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Journal articles on the topic "Medical Office Clinic"
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Hoke, Cassandra N., and Susan Franks. "Work site, physician's office, or medical university clinic." Eating Behaviors 3, no. 1 (March 2002): 93–100. http://dx.doi.org/10.1016/s1471-0153(01)00053-8.
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Davis, Victorja J., and Sheila Dunn. "Private Office Versus Clinic Medical Abortion in Young Women." Journal of Pediatric and Adolescent Gynecology 11, no. 4 (November 1998): 203. http://dx.doi.org/10.1016/s1083-3188(98)70285-2.
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Rader, Florian, Stanley S. Franklin, James Mirocha, Wanpen Vongpatanasin, Robert W. Haley, and Ronald G. Victor. "Superiority of Out-of-Office Blood Pressure for Predicting Hypertensive Heart Disease in Non-Hispanic Black Adults." Hypertension 74, no. 5 (November 2019): 1192–99. http://dx.doi.org/10.1161/hypertensionaha.119.13542.
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Black Americans suffer disproportionately from hypertension and hypertensive heart disease. Out-of-office blood pressure (BP) is more predictive for cardiovascular complications than clinic BP; however, the relative abilities of clinic and out-of-office BP to predict left ventricular hypertrophy in black and white adults have not been established. Thus, we aimed to compare associations of out-of-office and clinic BP measurement with left ventricular hypertrophy by cardiac magnetic resonance imaging among non-Hispanic black and white adults. In this cross-sectional study, 1262 black and 927 white participants of the Dallas Heart Study ages 30 to 64 years underwent assessment of standardized clinic and out-of-office (research staff-obtained) BP and left ventricular mass index. In multivariable-adjusted analyses of treated and untreated participants, out-of-office BP was a stronger determinant of left ventricular hypertrophy than clinic BP (odds ratio per 10 mm Hg, 1.48; 95% CI, 1.34–1.64 for out-of-office systolic BP and 1.15 [1.04–1.28] for clinic systolic BP; 1.71 [1.43–2.05] for out-of-office diastolic BP, and 1.03 [0.86–1.24] for clinic diastolic BP). Non-Hispanic black race/ethnicity, treatment status, and lower left ventricular ejection fraction were also independent determinants of hypertrophy. Among treated Blacks, the differential association between out-of-office and clinic BP with hypertrophy was more pronounced than in treated white or untreated participants. In conclusion, protocol-driven supervised out-of-office BP monitoring provides important information that cannot be gleaned from clinic BP assessment alone. Our results underscore the importance of hypertension management programs outside the medical office to prevent hypertensive heart disease, especially in high-risk black adults. Clinical Trial Registration— URL: https://www.clinicaltrials.gov . Unique identifier: NCT00344903.
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Nagovski, Neil, Amanda Brahim, Patrick Taylor Reynolds, and Marco Ruiz. "Successful integration of palliative care services into the multidisciplinary multiple myeloma clinics: An observational study based on a single institution experience." Journal of Clinical Oncology 35, no. 31_suppl (November 1, 2017): 142. http://dx.doi.org/10.1200/jco.2017.35.31_suppl.142.
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142 Background: The pain syndromes, both acute and chronic are prevalent and often the only complaints affecting the patients’ quality of life and functional capacity. Here we describe our experience of successful integration of palliative care service into multiple myeloma (MM) management in a form of the disease specific multidisciplinary clinic. Methods: We have established a dedicated monthly multidisciplinary clinic for all patients diagnosed with symptomatic MM as a pilot project to incorporate different specialties involved in MM care with the goal to improve on disease management, increase compliance with office visits, reduce emergency department visits and benefit a healthcare system. Patients were able to have the same day visits with medical oncologist, radiation oncologists, palliative care physician, integrative medicine and medical psychologist. Over the course of two years (April 2015 through March 2017), we provided care to 39 unique MM patient. Results: After medical/transplant oncology encounters (N = 601), the most encountered specialists were palliative care (N = 208), followed by radiation oncology (N = 34) and integrative medicine/medical psychology (N = 33). The rate of missed office visits for multidisciplinary clinic was 5%, compared to average 7% for all cancer patients at our center. The rates of emergency department visits were rising in proportion to non-compliance with multidisciplinary clinic visits (correlation coefficient 0.43) Conclusions: Patients with MM cared for at the multidisciplinary clinic had better compliance with office visits and fewer unplanned emergency department visits in comparison patients with other oncologic disorders. The rates of emergency departmentvisits were proportional to non-compliance with multidisciplinary clinic visits. The degree of utilization of integrative medicine and psychology was comparable to radiation oncology encounters suggesting that psychological, behavioral, dietary interventions, complementary, physical therapies and rehabilitation have an important and growing role in MM management.
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Kоpasov, Ye A. "Problems of management of commercial stomatological clinics." Bulletin of Siberian Medicine 2, no. 2 (June 30, 2003): 81–85. http://dx.doi.org/10.20538/1682-0363-2003-2-81-85.
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As economic conditions have changed the system of medical aid management requires the development and realization of new methodological-organizing principles. At present stomatologic clinics are working in conditions of severe competition. This dictates the necessity to arrange their work more efficiently and to forecast the development of these or that situations. Modern stomatologic clinic or private dentist’s office should be considered as a unified complex that requires the efficient management and supervision. There is required a constant analysis of efficiency and a timely revealing of neglects and defects. It is also critical to analyze an activity of a clinic in various situations and to forecast the main activities for future.
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Darr, Amber Y., and Sarah Gottfried. "Identifying vaccination rates of adult patients in ambulatory care clinics." SAGE Open Medicine 8 (January 2020): 205031212093546. http://dx.doi.org/10.1177/2050312120935461.
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Background: While pharmacists have provided vaccinations to patients in the community pharmacy setting, pharmacist involvement within the medical office setting is not well documented in the literature. The American Society of Health-System Pharmacists reports that ambulatory care pharmacists are screening for and administering vaccinations at a declining rate, despite standards of practice. Vaccination rates for adults 19–64 years of age remain low, based on Healthy People 2020 goals, putting them at risk for vaccine-preventable diseases. Objectives: The aim of the study was to assess vaccination rates of ambulatory care pharmacy clinic patients aged 19–64 years and to compare the rates between three clinics and to Healthy People 2020 goals. Methods: This was a baseline retrospective analysis of vaccination rates for patients aged 19–64 years who attended at least one pharmacy clinic visit at one of the three medical office practices. Age, sex, medical conditions, cigarette or alcohol use, immunosuppressive medications, and vaccines recommended and received were recorded. Vaccination status was assessed according to the Advisory Committee for Immunization Practices recommendations. Data were collected from January 2016 to March 2017. The percentage of eligible patients who received each vaccine was determined overall and for each clinic. Results: There were 240 patients who met the inclusion criteria, with a mean age of 52.8 years. The percentage of patients with vaccination documented in the medical record was 25% for pneumococcal conjugate, 35.7% for pneumococcal polysaccharide, 26.9% for zoster vaccine live, 6.4% for hepatitis B, and 50.6% for tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis. Vaccination rates for pneumococcal conjugate, pneumococcal polysaccharide, and zoster vaccine live were below established Healthy People 2020 goals. Conclusion: Vaccination rates remain low in adults 19–64 years of age. Ambulatory care pharmacists should consider assessing vaccination status during clinic visits as a component of comprehensive vaccination programs.
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Nemtyryova, L. F., K. I. Grigoriev, and I. V. Balashova. "Marketing analysis of the role of a nurse in counseling parents in the office of a healthy child in children's polyclinic." Experimental and Clinical Gastroenterology, no. 11 (November 20, 2019): 36–43. http://dx.doi.org/10.31146/1682-8658-ecg-171-11-36-43.
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The aim is to analyze the activities of nurses in the offices of a healthy child in children’s policlinics in Moscow to optimize counseling and improve the quality of preventive work. Materials and methods. The data of official statistics and statistical reports of the office of a healthy child clinic. The method of statistical analysis of data for the study period, analysis of medical services and quantitative method of SWOT-analysis of 75 parents of children who visited the office of a healthy child. Results and discussion. Analysis of the office of a healthy child clinic revealed additional opportunities for the organization of primary prevention of gastroenterological diseases. It was found that the leading position on perenatal counselling is given to the nurse, and nurses with higher medical education have the advantage. It is advisable to revise the regulatory framework for the functioning of the Cabinet of healthy child and provide modern equipment, the introduction of modern methods of organization of work taking into account the training/retraining of nurses with higher education. In the course of advisory and educational work, a nurse with higher education uses the accumulated psychological and pedagogical skills, and parents receive professional information on the development of young children, which ultimately ensures the introduction of new health-saving technologies into practice. Conclusion. The results of the situational analysis of the activities of a nurse in a healthy child’s office allow us to optimize the process of counseling the speed of decision-making to improve the quality of preventive work in a children’s policlinic.
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Howard, Anna, Julia Kerr, Monica McLain, and Jessie Modlin. "Financial impact from in-office dispensing of oral chemotherapy." Journal of Oncology Pharmacy Practice 25, no. 7 (September 24, 2018): 1570–75. http://dx.doi.org/10.1177/1078155218799853.
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Background Oral chemotherapy agents are being prescribed more frequently in many cancer types. In-office dispensing of oral chemotherapy agents has demonstrated clinical benefits and also shown financial benefit to third-party payers. A previous publication estimated over $200,000 in cost savings annually from in-office dispensing solely from medications returned to stock for credit. However, pharmacists in the in-office setting perform many other interventions that may affect financial outcomes. Objective Assess financial impact of oral chemotherapy in-office dispensing by a clinic-based oral chemotherapy program serving five outpatient cancer centers in Southern Idaho. Outcomes include calculated monetary waste and cost avoidance of oral chemotherapy prescriptions from in-office dispensing and mail-order pharmacies. Methods Prescriptions received by the clinic-based oral chemotherapy program for filling through in-office dispensing and mail-order pharmacies were monitored for monetary waste and cost avoidance events from December 2016 through May 2017. Information was collected on the number of returned medications, therapy discontinuations, and dose adjustments. Monetary outcomes were calculated using average wholesale price. Results During the six-month evaluation, prescriptions filled through in-office dispensing had a total cost avoidance of $1,020,193 ( n = 154) and total waste of $154,985 ( n = 36) resulting in an estimated net cost avoidance annually of $1,730,416. Prescriptions filled through mail-order had a total cost avoidance of $20,497 ( n = 4) and a total waste of $80,394 ( n = 15) resulting in an estimated $119,794 net annual waste. Conclusions In-office dispensing of oral chemotherapy provided significant cost savings to third-party payers compared to mail-order pharmacy dispensing. Continued evaluation may help further justify the importance and value of in-office dispensing.
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Rohrer, James E., Kurt B. Angstman, and Joseph W. Furst. "Early return visits by primary care patients: a retail nurse-practitioner clinic versus a medical office walk-in clinic." Primary Health Care Research & Development 11, no. 01 (December 10, 2009): 87. http://dx.doi.org/10.1017/s1463423609990387.
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Faizullina, Elena V., N. A. Fedorova, A. A. Novruzova, and R. V. Leukhin. "PAGES OF HISTORY OF THE KAZAN SCIENTIFIC SCHOOL OF DERMATOVENEREOLOGY: THE LIFE AND WORK OF V.F. BURGSDORF." Russian Journal of Skin and Venereal Diseases 20, no. 5 (December 15, 2017): 316–19. http://dx.doi.org/10.18821/1560-9588-2017-20-5-316-319.
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The main stages of life and activity of V.F. Burgsdorf (1864-1935), his scientific achievements and priorities as the founder of one of the largest scientific schools in Russia are described. The representatives of this school made a huge contribution to the development of national dermatovenereology. Special attention was paid to the contribution of V.F. Burgsdorf in the creation of the second Russia svetlichnoe (phototherapy) offices in the STI clinic (Skin and Venereologic clinic) of A.G. Gе in Kazan on the territory of which currently is the Republican dermatovenerologic Dispensary. The work of A.G. Gе (1889-1925) in the STI clinic became one of the most productive periods of life and activities of V.F. Burgsdorf. In November 1900 V.F. Burgsdorf opens svetlichnoe (phototherapy) office with the support of prof. A.G. GE. Due to his medical and public authority, V.F. Borgsdorf received a large donation from the Empress Maria Feodorovna for his further development. V.F. Burgsdorf devoted much of his life to the development of treatment and prevention of skin and venereal diseases, organization of scientific researches and improvement of medical education in Russia. V.F. Burgsdorf greatly improved the system of medical care for patients.
Dissertations / Theses on the topic "Medical Office Clinic"
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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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Roberts-Andersen, Janet Patricia Hawkins Peggy L. Morin Patricia J. Erhlich Donna. "The perceived role of physician office health coaches in delivering chronic care to patients in a primary care clinic group in the midwest a phenomenological qualitative study /." Click here for access, 2009. http://www.csm.edu/Academics/Library/Institutional_Repository.
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Thesis (Ed. D)--College of Saint Mary -- Omaha, 2009.A dissertation submitted by Janet Patricia Roberts-Andersen to College of Saint Mary in partial fulfillment of the requirement for the degree of Doctor of Education with an emphasis on Health Professions Education. This dissertation has been accepted by the faculty of Saint Mary by: Peggy L. Hawkins, PhD, RN, BC, CNE, Professor, Health Professions ; Pat Morin, PhD, RN ; Donna Erhlich, PhD. Includes bibliographical references.
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Manton, Jesse West. "Medical Emergency Management in the Dental Office: A Simulation-Based Training Curriculum for Dental Residents." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1565360422025093.
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Erumeda, Neetha Joe. "A self assessment study of procedural skills in medical officers at District Hospitals in Region B Gauteng Province South Africa." Thesis, 2012. http://hdl.handle.net/10539/11087.
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Background
The role of district hospital doctors in South Africa includes providing effective and efficient primary health care and referral of patients to more specialist care when needed. The doctors who work in these district hospitals have varying levels of clinical and procedural skills. Much research has been done on this topic in rural areas of South Africa; however there is insufficient information on the skills of doctors in urban district hospitals. The aim of this study was therefore to conduct a self-assessment study of procedural skills of medical officers in three district hospitals in Region B, Gauteng Province, which is mostly an urban area. It is hoped that the results of this study can be used to influence the development of appropriate training programs which will capacitate Medical officers to function effectively within the district hospitals.
Methodology
The study was a descriptive cross sectional study of all the doctors in all the three district hospitals in the region during the period of October 2009-November 2009 using a self-administered questionnaire. Doctors assessed themselves on 71 procedures considered to be required at district hospital level.
Results
The results show that there was varying level of self-reported competence in procedural skills among doctors, ranging from some procedures being performed independently to some performed with support, and to some where there was even unfamiliarity with certain procedures. There was some association between perceived overall competence in procedural skills with factors such as age, gender and years of experience, but no association with place of under graduate study, discipline and Family Medicine training. There was statistically significant association between age and overall anaesthetic competence (p=0.03), gender and overall competence in surgery (p=0.03), orthopaedics (p=0.02), urology (p=0.005), years of experience and overall competence in dermatology skills (p=0.02). Junior doctors reported higher competence in anaesthesia, whilst male doctors reported higher competence in surgical, orthopaedic and urology procedures. The organizational and management structure of the hospital where the doctors are currently working was also identified as a significant factor which affected the overall reported competence.
Conclusion
The study demonstrates that there are varying level of self-reported competence in procedural skills amongst doctors in urban district hospitals. This research study identifies the need for training in the procedural skills that the doctors have identified themselves as not competent to perform. Greater clarity regarding skills required of doctors in district hospitals is needed.
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Mbindyo, Patrick Mutinda. "Roles, norms and incentives influencing the performance of clinical officers in Kenyan rural hospitals." Thesis, 2013. http://hdl.handle.net/10539/12288.
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This work explored perceptions regarding the roles, norms and incentives influencing the performance of Clinical Officers (COs) in rural district hospitals in Kenya. In order to improve access to health care mainly in rural areas, COs are increasingly being used to perform tasks that were previously the preserve of physicians. The assumption underlying their use is that they are a viable option to doctors. Studies have shown with reference to HIV care and obstetric and gynaecological surgical tasks that COs’ performance is comparable to that of physicians. Other studies also show that the care offered by COs is cost effective when compared with the costs associated with physicians and obstetricians care. However, there is emerging work which shows that COs are not happy in their assigned role in the health system. These studies report CO’s dissatisfaction with the low remuneration, poor career progress and limited career options inherent their jobs as compared with those accorded to physicians. As revealed by a systematic review of mid-level worker literature, addressing these issues is at present difficult due to gaps in our understanding of CO functioning. The existence of these gaps is explained by the limited empirical work on COs in general. The aim of this thesis was to address this issue by exploring issues that affect their routine functioning in a typical rural hospital setting going beyond the fact that they are technically competent.
To investigate these issues, a conceptual framework was adopted that explores the tension between what institutions demand and what individuals within them feel able to do. Qualitative methods comprising of interviews, participant observation, review of official policy and hospital level documents on COs, and review of hospital statistics were used. A comparative approach was adopted that sought to; (1) examine perceptions regarding influences on the performance of COs from a variety of sources (COs, doctors, nurses, supervisors, hospital managers, policy makers and policy documents); (2) compare perceptions of respondents based in three faith-based hospitals with those in three government facilities; and, (3), explore features of different work settings (outpatient department, specialist clinics and vertically supported clinics) within these hospitals that encouraged good CO performance. Preliminary findings were reported back to respondents in the six study hospitals.
Analysis of the data showed three major issues. First, perceptions of CO roles are problematic despite an acknowledgement of the important function performed by COs in the health system. This is revealed by the variety of images regarding their roles that highlights the need for a redefinition of CO roles. An example of this is shown by the inconsistency between their importance as the ‘backbone of the health system’ versus the poor remuneration and career prospects that their position attracts. Second, there were differences in the norms of CO performance that have resulted in variations regarding what is expected of them. While there was much attention paid to norms of performance about technical aspects of work, less attention focussed on non-technical aspects of work. The adoption of a holistic approach to the notion of CO performance is needed that will enable facilities and the system to meet the needs of the CO which should prompt COs to reciprocate by working better. Third was the issue that there were minimal incentives were attached to COs work. In the public sector, there were some incentives but their availability depended on the work settings. For example, while COs in vertical clinics got training their colleagues in the outpatient department had few chances to get training opportunities. Faith-based hospitals did provide performance related bonuses that encouraged health workers to perform better although notably basic salaries in faith-based hospitals were no better than those given in the government sector. However, major incentives such as salary and promotions in the public sector are handled by the central government giving public sector hospital managers little opportunity to utilise such incentive mechanisms. Where hospital managers may have some leeway in implementing actions at the local level to improve performance, for example through improving CO recognition and working conditions, it was observed that public sector managers were generally less engaged in utilising such incentives. Therefore while it is important to consider and address system level factors that influence CO performance such as salaries and promotions, among others, facility managers would also appear to have some scope to improve performance.
In discussing these issues, it is becoming clear that the assumption that COs are altruistic and will continue to work flawlessly in their assigned niche presents a naïve view of COs. This thesis shows that COs are also influenced by self–interest and find ways to overcome or work around any perceived barriers to their growth, some of which may work against the institution. This calls for a re-examination of who COs are, what they do and how they should be managed. Ways of resolving the tension that exists between COs and the health institution exist and can be derived from examining the coping mechanisms that COs have adopted to make their lives better. These coping mechanisms show areas that need attention. Further, there should be greater consideration of the important role that facility managers play in mediating and/or modifying system level influences by creating local environments suitable for better staff performance. Underlying all this is the fact that a long term view of COs is needed. The long term view must go beyond the notion of ‘substitute physician’ as Kenya has made huge investments in this cadre over the last 40 years or more and, with other countries, is likely to continue to rely on such a cadre for much clinical care. This thesis therefore concludes with recommendations that seek to address issues identified with the performance of COs in the Kenyan health system focusing on potential hospital level and system level solutions. Also included is a reflection of the relevance of findings for countries similar to Kenya that are currently using or seek to use COs as a physician substitute.
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Lee, Tsung-Hua, and 李宗樺. "The Application of Data Mining on Chinese Medicine, Dental Offices, Western Medicine Clinics, and Hospitals: A Study on Characteristics of High Medical Resource Users." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/81897007590222346094.
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碩士國立中正大學
資訊管理所暨醫療資訊管理所
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Objectives: To find out the features of those who use excessive medical resource according to the category of global budget system in National Health insurance, and figure out possible potential issues about medical resource utilization among the insured in the triangular relationship of the National Health Insurance. Methods: Applying to the National Health Insurance Research Database from the 1999 to 2005, and adopting the analysis of the cluster of Data mining, Decision tree, and Affinity to anglicize the features of those who use excessive medical resource of Chinese, Dental, Western Medicine, Hospitals in outpatient services. Results: The characteristic of outpatient services excessive medical resource utilization are elderly, Chronicle Illness, Off-island, Children’s, Psychiatric, Metropolitan Area, Military and Veteran’s. Conclusions: The recommendations made above can be conclusively drawn into a time line, starting with early prevention, improvement, and eventually long term reform. The early prevention needs to focus on preventive care and health care education, followed by ensured equality, quality, efficiency, and ability to make amendments. Lastly, the long term plan should focus on resolving financial issues to ensure sustainable operation of NHI.
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Vieira, Andreia Isabel Benedito. "O elefante na sala: a influência do computador na relação médico-doente em contexto de consulta." Master's thesis, 2020. http://hdl.handle.net/10071/20975.
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As tecnologias de informação e comunicação têm vindo a assumir uma crescente relevância no sector da saúde. Como consequência, o computador é presença cada vez mais assídua e até obrigatória nos consultórios médicos. Com esta investigação pretendeu-se perceber se o computador existente no consultório exerce influência na relação médico-doente e, em caso afirmativo, determinar se a mesma é positiva. Procurou-se também averiguar se os níveis de literacia digital dos médicos e doentes afetam a forma como a relação médico-doente é estabelecida e percecionada. Para tal, recorreu-se a metodologia qualitativa assente no estudo de caso, entrevistando-se nove especialistas de medicina geral e familiar a exercer em unidades de cuidados de saúde primários (CSP) no país, bem como 30 utentes de CSP. Concluiu-se que o computador existente no consultório exerce influência na relação médico-doente, a qual pode ser considerada positiva, com as vantagens identificadas a sobreporem-se às desvantagens. Ficou patente que é mais a forma como o computador é utilizado e até posicionado durante a consulta – e não o computador propriamente dito – assim como o desenho dos sistemas informáticos e a sua interconexão, que parece interferir na relação médico-doente, com diversos entrevistados a chamarem a atenção para estas questões e até a apresentarem sugestões para as ultrapassar. Entre estas contam-se, por exemplo, a redução do tempo em que o computador é utilizado durante a consulta. Quanto à influência da literacia digital de médicos e doentes na forma como ambos estabelecem e percecionam a relação, concluiu-se pela necessidade de aprofundar a investigação.Information and communication technologies are becoming increasingly important in the healthcare sector. As a result, the computer assumes an increasingly frequent and even mandatory presence in medical offices. This investigation aimed to understand whether the presence of the computer influences the doctor-patient relationship and, if so, to verify whether it exerts a positive influence. It was also sought to ascertain whether the levels of digital literacy of physicians and patients affect the way the doctor-patient relationship is established and perceived. A qualitative methodology based on case study was used, which comprised interviewing nine familiar physicians working in several Portuguese primary health care (PHC) units, as well as 30 users of PHC. It was concluded that the presence of the computer in medical offices has an influence on the doctor-patient relationship, which can be considered positive, with the identified advantages prevailing over the disadvantages. It became clear that the doctor-patient relationship seems to be more affected by how the computer is used and even located during consultations, as well as by the computer systems design and interconnection, than by the computer itself, with several interviewees drawing attention to these issues and even making suggestions to overcome them. These suggestions include, for example, reducing the time the computer is used during consultation. As for the influence of physicians and patients’ digital literacy in the way they both establish and perceive the relationship, it was concluded that there is a need to deepen the investigation.
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Park, Byunguk Randon. "Understanding Perspectives of Risk Awareness." Thesis, 2014. http://hdl.handle.net/1828/5505.
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Research in risk awareness has been relatively neglected in the health informatics literature, which tends largely to examine project managers’ perspectives of risk awareness; very few studies explicitly address the perspectives held by senior executives such as directors. Another limitation evident in the current risk literature is that studies are often based on American data and/or they are restricted to American culture. Both factors highlight the need to examine how senior executives (i.e., directors) who oversee or direct eHealth projects in Canada perceive risk awareness. This research explores and discusses the perspectives of risk awareness (i.e., identification, analysis, and prioritization) held by directors and project managers who implement Canadian eHealth projects. Semi-structured interviews with nine directors and project managers uncovered six key distinctions in these two groups’ awareness of risk. First, all project managers valued transparency over anonymity, whereas directors believed that an anonymous reporting system for communicating risks had merit. Secondly, most directors emphasized the importance of evidence-based planning and decision making when balancing risks and opportunities, an aspect none of the project managers voiced. Thirdly, while project managers noted that the level of risk tolerance may evolve from being risk-averse to risk-neutral, directors believed that risk tolerance evolved toward risk-seeking. Directors also noted the importance of employing risk officers, a view that was not shared by project managers. Directors also believed the risk of too little end-user engagement and change management was the most important risk, whereas project managers ranked it as the least important. Finally, when directors and project managers were asked to identify and define the root cause(s) of eHealth risks, directors identified the complexity of health care industry, while project managers attributed it to political pressure and a lack of resources where eHealth projects are concerned. This research proposes that the varied perspectives of risk awareness held by directors and project managers must be considered and integrated to properly align expectations and build partnerships for successful eHealth project outcomes. Understanding risk awareness offers a means to systematically identify and analyze the complex nature of eHealth projects by embracing uncertainties, thereby enabling forward thinking (i.e., staying one step ahead of risks) and the ability to prevent avoidable risks and seize opportunities.Graduate
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Books on the topic "Medical Office Clinic"
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United States. Congress. House. Committee on Energy and Commerce. Fertility Clinic Success Rate and Certification Act of 1992: Report (to accompany H.R. 4773) (including cost estimate of the Congressional Budget Office). [Washington, D.C.?: U.S. G.P.O., 1992.
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S, Pooler Marilyn, and Tamparo Carol D. 1940-, eds. Delmar's administrative medical assisting. Albany, N.Y: Delmar Publishers, 1997.
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Lindh, Wilburta Q. Delmar's administrative medical assisting. 2nd ed. Albany: Delmar Thomson Learning, 2001.
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Computerized medical office procedures: A worktext, using Lytec Medical 2001. St. Louis, MO: W.B. Saunders, 2003.
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A, Hunt Sue, and Applegate Edith J, eds. Today's medical assistant: Clinical & administrative procedures. 2nd ed. St. Louis, Mo: Elsevier/Saunders, 2013.
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Thompson, Valerie D. Administrative and clinical procedures for the health office professional. Toronto: Pearson Prentice Hall, 2005.
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Pearson's comprehensive medical assisting: Administrative and clinical competencies. 2nd ed. Upper Saddle River, N.J: Pearson, 2011.
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Stepp, Craig A. Laboratory procedures for medical office personnel. Philadelphia: Saunders, 1998.
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A, Hunt Sue, and Applegate Edith J, eds. Today's medical assistant: Clinical and administrative procedures. St. Louis, Mo: Saunders, 2009.
Find full textBook chapters on the topic "Medical Office Clinic"
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Campiolo, Márcia R. F. "Basic Areas of Customer Service in Medical Clinics." In Medical Office Management, 85–104. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-13887-9_7.
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Campiolo, Márcia R. F. "The Preparation of the Clinic’s Staff." In Medical Office Management, 61–84. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-13887-9_6.
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Campiolo, Márcia R. F. "Selecting New Members for the Clinic’s Staff: The Search for New Talents." In Medical Office Management, 41–59. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-13887-9_5.
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Sekhar Reddy, Nallamilli V. S. "Medical Emergencies in Oral and Maxillofacial Surgical Practice." In Oral and Maxillofacial Surgery for the Clinician, 49–58. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-1346-6_4.
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AbstractOral and Maxillofacial Surgery has evolved over the last few decades. Oral and Maxillofacial surgeons also deal with medical emergencies in an office or hospital setting on a regular basis. Emergency team response in most countries is prompt. However, in some parts of the world, the response time of the emergency team is expected to be comparatively longer, due to various policy issues. The chapter considers these special circumstances, to suggest some additional measures toward the management of the emergency, while waiting for the arrival of the emergency team. Oral and Maxillofacial surgeons are expected to be well versed with this life-saving simple clinical skill and the protocols discussed here take this into consideration.
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Patrick, Jon David, Paul Barach, and Ali Besiso. "Information Technology Infrastructure, Management, and Implementation: The Rise of the Emergent Clinical Information System and the Chief Medical Information Officer." In Surgical Patient Care, 247–62. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-44010-1_16.
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Befring, Anne Kjersti. "Norwegian Biobanks: Increased Complexity with GDPR and National Law." In GDPR and Biobanking, 323–44. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-49388-2_18.
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AbstractNorway is generally regarded as having good opportunities for biobank research because of Biobank Norway—its national infrastructure of biobanks—which represents one of the world’s largest existing resources within biobanking. It covers both consented population-based and disease-specific clinical biobanks. However, the regulatory framework in Norway for biobanking is fragmented, which makes navigating the legal landscape challenging.The Personal Data Act (PDA) implements the General Data Protection Regulation (GDPR), and a few adjustments were made in the national health legislation in order to bring it into line with the GDPR. The Health Research Act (HRA) enables the use of biobanking and personal data in research with and without the consent of individuals. There are some disagreements about the changes brought about by the GDPR when it comes to research on biological material that includes personal data. When implementing GDPR Article 89, it was emphasised that the Data Protection Officer (DPO) has an important role even though the research ethics committee has allowed the use of data (the regional committee for medical and health research ethics (REC)). This has created conflicts. This article highlights key issues and ambiguities related to the GDPR and national legislation, and the relationship between the two.
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Brody, David L. "Typical Flow for a Concussion Clinic." In Concussion Care Manual, 139–40. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199383863.003.0037.
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Many variations are possible. Our clinic runs as follows:Patient is referred to the clinic. Clinic administrator requests medical records. Provider reviews the records and approves initial office visit. Clinic administrator schedules the initial office visit as routine or semi-urgent. Clinic administrator makes sure that the patient brings a reliable collateral source. Patient completes Rivermead Post-Concussive Symptoms Questionnaire. Provider obtains history and exam with documentation performed on a preprinted sheet outlining the most important issues following concussion. Physical therapist and psychometrician see the patient. Provider reviews the data from the physical therapist and psychometrician, performs additional testing, obtains additional history, formulates assessment and discusses plans with patient and collateral source. Provider gives the patient and collateral source a brief hand-written or printed summary of the assessment and plan, then sends medical records to other medical providers.
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Brody, David L. "Typical Flow for a Concussion Clinic." In Concussion Care Manual, edited by David L. Brody, 203–5. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190054793.003.0039.
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Many variations are possible. One successful clinic runs as follows: Patient is referred to the clinic. Clinic administrator requests medical records. Provider reviews the records and approves initial office visit. Clinic administrator schedules the initial office visit as routine or semiurgent. Clinic administrator makes sure that the patient brings a reliable collateral source. Patient completes Rivermead Post-Concussive Symptoms Questionnaire, Neurobehavioral Symptom Inventory, or other self-report form. Provider obtains history and exam with documentation recorded on a preprinted sheet outlining the most important issues following concussion. Physical therapist and psychometrician see the patient. Provider reviews the data from the physical therapist and psychometrician, performs additional testing, obtains additional history, formulates assessment, and discusses plans with patient and collateral source. Provider gives the patient and collateral source a brief handwritten or printed summary of the assessment and plan, then sends medical records to other medical providers.
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Compton, Michael T., and Beth Broussard. "Finding Specialized Programs for Early Psychosis." In The First Episode of Psychosis. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780195372496.003.0024.
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Most of the time, people of all different ages and with all sorts of mental illnesses go to the same place to see a doctor, get medicines, or participate in counseling. That is, they go to mental health clinics or the office of a mental health professional that provides treatments for a number of different illnesses. Most young people who have psychosis get their medical care and treatment in a hospital, clinic, or doctor’s office. In these places, the doctors and other mental health professionals may have taken special classes about how to help young people with psychosis, but that may not be their only focus. They may see people with other illnesses too. However, in some places around the world, there are special clinics that are for people in the early stages of psychosis. These types of specialized programs have been developed recently, since the 1990s. These programs have a number of different types of mental health professionals, including psychiatrists, psychologists, nurses, social workers, counselors, and others. In some programs, mental health professionals and doctors in training may rotate through the clinic spending several months at a time training in the clinic. Some programs, like the Early Psychosis Prevention and Intervention Centre (EPPIC) in Melbourne, Victoria, Australia, operate within the framework of a youth health service. Such youth services treat all sorts of mental health issues in young people. Other programs are located primarily in adult mental health facilities. Such programs may offer classes or group meetings just for people who recently developed psychosis and other classes or group meetings especially for the families of these young people. Typically, these programs provide someone with 2–3 years of treatment. They usually do a full evaluation of the patient every few months and keep track of how he or she is doing. If the patient needs more care afterwards, they help him or her find another program for longer-term care. In this chapter, we list some of these clinics located in various parts of the world and describe what these specialized early psychosis programs provide.
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"In-Office Medical Emergencies." In Clinical Medicine in Optometric Practice, 289–95. Elsevier, 2008. http://dx.doi.org/10.1016/b978-0-323-02961-2.50024-3.
Full textConference papers on the topic "Medical Office Clinic"
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Liu, Brent J., Luis Documet, Jorge Documet, H. K. Huang, and Jean Muldoon. "Wireless remote control clinical image workflow: utilizing a PDA for offsite distribution." In Medical Imaging 2004, edited by Osman M. Ratib and H. K. Huang. SPIE, 2004. http://dx.doi.org/10.1117/12.535602.
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Liu, Brent J., Sander S. Chao, Jorge Documet, Jasper Lee, Michael Lee, Ian Topic, and Lanita Williams. "Implementation of an ASP model offsite backup archive for clinical images utilizing Internet 2." In Medical Imaging, edited by Osman M. Ratib and Steven C. Horii. SPIE, 2005. http://dx.doi.org/10.1117/12.594637.
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Aziz, Ayesha, and Nashi Khan. "PERCEPTIONS PERTAINING TO STIGMA AND DISCRIMINATION ABOUT DEPRESSION: A FOCUS GROUP STUDY OF PRIMARY CARE STAFF." In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact013.
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"The present study was conducted to explore the perception and views of primary care staff about Depression related Stigma and Discrimination. The Basic Qualitative Research Design was employed and an In-Depth Semi-Structured Discussion Guide consisted of 7 question was developed on the domains of Pryor and Reeder Model of Stigma and Discrimination such as Self-Stigma, Stigma by Association, Structural Stigma and Institutional Stigma, to investigate the phenomenon. Initially, Field Test and Pilot study were conducted to evaluate the relevance and effectiveness of Focus Group Discussion Guide in relation to phenomena under investigation. The suggestions were incorporated in the final Discussion Guide and Focus Group was employed as a data collection measure for the conduction of the main study. A purposive sampling was employed to selected a sample of Primary Care Staff (Psychiatrists, Medical Officers, Clinical Psychologists and Psychiatric Nurses) to elicit the meaningful information. The participants were recruited from the Department of Psychiatry of Pakistan Medical and Dental Council (PMDC) recognized Private and Public Sector hospitals of Lahore, having experience of 3 years or more in dealing with patients diagnosed with Depression. However, for Medical Officers, the experience was restricted to less than one year based on their rotation. To maintain equal voices in the Focus Group, 12 participants were approached (3 Psychiatrist, 3 Clinical Psychologists, 3 Medical Officers and 3 Psychiatric Nurses) but total 8 participants (2 Psychiatrists, 2 Medical Officers, 3 Clinical Psychologists And 1 Psychiatric Nurse) participated in the Focus Group. The Focus Group was conducted with the help of Assistant Moderator, for an approximate duration of 90 minutes at the setting according to the ease of the participants. Further, it was audio recorded and transcribed for the analysis. The Braun and Clarke Reflexive Thematic Analysis was diligently followed through a series of six steps such as Familiarization with the Data, Coding, Generating Initial Themes, Reviewing Themes, Defining and Naming Themes. The findings highlighted two main themes i.e., Determining Factors of Mental Health Disparity and Improving Treatment Regimen: Making Consultancy Meaningful. The first theme was centered upon three subthemes such as Lack of Mental Health Literacy, Detached Attachment and Components of Stigma and Discrimination. The second theme included Establishing Contact and Providing Psychoeducation as a subtheme. The results manifested the need for awareness-based Stigma reduction intervention for Primary Care Staff aims to provide training in Psychoeducation and normalization to reduce Depression related Stigma and Discrimination among patients diagnosed with Depression."
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Rodrigo, Chithramali H., and Vindya Kumarapeli. "039: BIRTH PREPAREDNESS, COMPLICATION READINESS AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN ATTENDING ANTENATAL CLINICS AT MEDICAL OFFICER OF HEALTH (MOH) AREA PADUKKA." In Global Forum on Research and Innovation for Health 2015. British Medical Journal Publishing Group, 2015. http://dx.doi.org/10.1136/bmjopen-2015-forum2015abstracts.39.
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Araojo, Richardae. "Abstract IA01: Clinical Trial Diversity: A Perspective from the FDA Office of Minority Health and Health Equity." In Abstracts: AACR Virtual Conference: Thirteenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; October 2-4, 2020. American Association for Cancer Research, 2020. http://dx.doi.org/10.1158/1538-7755.disp20-ia01.
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