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1

Rato, Marta Alexandra de Cunha. "Clínica e cirurgia em espécies pecuárias." Master's thesis, Universidade de Évora, 2016. http://hdl.handle.net/10174/19146.

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Este relatório foi realizado no âmbito da conclusão do mestrado integrado em medicina veterinária e está estruturado em duas partes. Na primeira parte deste relatório é apresentada a casuística acompanhada ao longo do estágio curricular e a segunda parte é constituída por uma revisão bibliográfica subordinada ao tema, importância da ecografia em reprodução de bovinos, seguida da exposição de um caso clínico sobre orquite em bovinos e a discussão do mesmo; Abstract: clinic and surgery in livestock species This report was carried out under the curriculum of the integrated master in veterinary medicine and is structured in two parts. In the first part of this report is presented the casuistry observed throughout the traineeship and in the second part was made a literature review on the topic ultrasound importance in bovine reproduction, followed by exposure of one clinical case of orchitis in bovine and is respective discussion.
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2

Liu, Chaomei. "Traditional Chinese medical clinic system." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2517.

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The Chinese Medical Clinic System is designed to help acupuncturists and assistants record and store information. This system can maintain and schedule appointments and view patient diagnoses effectively. The system will be implemented on a desktop PC connected to the internet to facilitate the acupuncturists record of information.
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3

Stephenson, Melanie K. "Safety-Net Medical Clinic Behavioral Health Integration." Wright State University Professional Psychology Program / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych152767560332411.

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4

Ukah, Fidelia. "Conducting a Needs Assessment at Outpatient Medical Clinic." Thesis, Walden University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3732467.

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Colorectal cancer is one of the most common cancers in the United States and confronting its challenges has remained a problem to the United States health sector, especially among outpatient clinics. Guided by health belief model, the purpose of this needs assessment was to identify patients age 50 and older in outpatient clinic located in a large metropolitan city in Texas who should receive information on the need for colorectal cancer screening based on their risk for developing colorectal cancer as outlined by American Cancer Society. A sample of 70 charts of patients age 50-75 years was randomly selected and audited using descriptive statistics. Among the patients aged 50-75 years attending the outpatient clinic, 25.7% were African Americans, 71.4% were Hispanic, and 2.9% were Caucasians; 42.9% were male and 57.1% were female. The rate of colorectal cancer screening was 12.9%, a rate that is lower than the rate for all Texans, which was 54.1% - 59.2%. CRC screening was ordered for 62.9% of all patients; 24.2% of clinic patients were identified as being at high risk for colorectal cancer. The low rate of screening may hamper early detection of colorectal cancer in outpatient clinics setting. It is recommended that the outpatient clinic develop intensive campaign to increase patient awareness about the need for and benefits of colorectal cancer screening, especially for those at high risk for developing colorectal cancer. The findings of this study may raise awareness on the chasm in quality of health care availability and provide insight on colorectal cancer and its prevention.

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5

Canby, James B., Kenneth J. Euske, and Douglas O. Moses. "Cost reporting at a Navy Branch Medical Clinic." Thesis, Monterey, California: Naval Postgraduate School, 1993. http://hdl.handle.net/10945/24140.

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6

Ukah, Fidelia Ijeuru. "Conducting a Needs Assessment at Outpatient Medical Clinic." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1630.

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Colorectal cancer is one of the most common cancers in the United States and confronting its challenges has remained a problem to the United States health sector, especially among outpatient clinics. Guided by health belief model, the purpose of this needs assessment was to identify patients age 50 and older in outpatient clinic located in a large metropolitan city in Texas who should receive information on the need for colorectal cancer screening based on their risk for developing colorectal cancer as outlined by American Cancer Society. A sample of 70 charts of patients age 50-75 years was randomly selected and audited using descriptive statistics. Among the patients aged 50-75 years attending the outpatient clinic, 25.7% were African Americans, 71.4% were Hispanic, and 2.9% were Caucasians; 42.9% were male and 57.1% were female. The rate of colorectal cancer screening was 12.9%, a rate that is lower than the rate for all Texans, which was 54.1% - 59.2%. CRC screening was ordered for 62.9% of all patients; 24.2% of clinic patients were identified as being at high risk for colorectal cancer. The low rate of screening may hamper early detection of colorectal cancer in outpatient clinics setting. It is recommended that the outpatient clinic develop intensive campaign to increase patient awareness about the need for and benefits of colorectal cancer screening, especially for those at high risk for developing colorectal cancer. The findings of this study may raise awareness on the chasm in quality of health care availability and provide insight on colorectal cancer and its prevention.
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7

Skym, Sophea Ey. "Strategies Clinic Managers Use to Reduce Missed Medical Appointments." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4256.

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Patients who miss their medical appointments increase health care costs for themselves and for clinics. The purpose of this qualitative, single exploratory case study was to explore strategies health care clinic managers use to reduce medical no-shows for patient-scheduled appointments. Change management theory guided the scope and analysis. The data collection included a single clinical operations manager who have strategies to mitigate no-shows for patient-scheduled appointments participated in a semistructured interview in southeastern Virginia, the direct observation of 2 office workers in their natural setting of scheduling appointments, and for methodological triangulation, a review of organizational archival documents about missed medical appointments. Member checking was used to strengthen the credibility and trustworthiness of analyses, which were carried out using Yin's 5-step analysis process. Major themes were forgetfulness and high deductible plan; minor themes were lead-time and inclement weather that lead to no-shows. This study explored the strategies necessary to reduce costs and increase revenues; it could free funds to provide services to patients, such as education and counseling support. The findings from this study could contribute to social change by adding new knowledge or informing the strategies to reduce medical no-shows. These findings may also benefit organizational worth and increase community health.
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8

Ezirim, Jovita Chibuzo. "Type 2 Diabetes Prevention Program in the Medical Office Clinic." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/352.

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The challenge of diabetes prevention is to reduce the financial and human costs of diabetes by preventing new cases and enacting social change. African Americans and Hispanics Americans have a high incidence of Type 2 diabetes because of factors that place them at risk for prediabetes. The purpose of this project was to plan the implementation and evaluation of a Type 2 diabetes prevention program in a medical office clinical setting. The clinic of interest was located in the downtown area of the city and provided care mostly to African American population. The Iowa model of evidence-based practice formed the theoretical framework for the study. The goal was to decrease the number of African Americans patients who will convert from prediabetes to Type 2 diabetes in the medical office clinic. The program was planned using the information from the Center for Disease Control and Prevention Road to Health toolkit. The outline covered a 6-week program. A pretest will be given to assess baseline knowledge of diabetes and diabetes prevention. The same test will be given after the implementation to evaluate if the program enhanced diabetes and diabetes prevention knowledge. Six months after the implementation of the program, nurses will complete a chart review to evaluate how many patients converted from pre-diabetes to Type 2 diabetes since the implementation of the project. The project will lead to the integration of a Type 2 diabetes prevention program in a medical clinic. It will increase the number of African Americans with prediabetes who will engage in lifestyle modification behavior. The project will also decrease the incidence of Type 2 diabetes among African Americans and reduce the health disparity of diabetes among the population.
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9

Fung, Shuk-ching Corina. "Needs assessment for schizophrenic patients in an out-patient clinic /." Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk/hkuto/record.jsp?B24391049.

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10

Sarmiento, Jeanne M. "Pediatric outpatient clinic manpower requirement variables at Navy Medical Treatment Facilities." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2000. http://handle.dtic.mil/100.2/ADA380204.

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Thesis (M.S. Management) Naval Postgraduate School, June 2000.
Thesis advisor(s): Scaramozzino, James; Hatch, William. "June 2000." Includes bibliographical references (p. 73-76). Also available online.
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11

Eid, Tarek. "Why do Physicians Volunteer at Medical Schools and Free Clinics?" Thesis, The University of Arizona, 2018. http://hdl.handle.net/10150/626849.

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12

Bohannon, Katie Lynn. "Women in white coats : female physician role enactment in medical clinic interactions /." [Boise, Idaho] : Boise State University, 2009. http://scholarworks.boisestate.edu/td/43/.

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13

Thomas, C. M., and John B. Bossaer. "Patient Use of Herbal Supplements in an Outpatient Hematology/Oncology Medical Clinic." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/2356.

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Primary Objective: According to the National Center for Health Statistics, many Americans use some type of vitamin or supplement. A recent study of cancer patients in the VA medical system found that a significant number of cancer patients do not mention the use of supplements to their healthcare providers. Many of these supplements were also found to interact with or compound side effects of chemotherapy regimens. The purpose of this study is to determine the incidence of cancer patients taking supplements and to determine the completeness of home medication lists in regard to vitamins or herbal supplements.
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14

Sandoval, Hernández Cristian Andrés. "Sistema de control de gestión para la empresa Home Medical Clinic S.A." Tesis, Universidad de Chile, 2015. http://repositorio.uchile.cl/handle/2250/137508.

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Tesis para optar al grado de Magíster en Control de Gestión
El presente trabajo busca alinear los conceptos de trabajo estratégico con la operación de la empresa de servicios, Home Medical Clinic, particularmente con su unidad estratégica de negocios denominada hospitalización domiciliaria. Para lograr lo anterior, se desarrollaran cada una de las materias vistas y analizadas durante el programa de control de gestión, y poniendo en práctica las diferentes herramientas al contexto mencionado, un sistema de control de gestión, puede ser en cualquier tipo de organización, una oportunidad para mejorar y cumplir con su estrategia. Los esfuerzos se centran en la elaboración de una propuesta de un sistema de control de gestión, para la unidad estratégica de negocio denominada hospitalización domiciliaria, del cual su principal objetivo es el cumplimiento de su misión. Para alcanzar el propósito de este trabajo, se plantea en primera instancia la introducción, que nos coloca en el contexto de la empresa y la descripción detallada de la unidad de negocio. De esta forma se obtienen los principios sobre los cuales se aborda el desarrollo estratégico de la unidad, proponiendo misión, visión y valores, acorde a la teoría vista en el programa de magister en control de gestión. Posteriormente se realiza el análisis FODA, evaluando los aspectos del ámbito interno (fortalezas y debilidades) y de su entorno (oportunidades y amenazas), lo que sustentará la formulación estratégicas de la empresa, de la cual se realiza la propuesta de valor con los atributos diferenciadores. El trabajo continúa con el modelo de negocio para detectar los elementos que generan valor a la unidad estratégica, para luego obtener el mapa estratégico que servirá como brújula y permitirá alinear a los miembros de la unidad. Luego, el mapa estratégico deriva en la obtención del cuadro de mando integral, estableciendo indicadores para las unidades responsables con el objetivo de medir y alcanzar los resultados definidos en la estrategia. Posteriormente se realiza la bajada en cascada para las áreas que se determinen esenciales para cumplir con la visión de la empresa por medio de tableros de control, lo que finalmente se asocia a un esquema de incentivos que permitirá alinear a la organización en las definiciones estratégicas de la compañía y de la unidad estratégica de negocios.
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15

Wilsey, Katherine Lambos. "Why Patients Miss Appointments at an Integrated Primary Care Clinic." Antioch University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1595879483897791.

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16

Drews, Lori Ann. "Trends in failure to appear rates at a monthly foot-care clinic." Pullman, Wash. : Washington State University, 2009. http://www.dissertations.wsu.edu/Thesis/Spring2009/l_drews_041309.pdf.

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17

Richardson, Tony Andrew. "Meeting Meaningful-Use Requirements With Electronic Medical Records in a Community Health Clinic." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2872.

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Small nonprofit medical practices lack the technical expertise to implement electronic medical records (EMRs) that are consistent with federal meaningful-use requirements. Failure to comply with meaningful-use EMR requirements affects nonprofit community health care leaders' ability to receive reimbursement for care. Complexity theory was the conceptual framework used in this exploratory single case study. The purpose of the study was to explore the strategies nonprofit community health care leaders in Washington, DC used to implement EMRs in order to comply with the meaningful-use requirements. Data were collected via in-depth interviews with 7 purposively-selected health care leaders in a nonprofit clinic and were supplemented with archival records from the organization's policies and legislated mandates. Participants' responses were coded into invariant constituents, single concepts, and ideas to develop theme clusters. Member checking was used to validate the transcribed data which was subsequently coded into 4 themes that included: access to information, quality of care, training, and reporting implications. Recommendations include increased effectiveness of training provided to health care leaders or the perceptions of the patients as stakeholders in EMR implementation. By using strategies that facilitate seamless movement of information within a digital health care infrastructure, business leaders could benefit from improved reimbursement for services. Implications for social change include progress and transformation in the way health care access is provided.
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18

馮淑貞 and Shuk-ching Corina Fung. "Needs assessment for schizophrenic patients in an out-patient clinic." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31225998.

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19

Hopps, Joshua Altmaier Elizabeth M. Tranel Daniel Thomas. "Pattern and content of neuropsychological referral questions across 25 years of outpatient visits in a hospital-based clinic." Iowa City : University of Iowa, 2009. http://ir.uiowa.edu/etd/379.

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20

Cherus, David arap Cheruiyot. "Modelling, simulation, and performance analysis of a hybrid power system for mobile medical clinic." Kassel : Kassel Univ. Press, 2004. http://deposit.d-nb.de/cgi-bin/dokserv?idn=973052805.

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21

Barker, McKayla, Angela Chrisman, Mason Johnson, Matthew Gouge, and Emily K. Flores. "I.M.P.A.C.T. of Interprofessional Student Teams at a Remote Area Medical Clinic in Rural Appalachia." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/asrf/2021/presentations/26.

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Introduction: Remote Area Medical (RAM), a non-profit organization serving underserved populations, partnered with East Tennessee State University to provide a unique learning opportunity for student volunteers at a clinic in rural Appalachia. Interprofessional student teams were established with undergraduate and graduate students in multiple professions. This study examined the impact on attitudes of students who participated and the impact of student teams on the event, hypothesizing that a positive impact would be seen on both. COVID-19 adjustments made were also evaluated. Methods: Surveys of student participants were conducted electronically utilizing REDCap before and after participation in the event. Surveys included demographic questions, validated surveys, and open-ended questions. Demographic questions gauged personal background, level of education, and history of interprofessional education or events. The previously validated surveys utilized were the Interprofessional Collaborative Competency Attainment Scale-Revised (ICAAS-R) and the Student Perceptions of Interprofessional Clinical Education-Revised Instrument Version 2 (SPICE-R2). Quantitative data was analyzed with SPSS version 25. Qualitative data was analyzed with deductive coding. Interventions were tallied by student teams during the event. Results: Eighty-nine students participated logging 1,213 interventions and 84 completed portions of the survey (94% response rate). ICAAS-R (n=79) displayed mean increases from 4.19 out of 5 in the pre-survey to 4.58 in the post-survey (p Conclusion: Statistically significant quantitative findings and qualitative themes supported the hypothesis that working in interprofessional teams at a RAM event would positively impact student attitudes towards interprofessional practice, and that student teams would have a positive impact on the event. COVID-19 adjustments made were well perceived. Findings can be summarized with the I.M.P.A.C.T. neumonic.
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Santos, Julieta Sofia Abrantes Soares dos. "Patologia clínica e reprodução em bovinos e equinos." Master's thesis, Universidade de Évora, 2021. http://hdl.handle.net/10174/29778.

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Este relatório de estágio tem por base dois períodos de estágio distintos em duas espécies de grande porte: bovinos e equinos. O primeiro período de estágio foi efetuado na área de clínica e cirurgia de bovinos de aptidão leiteira, realizado no norte de Portugal e o segundo em clínica, cirurgia e reprodução de equinos, executado na Coudelaria de Alter Real. O relatório, dividido em duas partes, contém na primeira a exposição das atividades realizadas ao longo dos dois estágios, com breve revisão bibliográfica dos temas considerados mais pertinentes pela autora. A segunda parte, contém uma monografia com os resultados iniciais de um estudo retrospetivo dos efeitos ambientais e genéticos nas características seminais do garanhão Puro-sangue Lusitano; Abstract: Clinical Pathology and Reproduction in Cattle and Horses The present report is based on two distinct internship periods in two large species, cattle and horses. The first period of internship was carried out in heard health management, clinic and surgery of dairy cattle, carried out in the North of Portugal and, the second one took place in Royal Alter Stud farm, in Alter do Chão, in clinic, surgery and reproduction of horses. The report, divided in two parts, includes in the first the exposition of the activities performed during the two internships, with brief bibliographic reviews of subjects considered pertinent by the author. The second part contains a monograph with de preliminary results of a retrospective study about the genetic and environmental effects on the seminal traits, of the Lusitano stallion.
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Rekman, Janelle. "The Development of a Workplace-Based Surgical Clinic Assessment Tool." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/34234.

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Purpose of Study: Workplace-based assessment is an opportunity for a learner to be assessed in their community of practice by an expert rater. The challenges and biases brought into this assessment relationship are complex. A shift towards Competency Based Medical Education in post-graduate residency education has triggered consideration of how to implement feasible assessment tools for the operating room, the in-patient ward, and the outpatient clinic. Competent performance in outpatient clinic is vital to surgical practice, yet no assessment tool currently exists to assess daily performance of technical and nontechnical skills of surgery residents. This project describes the development of a competency-based assessment tool, the Ottawa Clinic Assessment Tool (OCAT). Research Question: How does the OCAT demonstrate validity for measurement of surgical resident performance in clinic? Method: A consensus group of experts was gathered to generate ideas reflective of a competent ‘generalist’ surgeon in clinic. An entrustability anchor scale was developed. A six-month pilot study of the OCAT was conducted in orthopedics, general surgery and obstetrics and gynecology with quantitative and qualitative evidence of validity collected. Two subsequent feedback sessions, and a survey for staff and residents evaluated the OCAT for clarity and utility. Results: The OCAT was developed as a 13-item tool, with a global assessment item and 2 short answers questions. 44 staff surgeons completed 132 OCAT assessments of 79 residents. Psychometric data was collected as evidence of internal structure validity and relations with other variables. Analysis of feedback indicated the rating scale was practical and useful for surgeons and residents. Conclusions & Contribution to the Research Field: Surgical programs will require a daily clinic assessment tool to help define resident competency progression. Multiple sources of validity evidence collected in this pilot project demonstrate that the OCAT can measure resident clinic competency in a valid and feasible manner.
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Plews, Caroline Margaret Coatsworth. "Clients' reports of the work of health visitors in the child health clinic and during home visits." Thesis, University of Hull, 2001. http://hydra.hull.ac.uk/resources/hull:4626.

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This study examines clients' reports of aspects of a single child health clinic visit and of a home visit by the health visitor. There are two foci of the thesis. First: recall; value and use of the advice/information selected by the client as the most important; second, an exploration of the meaning of support identified by some clients.Seven health visitors participated in the research, which incorporated two studies. In the first study, the researcher observed the content of discussions between 100 clients and the health visitor in child health clinics. These clients were then interviewed at home and asked questions about the advice/information received from the health visitor during theirprevious visit to the child health clinic.For the second study, information was recorded by the health visitor describing the content of 149 home visits. Clients were interviewed at home and asked similar questions regarding advice/information received from the health visitor. In addition, those clients who described receiving support were asked to describe the meaning to them of this aspectof the visit.Data analysis for both studies included descriptive and inferential statistics and content analysis.Findings from both studies indicate that recall of advice/information is related to the amount of advice/information given to the client. This may have implications for the amount of advice/information that health visitors are encouraged to provide.Advice/information received from the health visitor was generally valued and used by the mothers in both studies. Clients appeared most likely to be dissatisfied when topics had been raised which they had no interest in discussing. It is suggested that that there may be correspondence between some clients' descriptions of support, and taxonomies of social support found in social support literature. An exploration of health visiting work employing the concepts of social support is recommended.
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Hackett, Stacey Lynn Hyten Cloyd. "Improving administrative operations for better client service and appointment keeping in a medical/behavioral services clinic." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9099.

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26

Anno, Tony. "The Creation of a Pacemaker Clinic at a Federally-Funded Patient-Centered Medical Home: A Quality Improvement Project." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/738.

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It is common for clinicians to implant medical devices, such as permanent pacemakers and implantable defibrillators, for cardiac diseases. These medical devices require follow-up care at regular intervals to ensure proper device function and optimal outcomes. Currently, many individuals without insurance or financial resources lack access to recommended follow-up care after implantation of a cardiac device. The purpose of this project was to determine the number of individuals who have had a medical device implanted without insurance coverage over a 3-year period, and then to establish a clinic that provides this service. The standard of care and operating procedure for the pacemaker clinic was established using evidence-based guidelines from the Heart Rhythm Society and the American Heart Association. Complexity science was the theoretical model used to guide this project's design and implementation. This quality improvement initiative was non-experimental, descriptive, and quantitative. Data were extracted from the ICD Registry and United States Census Bureau to determine the number of residents, insurance status, and number of implants over a 3-year period. These data were used to estimate the number of individuals with devices. The data revealed that 40 individuals with low power cardiac devices and 15 individuals with high power devices lacked access to care. The model developed estimates a growth rate of 7 to 10% annually. The pacemaker clinic will provide access to over 70 individuals lacking care for their pacemakers, thereby resulting in improved healthcare outcomes, fewer preventable complications, and optimal device performance.
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Duffy, Pamela Ann. "Holes in the health care safety net an ethnographic study of a free medical clinic /." [Ames, Iowa : Iowa State University], 2008.

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Bills, Randy K. "Aligning salary expense and workload output In a complex military medical system /." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2004. http://library.nps.navy.mil/uhtbin/hyperion/04Jun%5FBills.pdf.

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Geiger, Susan Louise. "Nonattendance Rates and Barriers to Health Care in Outpatient Clinic Settings." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/222.

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Lower socioeconomic status, ethnicity, and race are associated with reduced health care use in the United States. Patients who continually miss their appointments suffer significant negative results, including a disruption in continuity of care, complications with their chronic illnesses, and an increase in hospital readmissions. The health belief model was used as the theoretical support for this project that investigated the underlying causes of no-shows at an urban hospital-based outpatient clinic in the United States. It used a quantitative, descriptive design and examined a minority, underserved, and underinsured population that was receiving care at the research site and had a fairly consistent 30% no-show rate. Data was collected by anonymous survey from 151 patients and 22 health care providers and analyzed via means, t tests, and an ANOVA. Female patients were significantly more likely than male patients to approve of the current scheduling system at the site, in which patients simply call the clinic for an appointment (p = 0.040). White (non-Hispanic) patients in general had a statistically lower interest in receiving appointment reminders via text compared to the rest of the population (p=0.024). Patients who were 29 years old and younger were significantly less likely than patients who were 30 years old and over to indicate that they did not show up to appointments due to a lack of insurance (p '? 0.001). This project promoted positive social change by increasing patient, staff, and stakeholder awareness of the reasons patients miss their appointments. The findings of this project can be used to improve appointment scheduling, reduce patient wait times, increase patient satisfaction, and increase cost savings to the clinic.
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李耀玲 and Yiu-ling Elaine Lee. "Needs assessment on the attendants of the mobile health clinic in ShamShui Po." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31970680.

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Riska, Kristal M., Faith W. Akin, Laura Williams, Stephanie B. Rouse, and Owen D. Murnane. "A Benign Paroxysmal Positional Vertigo Triage Clinic." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1779.

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Purpose: The purpose of this study was to evaluate the effectiveness of triaging patients with motion-provoked dizziness into a benign paroxysmal positional vertigo (BPPV) clinic. Method: A retrospective chart review was performed of veterans who were tested and treated for BPPV in a triaged BPPV clinic and veterans who were tested and treated for BPPV in a traditional vestibular clinic. Results: The BPPV triage clinic had a hit rate of 39%. On average, the triaged BPPV clinic reduced patient wait times by 23 days relative to the wait times for the traditional vestibular clinic while also reducing patient costs. Conclusion: Triaging patients with BPPV is one method to improve access to evaluation and treatment and a mechanism for the effective use of clinic time and resources.
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King, Rebecca Jane. "Integration of audit into an outpatient asthma clinic : the transition from traditional to computerised medical notes." Thesis, Keele University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297318.

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Hackett, Stacey Lynn. "Improving administrative operations for better client service and appointment keeping in a medical/behavioral services clinic." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc9099/.

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Appointment no-shows are a problem in healthcare organizations. It is important that appointment intake and scheduling processes are effective in both meeting client needs and efficient in meeting organizational business requirements. This study examined baseline levels of appointment keeping in a not-for-profit medical/behavioral pediatric services clinic, analyzed existing administrative processes, introduced additional appointment keeping reminders, and presented systematic, performance management tutorials for clinic employees. Results indicate an increase in percentage of appointments kept and a decrease in appointment lag time.
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Lam, Yik-tsz, and 林亦子. "To evaluate the mobile clinic for the elderly: a preliminary study on the referrals." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31970151.

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35

Damas, Carolina de Oliveira Justiniano. "Clínica e cirurgia em bovinos." Master's thesis, Universidade de Évora, 2018. http://hdl.handle.net/10174/23874.

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O presente relatório foi elaborado com o objectivo de descrever as actividades desenvolvidas no decorrer do Estágio Curricular do Mestrado Integrado em Medicina Veterinária da Universidade de Évora, no âmbito de clínica e cirurgia em bovinos. Numa primeira parte é descrita a casuística acompanhada no decorrer do estágio nas diversas áreas de intervenção na espécie bovina. A segunda parte é constituída por uma revisão bibliográfica sobre “Causas de refugo em bovinos leiteiros”. Por fim, a terceira parte é composta por um estudo retrospectivo para identificar as causas de refugo de animais adultos em explorações de bovinos leiteiros ao longo do ano de 2017, realizando-se inquéritos de modo a tentar encontrar possíveis relações entre o maneio praticado e os motivos de refugo. Embora a percentagem de inquéritos fosse pequena, concluiu-se que as causas de refugo mais comuns nas explorações avaliadas foram causas reprodutivas, produtivas e mastites; Abstract: Clinics and Surgery in Cattle On the following report are described the activities developed during a cattle clinics and surgery traineeship, as part of master’s degree in Veterinary Medicine from University of Évora. The first part describes the casuistics followed along the traineeship in the different areas of intervention in cattle. The second part of this report consists of a literature review on the topic “Culling reasons in dairy cattle”. Finally, it includes a retrospective study to identify the culling reasons in dairy cattle along 2017. Inquiries were also made in order to find if there is any relation between these reasons and the management practiced. Despite the reduced number of inquiries, it could be concluded that the most common culling reasons in evaluated dairy cattle are reproductive, productive and mastitis.
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Patel, Amit, Richard Veerman, Jodi Polaha, Leigh Johnson, Gina Flack, Michelle Goodman, Leona McAllister, and Monaco Briggs. "Addressing Gaps in Immunization Rates in a Family Medicine Residency Clinic." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/200.

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Adult immunizations effectively reduce morbidity, mortality, and transmission rates of multiple diseases; however, outpatient providers often a struggle to convince patients to accept vaccinations. This project’s aim is to address vaccination rates in our adult population, focusing first on the influenza vaccine in year one (2016), and then on pneumococcal vaccine in year two (2017), by 1) using a strong quality improvement strategy (known as a Champion Team) and 2) implementing a clinic program consisting of provider training, improved documentation, and informative posters targeted at patients. A quality improvement strategy known as a “Champion Team” provided a strong mechanism through which we developed and implemented the interventions across both years. Specifically, the Champion Team consisted of key stakeholders (nurses, residents, physician faculty, and informatics expert) who identified, developed, and evaluated the program. Programming included an annual health care professional training session for each vaccine (early fall of 2016 and 2017 for flu, spring 2017 for pneumococcal), improved documentation strategies and nursing uptake, and informative posters in the clinic. We assayed data from our patient electronic health record to evaluate: the percentage of our patient population for whom an immunization was documented relative to the number of unique patients seen in our clinic during that time frame. This approach in year one showed a marked increase in influenza vaccination rates in our clinic. During the 2014/2015 and 2015/2016 flu seasons our clinic vaccination rates were 39.98% and 42.05% respectively. After implementation of our champion team and clinic wide program to increase rates in 2016 our vaccination rates for the 2016/2017 flu seasons was 50.88%. Pneumonia data for a full year are under analyses and will be included in this presentation. We anticipate a similar increase in rates for our pneumococcal vaccinations. Our Champion Team and clinic wide program were perceived as relatively low-effort interventions yet appeared to increase vaccinations over the course of this study. The replication of these findings across pneumonia data (pending) and, in future work, with the herpes zoster vaccine (planned for Year 3), will increase our confidence that increases in rates were attributable to these very accessible interventions.
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Buthelezi, Sindisiwe. "Proteomic profiling of Nguni cattle liver tissue using gel and Gel-Free approaches: methodology development and potential applications." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/3121.

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Includes abstract.
Includes bibliographical references.
In South Africa, resource-poor farmers mainly depend on livestock farming for their livelihoods, with cattle production being the most important livestock sector. As a consequence of natural selection in stressful conditions, Nguni cattle have been reported to be metabolically superior to other cattle breeds under unfavourable conditions. Using proteomics, with mass spectrometry at the core of the analysis, the objective of this study was to establish a reliable set of methods for the protein profiling of Nguni cattle livers. To achieve this several alternative technologies were employed and their outcomes compared namely, two-dimensional electrophoresis, fractionation by solution phase iso-electric focusing-reversed phase chromatography (IEF-RP), offline strong cation exchange- low pH reversed phase chromatography (SCX-RP) and offline high pH reverse phase-low pH reverse phase chromatography (RP-RP). All solution based methods were coupled to a tandem mass spectrometer. Protein identification was performed using the ParagonTMAlgorithm of Protein Pilot v4.0 as well as PEAKS v6. The IEF-RP and RP-RP methods achieved similar results in terms of number of proteins identified. In addition, proteins that play a role in the urea cycle (which is believed to contribute to the Nguni cattle’s enhanced metabolic ability) were all identified with both techniques. The RP-RP method was selected as the most appropriate method for future research linked to this work and will be used in the next phase of this project, on the basis that it is easier to automate compared to the IEF-RP method. It will be used beyond the scope of this work to compare levels of expression and modification of the liver proteins and their isoforms in Nguni and Hereford cattle grown under adverse environmental conditions, in order to identify those that may contribute to enhanced liver metabolism in Nguni cattle. This will be complemented by the identification and characterisation of potential polymorphisms with in such proteins that can be used to select for this trait during breeding.
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Nalin, Emma R. "Building Relationships between a Free Clinic and Its Donors." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1404598/.

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This thesis presents qualitative research conducted in summer 2017 at the Finger Lakes Free Clinic, which provides free medical and holistic care to people without insurance in upstate New York. The primary goal of this research was to strengthen the relationship between a free clinic and its donors by gathering donor concerns and perceptions regarding federal healthcare policy. Data from 32 interviews with donors, staff, board members, and volunteers, along with 100 hours of participant observation revealed that donors to this clinic were concerned about the potential impact of Congressional healthcare reform yet did not consider federal policy a strong influence on their donations. Rather, donors cited dedication to local giving and personal connections with the clinic as their primary motivations. These motivations suggest the value of viewing the clinic-donor relationship as a relationship of reciprocity. From this framework, the research identifies opportunities for the clinic to reciprocate donor generosity while expanding services in response to a growing need. Insights from the research will guide the clinic's response to federal policy changes and support the clinic's vision of becoming a national model for integrative care.
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Asomaning, Margaret. "Impact of a Wellness Clinic Visit on Cardiovascular Risk Biomarkers in Employees of a VA Medical Center." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3713.

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Background: Worksite screening programs are increasingly being provided by employers as a means to reduce cardiovascular risk in employees. A screening program that consists of fasting serum analysis of glucose plus a lipid panel is offered yearly to employees at the VA medical center in Tampa. A retrospective study was conducted to determine if a wellness clinic exposure resulted in significant changes in employees' markers of cardiovascular risk. Methods: Computerized records were used to follow serial outcomes for glucose, triglycerides, HDL cholesterol, and LDL cholesterol in employees whose screening results showed abnormal levels of one or more of these markers. An intervention group with 66 subjects received a wellness clinic visit including a health risk assessment and education for lifestyle change, and a reference group with 109 subjects received only serum analysis. Outcomes at repeat screening were compared for the two groups. Results: Both groups showed improvement in cardiovascular risk. In the intervention group there was significant intra-subject improvement from baseline for all markers except glucose. For triglycerides and LDL cholesterol there was a significantly greater proportion of subjects who improved in the intervention group. In addition, the improvement for triglycerides was significantly better in the intervention group. Conclusions: This investigation confirms the value of a worksite wellness program in reducing cardiovascular risk in the population studied. A differential impact of age and gender was seen for glucose and triglycerides and indicates that such modifiers should be considered through covariate analysis in assessing wellness program effectiveness. Increasing levels of employee wellness participation to targets identified in this study and adding a health risk assessment for everyone screened will help to identify the specific benefits of the face to face wellness counseling intervention.
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Nilsson, Hampus, and David Lindqvist. "SMALL SCALE POWER GENERATION FOR A RURAL MEDICAL CLINIC : A minor field study in Linga Linga, Mozambique." Thesis, KTH, Skolan för industriell teknik och management (ITM), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-264114.

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In Sub-Saharan Africa, 76 % of the population lack access to electricity. This situation prohibits economic growth, causes major health issues, and impedes the education of its populace. Considerable work and effort are being made to increase the populace’s access to electricity. Even small amounts of electricity can make a difference and increase the quality of life. There have been several studies conducted that investigate possible solutions for small scale power generation in Mozambique, but the proposed solutions have not been implemented. Other studies have been carried out that investigate practical solutions for small scale power generation and implementing them, albeit not in Mozambique. This thesis therefore tries to cover the entire spectra, from possible solution to practical implementation, in Mozambique. This thesis is conducted as a case study, with a rural clinic in the village of Linga Linga, Mozambique, as case. The thesis analyses the clinic’s energy demand, the most suitable renewable energy resource for the clinic as well as local materials and components to construct a small scale power generation solution. The main research question that is answered is "What renewable and sustainable small scale power generation solution can be built, using local resources, to deliver electricity to a rural medical clinic?". To answer the main research question, necessary information was gathered, where Mozambique’s energy situation, renewable energy technologies in general and previous small scale energy projects in particular were studied. Thereafter, the energy demand as well as the daily variation of demand were investigated. An evaluation of which renewable energy resources that were locally available and most suitable was also conducted. Finally, a small scale power generation solution, using local material and components, was constructed and evaluated. The energy demand of the clinic was estimated to be 2 795 Wh per day, with a maximum power demand of 150 W. The energy demand consisted of five lamps and one refrigerator. Solar energy was evaluated as the renewable energy resource most suitable for the particular area. Moreover, a solar power system was constructed, with a maximum power of 880 W and a total battery energy capacity of 5 760 Wh, of which 50 % can be utilised without risking the health and lifetime of the batteries. The total cost for the solar power system amounted to 141 482 MZN, corresponding to circa 20 447 SEK. The purpose with the thesis was to evaluate a viable way to produce electricity and to implement a practical solution for a medical clinic. With a solar power system in place, the life quality of the inhabitants in Linga Linga has been improved. Looking forward, this thesis provides a piece of the puzzle for how electrification of rural Sub-Saharan Africa can be conducted, from energy demand to installation, and contributes to the Agenda 2030 goal of clean energy for everyone.
I Subsahariska Afrika saknar 76 % av invånarna tillgång till elektricitet. Detta leder till försämrad ekonomisk tillväxt, betydande hälsoproblem och undermåliga utbildningsresultat. Omfattande arbete och åtgärder genomförs för att förbättra situationen och öka tillgången till elektricitet. Även den minsta mängd elektricitet kan göra skillnad och höja livskvaliteten. Flera studier har gjorts där möjliga lösningar för småskalig kraftproduktion i Moçambique utreds, men inga föreslagna lösningar har implementerats. Det har också gjorts studier som har undersökt praktiska lösningar för småskalig kraftproduktion och därefter implementerat dessa, om än inte i Moçambique. Denna studie försöker därför täcka hela spektrat, från möjlig lösning till implementering, i Moçambique. Denna studie genomförs som en fältstudie där en klinik i byn Linga Linga på den moçambikanska landsbygden står i fokus. Studien analyserar klinikens energibehov, den mest lämpliga förnybara energikällan samt de mest lämpliga lokala materialen och komponenterna nödvändiga för att bygga en småskalig kraftproduktionslösning. Huvudfrågan som utreds och besvaras är: "Vilken förnyelsebar och hållbar småskalig kraftproduktionslösning kan byggas med lokala resurser för att förse en medicinsk klinik på landsbyggden med elektricitet?". För att besvara huvudfrågan har nödvändig information inhämtats, där energisituationen i Moçambique, förnybara energiteknologier och tidigare projekt rörande småskalig kraftproduktion studerats. Därefter undersöktes energibehovet och den dagliga variationen av energiförbrukningen i kliniken. Vidare utvärderades vilka förnybara energikällor som var lokalt tillgängliga och mest lämpliga. Slutligen konstruerades en småskalig kraftproduktionslösning av lokalt tillgängliga material och komponenter. Energibehovet för kliniken uppskattades till 2 795 Wh per dag, med ett maximalt effektbehov om 150 W. Energibehovet består av fem lampor och ett kylskåp. Solenergi utvärderades som den lämpligaste energikällan för applikationen. Ett solkraftssystem konstruerades också, med en maximal effekt om 880 W och en total batterikapacitet om 5 760 Wh, av vilken 50 % kan användas. Den totala kostnaden för systemet uppgick till 141 482 MZN, motsvarande cirka 20 447 SEK. Avsikten med denna studie var att utvärdera både en teoretisk möjlig lösning såväl som en praktisk implementering av en kraftproduktionslösning till en klinik. Med ett system på plats, har nu livskvaliteten för invånarna förbättrats. För den framtida forskningen bidrar denna studie till att lägga kunskapspusslet om hur elektrifiering av subsahariska Afrika kan genomföras, från energibehov till installation, och bidrar därmed till Agenda 2030 och det globala målet om hållbar energi för alla.
Na África subsaariana, 76 % da população não tem acesso a electricidade. Este problema inibe o crescimento económico, causa enormes problemas de saúde e conduz a precários resultados em matéria de educação. Trabalhos e esforços consideráveis têm sido envidados no sentido de aumentar o acesso à rede eléctrica. Por menor que seja o sinal de energia, pode fazer a diferença e melhorar a qualidade de vida. Diversos estudos têm sido realizados com vista a encontrar possíveis soluções para geração de energia de pequena escala em Moçambique contudo, as soluções propostas não chegaram a ser implementadas. Outros estudos foram levados a cabo de forma a encontrar soluções práticas de geração de energia em pequena escala e a sua implementação mas não em Moçambique. Esta tese, por sua vez, procura cobrir o espectro completo, partindo de uma possível solução para uma implementação prática em Mocambique. Esta tese é realizada como um estudo de caso, baseado em uma clínica localizada na vila de Linga Linga, Moçambique. A tese analisa a demanda de energia da clínica, os recursos de energia renováveis mais apropriados assim como os materiais locais e componentes necessários para a construção de um gerador de energia de pequena escala. A principal questão da pesquisa a qual se responde é " Que geradores de energia de pequena escala renováveis e sustentáveis se podem construir com o uso de recursos locais por forma a fornecer energia a uma clínica médica?". Para responder a principal questão da pesquisa, foi levada a cabo uma revisão literária, onde se estudadou a situação de acesso a energia em Moçambique, as tecnologias de energias renováveis no geral e os projectos anteriores voltados para a energia de pequena escala. Em seguida, a procura pela energia foi de igual modo investigada como variação diária. Foi feita uma avaliação sobre os recursos de energias renováveis disponíveis localmente e os mais apropriados. Por fim, uma solução para geração de energia de pequena escala com recurso a materiais e componentes locais foi construída e avaliada. A demanda da clínica foi estimada em 2 795 Wh por dia, com uma demanda máxima de 150 W de energia. As exigências de energia consistiam em cinco lâmpadas e um refrigerador. A energia solar foi avaliada como sendo a energia renovável mais apropriada para a área em particular. Adicionalmente, foi construído um sistema de energia solar com potência máxima de 880 W e uma capacidade total da bateria de 5 760 Wh, dos quais se pode usar 50 %. O custo total do sistema de energia solar totalizou 141 482 MZN, correspondendo a cerca de 20 447 SEK. A tese tenciona avaliar uma forma viável de produzir electricidade e implementar uma solução prática para uma clínica médica. Com o sistema de energia solar estabelecido, a qualidade de vida dos habitantes de Linga Linga foi melhorada. Olhando para frente, esta tese oferece uma solução sobre como se pode processar a electrificação da África subsaariana, desde a demanda pela energia até a sua instalação e seu contributo para a meta energia limpa para todos da Agenda 2030.
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41

Washington-Turay, Yvonne. "Analysis of Latent Tuberculosis Infection Treatment Adherence in an Inner-City Clinic." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5285.

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More than 10 million people in the United States are known to have latent tuberculosis infection (LTBI), and more than 300,000 begin treatment for LTBI annually. However, many fail to adhere to therapy for numerous reasons. The purpose of this project was to evaluate the impact of a new guideline, Targeted Tuberculin Testing and the Treatment of Latent Tuberculosis, at inner-city tuberculosis (TB) control clinic in the United States. The practice-focused question for the project asked if the implementation of the clinical guideline using a shorter regimen improved LTBI treatment adherence. The health beliefs model was the framework used to guide the project. I analyzed data from deidentified LTBI treatment adherence records of 12 patients before the change to the shorter treatment regimens and 12 patient records 1 year after the change. Results after implementation of the new treatment guideline showed no improvement in adherence. Before the guideline implementation, 75% (n=9) of individuals had adhered to traditional therapy whereas, after the shortened course was implemented, only 66.7% (n=8) of the random sample adhered to treatment. It is important to evaluate new methods of treatment and determine success early to promote health and reduce complications of ineffective treatment of TB. These results can support positive social change by raising awareness of the need to evaluate new treatment effectiveness early. Such knowledge can help providers and clinicians examine the barriers to adherence to the medications used for treating TB and implement appropriate measures to overcome the obstacles.
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42

Lin, Li-Hsiang, and 林莉翔. "To Determine the Key Factors for Selecting Primary Care Clinic, Dental Clinic and Medical Treatment Clinic." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/58861104439579324777.

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碩士
國立中興大學
行銷學系所
101
Because of rising general incomes in recent years, Taiwan’s health expenditure also increases. The public asks for evident effects of the treatment, comfortable medical environment, fine service quality, friendly service attitudes, etc. accordingly On the other hand, Taiwanese Government enforces “global budget system” for National Health Insurance Act, which draws up the maximum expenditure of next year’s National Health Insurance and arouses more intense competition among medical institutes. Therefore, the operators of these medical institutes manage to fulfill their patients’ demands; in this way, their patients will stick to their medical institutes. In light of this phenomenon, this study discusses and compares the difference of key factors when the public chooses clinics. This study investigates primary care clinics and dental clinics, both of which the public visits the most frequently and the number overpasses that of all the primary medical institutes by over 50%. In addition, the public in Taiwan gradually accepts cosmetic surgery in recent years, and the government also regards medical cosmetology as one of the important items in promoting health industry internationalization; seeing the potential of medical cosmetology, we take cosmetic medical treatment clinics into this study’s investigation subjects too. We collected 31 factors among abroad and domestic literary review about the public’s choice of medical institutes and satisfaction degree of the medical treatment. We classified these 31 factors into three groups: before, during, and after the medical treatment. We further combined related factors into 25 factors, and extracted 17 key factors when the public chooses primary care clinics, dental clinics, and cosmetic medical treatment clinics by means of grey relational analysis. There are four factors classified into before medical treatment group: dental clinics: the professional background of the dentists, previous experiences in the dental clinic; cosmetic medical treatment clinics: the professional background of the doctors, the evaluation of the cosmetic medical treatment clinic. There are ten factors classified into during medical treatment group: primary care clinics: the doctors’ techniques, doctors’ explanation before treatment, nurses’ service attitudes, doctors’ service attitudes; dental clinics: the doctors’ techniques, nurses’ service attitudes, doctors’ service attitudes; cosmetic medical treatment clinics: the doctors’ techniques, doctors’ explanation before treatment, concealment of the treatment spaces. There are three factors classified into after medical treatment group: primary care clinics: the effects of the treatment; dental clinics: the effects of the treatment; cosmetic medical treatment: the effects of the treatment. At the end, we compared the difference between the three kinds of clinics, and offered our advices about how the operators of these three kinds of clinics can manage their clinics based on each key factor. Key Words: choices of medical institutes, primary care clinics, dentists, cosmetic medical treatment clinics, grey relational analysis.
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Chang, Chyi-Sen, and 張其軒. "Strategic marketing analysis of Aesthetic medical clinic." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/b2ge8f.

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Lin, Fay-June, and 林芳如. "A study of Taiwan Customer index Model- Chinese Medical Clinic A study of Taiwan Customer index Model- Chinese Medical Clinic industry." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/11648723153024119102.

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碩士
嶺東科技大學
經營管理研究所
98
ABSTRACT Chinese Medical Clinics have been recently improving their service qualities by upgrading service quantities. In order to satisfy every patient's needs under the intensive competition resulted from the change of demography and the aging of the whole population. The purpose of research is to demonstrate the level of customer satisfaction based on Taiwan Customer Satisfaction Index(TCSI) regarding to the services provided in two Chinese medical clinics located in Taichung City. The Partial Least Squares(PLS) is applied to estimate TCSI the score of all related variables scores. And the result of 285 effective surveys, with 81.4% collection rate, were .from two Chinese Medical Clinics in Taichung, the statistic is calculated by PLS and the results of clinic's reputation, service quality, patient's expectation, and perspective match with TCSI ( ) in 70.8%. This research points out that patient's expectation doesn't have positive relationship effect with customer's satisfaction and perspective but other hypotheses are proved as TCSI model. Through Important- performance Analysis(IPA), the advantages of Chinese Medical Clinic to keep the great quantity are to be patient, professional and experienced. So the only way to keep a long term business is to increase customer satisfaction.
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Tsai, Che-Hung, and 蔡其洪. "Constructing A Management Opportunity Grid of Primary Medical Clinic-An Example of Tsai Che-Hung ENT Clinic." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/wmxy8v.

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碩士
國立中興大學
高階經理人碩士在職專班
101
The main purpose of this research is to extract the core competence of primary medical clinic, construct the management opportunity grid and competitive matrix of Tsai Che-Hung ENT clinic and nearby. In this research, the primary medical clinic will comprehend (1) how to distribute their resources efficiently, (2) the sequence of medical service item, (3) how to manage competitive strategies. According to previous primary medical clinic service, development and management studies, the researcher developed five capable sectors of primary medical clinic service items, generalized 26 questions, and then designing questionnaire method to survey. The researcher retrieved 107 questionnaires. After statistical analysis, this research found out most of the service items of primary medical clinic are distributed into specialist image and equipment structure. Therefore, the primary medical clinic should maintain the basic service quality of a doctor’s profession when they are trying to develop other service items. Lastly, focal clinic should distribute their resources to improve the unsatisfied but most important service item to attract the patients.
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Li, Ming-tsan, and 李明燦. "A Study of Medical Service Disputes Overthe Chinese Medicine Clinic." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/02835170001757219053.

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碩士
國立高雄大學
高階法律暨管理碩士在職專班(EMLBA)
99
This study wants to discuss medical service dispute about Chinese medicine with patients. And it undertakes the survey on: the three stages of disputant symptoms, five steps of disputant experiences, and the clinical characteristics of personal information that includes these three aspects. This survey collects differences between personal information in basic datum and any aspects of clinical characteristics in all Chinese Medicine Clinic in Kaohsiung City. Moreover, it also uses the weight which degree of agreement to compare the meanings of disputable symptoms which differences in weighting before and after. Besides, this survey also investigates the models of disputable experiential processes. This survey is to investigate the medical professionals in all Chinese Medicine Clinic in Kaohsiung City. By using the personal information, clinical traits, disputant experiences, and disputant symptoms to estimate the medical malpractice disputes what the interviewees hear or meet. About 150 questionnaires have been sent out, and some 138 questionnaires received, indicating that the effective response rate is 73.33%.. The major findings indicated that every one of eight Chinese Medicine professionals has medical service dispute. The main characticatic of disputed medical professional is female, age of 30 to40, with post-baccalaureate Chinese Medicine, abtained Ph.D., and with over 20 years practices. Also, every one of nine Chinese Medicine professionals has clinic dispute and paid compensation. The general amount of compensation is about $100 thousand NT dollars. The range of compensation is from $50 thousand to $3 million NT dollars.
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47

Chiang, Ching-hsiang, and 江慶祥. "The Study for Medical Seeking Behavior of Customers in Plastic Clinic- A Plastic Clinic in Tainan as Example." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/21056183877430833496.

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碩士
國立成功大學
高階管理碩士在職專班
96
Abstract This research primarily focused on inquiring into the relativity between the consumers with different lifestyle and their information search behavior. Moreover, we predict the influences of lifestyle on the decision to accept the plastic and cosmetic procedures. Then join another census-taking variable, past experience for the plastic and cosmetic procedures, experience factor of the network contact to inquire into it and the relativity of the information search behavior. The new patients in the plastic clinic in Tainan City were included as questionnaire research object. The research period was from April 2007 to August 2007 and totally issues 324 questionnaires. Eventually, the study has collected 312 valid questionnaires, which are 92.3% of total ones. The statistic software, SPSS ,was applied to analyze the collected data and the major empirical findings of this research were presented below: 1. At the customer attribute, the female occupied greatly part of over 80%; and the main guest layer concentrated at 21-40 years old; and the level of Education University above had three quarter. Higher acceptability to the plastic and cosmetic procedures was found in the young females and the office workers who contact the public frequently. 2. The first five consultative contents in order were Laser therapies for nevi or pigmented lesions, IPL (Intense pulsed light), Hyaluornic acid injection, Soft Laser, and the Botulinum toxin injection to be juxtaposed with double eyelid for the fifth. Laser therapies for nevi or pigmented lesions, IPL (Intense pulsed light), and Soft Laser were categorized to Laser and Light therapies. Moreover, Hyaluornic acid and Botulinum toxin injection were categorized to minor plastic procedures. It was thus clear that the procedures that were less invasive were more popular. As for the sources of information search, the internet and the mass media had very important position in the dissemination of information, while the percentage of traditional person-to-person direct dissemination was lower. 3. In the aspects of studying assumption, the whole customer of different lifestyle had no significant difference in the source number of information collection, the number of consultation, and sequence of information consideration factor. For the relativity between the experiences and the information search behavior, only past experience in plastic and cosmetic procedures or not had significant difference in the source number of information collection, and the number of consultation. In addition, the network experience was irrelevant. Moreover, occupation and monthly controllable surplus amount had significant difference in the number of consultation. And the sex and the residence had significant difference in the source number of information collection. Key words:Plastic and Cosmetic Procedures, Lifestyle, Information Search Behavior.
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LU, SHANG-JUNG, and 呂上榮. "TCM medical treatment and medical service satisfaction survey- Take Chong Yi Clinic as an example." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/fp9uc8.

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碩士
正修科技大學
經營管理研究所
107
Medical institutions has actively established close interaction with customers, and the establishment of “patient orientation” has become a core competitive advantage for the sustainable operation of medical institutions. The Chinese medical service market has been booming in the recent years. This market has made medical institutions and scholars pay more and more attention to patient satisfaction and how to improve the quality of medical services, while paying more attention to maintaining good relationships with patients (Chen, Zheng and Fang, 2005) , and the key to establishing a good doctor-patient interaction. The clinic outpatient analysis can enhance the important source of knowledge of customer satisfaction, paying attention to the quality of medical services, and providing patients with excellent medical services to create better medical services for clinics and more valuable customer relationships. This study used the "Traditional Chinese Medicine Clinic" as the research topic. Based on the conceptual framework and reference to existing principles, theories, philosophies, rules of thumb or research results, the clinic patients will be the subject of research. This study explored the effect of medical service quality on patient’s satisfaction of one of Kaohsiung City’s traditional Chinese medicine clinic through survey. "Quality of medical services" affects the patients awareness of the "patient satisfaction" of medical institutions. Furthermore, because patients with different levels of sensory perception have a significant difference in the quality of medical service and patient satisfaction in medical institutions. In view of the above results, in addition to the efforts to improve the quality of medical services and medical image, strengthen the standards of various medical services, and develop new service items and contents. Chinese medicine clinic should strengthen and implement the foundation work on the patient-oriented concept to organize service quality information for the medical institution itself and the people and the patients, in order to create the value of meeting the needs of the patients, so that the operation of the medical institution can conform to the trend of the times and exert its professional service. Keywords: medical quality, satisfaction, innovative management, medical services
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49

Hung, shuching, and 洪淑菁. "Using Kano Model to Explore The Medical Service Quality -A Case of Chinese Medical Clinic." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/qaa5gz.

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Abstract:
碩士
大葉大學
管理學院碩士在職專班
101
Since the implementation of the National Health Insurance in 1995, the general public has demanded a higher standard on medical care, thus health care facilities have been committed to enhancing the quality of medical service in order to improve operational performance. With the fierce competition among Chinese medical clinics and the limitation of cost control posed by the Global Budgeting of National Health Insurance, the impact on managing clinics have been tremendous. The aim of this study is to explore Chinese medical clinic’s service quality attributes, which classifies the service qualities into must-be quality, one-dimensional quality, indifferent quality, attraction quality and reverse quality, using Kano’s Two-Dimension Model. Whether different demographic variables attribute to how service qualities are classified with significant difference is also investigated. Then the data is analyzed according to quality improvement indicators to find the areas that Chinese medicine clinics can improve to enhance patients’ satisfactions and decrease their dissatisfactions. The results show that among 28 important medical service quality items, three are classified as attraction qualities, four as one-dimensional qualities, eight as must-be qualities, thirteen as indifferent qualities and no reverse quality is found. Moreover, different demographic variables also perceive Chinese medical clinics’ service quality attributes differently.
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50

Jiang, Shiang-Huei, and 江香慧. "Effectiveness of Smoking Cessation Clinic among Inpatients in a Medical Center." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/90369247923885661304.

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Abstract:
碩士
國防醫學院
公共衛生學研究所
103
Introduction: Smoking has been identified as a risk factor for many diseases and death. The Health Promotion Administration has participated in the ENSH-Global Network for Tobacco Free Healthcare Services in 2011, and March 1, 2012, it implemented the “second generation smoking cessation pilot program” in order to expand access to the smoking cessation treatment to a large target group. However, there very little literature which evaluates the effectiveness of smoking cessation programs for inpatients. Objective: The aim of this study was to evaluate the effectiveness of referrals to smoking cessation clinic, and to assess factors influencing the success of quitting among inpatients. Methods: A quasi-experimental study was conducted at a medical center in the north of Taiwan. Inpatients who were willing to quit during July through November in 2014 assigned themselves to either the group attending the smoking cessation clinic (intervention group) or the group quitting on their own (control group). Demographic factors, attempts to quit, motivation to quit, and nicotine dependence were collected via questionnaires. Follow-up assessments were conducted at 1 week, 1, 3, and 6 months postdischarge by telephone. Results: The 7-day point prevalence abstinence of intervention group at 1 week, 1, 3, and 6 months was 43.5%, 31.8%, 35.0% and 35.0%; that of the control group was 50.0%, 47.8%, 36.6% and 29.3% respectively. The continuous abstinence of intervention group at 1, 3, and 6 months was 27.3%, 25.0% and 25.0%; the control group’s was 47.8%, 34.1% and 24.4% respectively. In multivariate logistic regression analysis, the main factors influencing abstinence are self-efficacy, number of hours worked per week, years of smoking, and educational level. Conclusion: The continuous and 7-day point prevalence abstinence did not differ between the intervention group and control group in the 6-month follow-up. However, nicotine dependence at 6 months was significantly lower when compared to the baseline.
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