Factors in Computing Systems. New York, NY, USA: ACM, 2020. http://dx.doi.org/10.1145/3313831.3376506.

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Luanrattana, Rattiporn, Khin Than Win, and John Fulcher. "Use of Personal Digital Assistants (PDAs) in Medical Education." In Twentieth IEEE International Symposium on Computer-Based Medical Systems. IEEE, 2007. http://dx.doi.org/10.1109/cbms.2007.120.

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Abbasi, Bahareh, Mehdi Sharifzadeh, Ehsan Noohi, Sina Parastegari, and Milos Zefran. "Grasp Taxonomy for Robot Assistants Inferred from Finger Pressure and Flexion." In 2019 International Symposium on Medical Robotics (ISMR). IEEE, 2019. http://dx.doi.org/10.1109/ismr.2019.8710191.

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Porras-Chaverri, Mariela A., Marco A. Rodríguez-Jirón, and José A. Porras-Salazar. "Turning undergraduate research assistants into scientific researchers: A wooden-block based method." In PROCEEDINGS OF THE XVI MEXICAN SYMPOSIUM ON MEDICAL PHYSICS. AIP Publishing, 2021. http://dx.doi.org/10.1063/5.0051231.

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Seifert, P., I. Maikowski, T. Winkens, C. Kühnel, F. Gühne, R. Drescher, and M. Freesmeyer. "Standardized Ultrasound Cine Loop Protocol for Benign Thyroid Disease Applied by Medical Technical Assistants." In NuklearMedizin 2021 – digital. Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1726800.

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Kim, Jeong Hun, Nicholas Theodore, Rajiv Iyer, Amir Manbachi, and Richard Um. "Development of Voice-Controlled Smart Surgical Bed." In 2020 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/dmd2020-9065.

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Abstract Wasted time in the operating room results in higher operating costs and greater post-operative complications. One effective way to reduce operation time is automating basic processes that occur during surgery. Given the rise of smart-home devices, implementation of virtual assistants became a feasible solution in many medical settings. With a consumer smart-home device and off-the-shelf components, we engineered a voice-controlled smart surgical bed that adjusts the bed configuration via a voice input. The resulting device is expected to optimize human resources and reduce surgical site infection by eliminating the need of a traditional touch control mechanism. Future work is needed to develop its proprietary hardware and software, and continuous collaboration with medical personnel to bring this device into market.
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Berben, S., A. Bloemhoff, L. Schoonhoven, A. de Kreek, P. van Grunsven, and M. Laurant. "28 The difference between physician assistants and ambulance nurses as solo emergency care providers in EMS, a cross sectional study." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2017). British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/bmjopen-2017-emsabstracts.28.

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Muego, M. P., A. Bhandari, J. M. Ewig, and J. C. Piccione. "SMART PFT: Spirometry by Medical Assistants Vs. Respiratory Therapists a Data Driven Quality Improvement Implementation Project in Pulmonary Satellite Clinics." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6226.

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Platt, Stephen R., Jeff A. Hawks, Mark E. Rentschler, Lee Redden, Shane Farritor, and Dmitry Oleynikov. "Modular Wireless Wheeled In Vivo Surgical Robots." In ASME 2008 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2008. http://dx.doi.org/10.1115/detc2008-49157.

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Minimally invasive abdominal surgery (laparoscopy) results in superior patient outcomes as measured by less painful recovery and an earlier return to functional health compared to conventional open surgery. However, the difficulty of manipulating traditional laparoscopic tools from outside the patient’s body generally limits these benefits to patients undergoing procedures with relatively low complexity. The use of miniature in vivo robots that fit entirely inside the peritoneal cavity represents a novel approach to laparoscopic surgery. Our previous work has demonstrated that mobile and fixedbased in vivo robots can successfully operate within the abdominal cavity and provide surgical vision and task assistance. All of these robots used tethers for power and data transmission. This paper describes recent work focused on developing a modular wireless mobile platform that can be used for in vivo sensing and manipulation applications. The robot base can accommodate a variety of payloads. Details of the designs and results of ex vivo and in vivo tests of robots with biopsy grasper and physiological sensor payloads are presented. These types of self-contained surgical devices are much more transportable and much lower in cost than current robotic surgical assistants. These attributes could ultimately allow such devices to be carried and deployed by non-medical personnel at the site of an injury. A remotely located surgeon could then use these robots to provide critical first response medical intervention irrespective of the location of the patient.
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Reports on the topic "Medical assistants Medical assistants Medical assistants"

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Synytsya, Kateryna, and Greta Keremidchieva. Language (Medical Terminology) Assistance to Multinational Partners in Coalition Operations. Fort Belvoir, VA: Defense Technical Information Center, February 2012. http://dx.doi.org/10.21236/ada570497.

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Potthoff, Thomas O. Joint Program Planning for Australia/U.S. Robot Medical Assistant on the Battlefield. Fort Belvoir, VA: Defense Technical Information Center, April 2004. http://dx.doi.org/10.21236/ada422446.

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Standage, L. S. A Role for the Army Medical Specialist Corps in Nation Assistance. Fort Belvoir, VA: Defense Technical Information Center, April 1993. http://dx.doi.org/10.21236/ada264864.

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Lougee, Douglas A., and Delfi Mondragon. Honduran Ministry of Health Perceptions of US Military Medical Civic Assistance. Fort Belvoir, VA: Defense Technical Information Center, January 2003. http://dx.doi.org/10.21236/ada410747.

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Mitchell, IV, and Charles H. The Medic as an Instrument of National Policy or What in the World is the Department of Defense doing in Medical Humanitarian Assistance? Fort Belvoir, VA: Defense Technical Information Center, April 1991. http://dx.doi.org/10.21236/ada234134.

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Kenney-Moore, Patricia. "Like Drinking Water Out of a Fire Hydrant" Medical Education as Transformation: A Naturalistic Inquiry Into the Physician Assistant Student Experience. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.2707.

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Ingraham, Leonoor. Impact of the Medical Library Assistance Act of 1965 on Health Sciences Libraries in the Pacific Northwest: an Interorganizational Approach. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.1225.

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Pruden, Paul W., and William D. Ferree. Should Medical Humanitarian and Civic Assistance Activities Focus on Building Public Health Capacity in Africa to Better Influence Theater Security Cooperation Objectives? Fort Belvoir, VA: Defense Technical Information Center, February 2006. http://dx.doi.org/10.21236/ada463935.

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Wiener, Joshua M., Mary E. Knowles, and Erin E. White. Financing Long-Term Services and Supports: Continuity and Change. RTI Press, September 2017. http://dx.doi.org/10.3768/rtipress.2017.op.0042.1709.

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This article provides an overview of financing for long-term services and supports (LTSS) in the United States, paying special attention to how it has changed and not changed over the last 30 years. Although LTSS expenditures have increased greatly (like the rest of health care), the broad outline of the financing system has remained remarkably constant. Medicaid—a means-tested program—continues to dominate LTSS financing, while private long-term care insurance plays a minor role. High out-of-pocket costs and spend-down to Medicaid because of those high costs continue to be hallmarks of the system. Although many major LTSS financing reform proposals were introduced over this period, none was enacted—except the Community Living Assistance Services and Supports Act, which was repealed before implementation because of concerns about adverse selection. The one major change during this time period has been the very large increase in Medicare spending for post-acute services, such as short-term skilled nursing facility and home health care. With the aging of the population, demand for LTSS is likely to increase, placing strain on the existing system.
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10

Gillen, Emily, Olivia Berzin, Adam Vincent, and Doug Johnston. Certified Electronic Health Record Technology Under the Quality Payment Program. RTI Press, January 2018. http://dx.doi.org/10.3768/rtipress.2018.pb.0014.1801.

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The 2016 Quality Payment Program (QPP) is a Medicare reimbursement reform designed to incentivize value-based care over volume-based care. A core tenet of the QPP is integrated utilization of certified electronic health record technology (CEHRT). Adopting and implementing CEHRT is a resource-intensive process, requiring both financial capital and human capital (in the form of knowledge and time). Adoption can be especially challenging for small or rural practices that may not have access to such capital. In this issue brief, we discuss the role of CEHRT in the QPP and offer policy recommendations to help small and rural practices improve their health information technology (IT) capabilities with regards to participation in value-based care. The QPP requires practices to have health IT capabilities, both as a requirement for a complete performance score and to facilitate reporting. Practices that are unable to implement CEHRT will have difficulty complying with the new reimbursement system, and will likely incur financial losses. We recommend monetary support and staff training to small and rural practices for the adoption of CEHRT, and we recommend assistance to help practices comply with the requirements of the QPP and coordinate with other small and rural practices for reporting purposes.
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