Dissertations / Theses: 'Survey of physicians'

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Cicutto, Lisa Chantelle. "A survey of asthma management, the physicians' perspective." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ27894.pdf.

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Simpson, Christopher. "A satisfaction survey among residency trained osteopathic family medicine physicians /." View abstract, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqdiss&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:3248457.

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Johnson, Laura K. (Laura Kimberly). "HIV and Duty to Protect: a Survey of Licensed Professional Counselors and Physicians." Thesis, University of North Texas, 1995. https://digital.library.unt.edu/ark:/67531/metadc278463/.

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This study was designed to investigate what course of action therapists and physicians report they would take in reconciling their conflicting duties to maintain confidentiality and protect third parties from harm in HIV-related situations. The physicians surveyed were licensed to practice medicine in Texas and board certified in Internal Medicine. The therapists surveyed were licensed professional counselors in Texas and members of one of three selected divisions within the Texas Counseling Association. A survey instrument developed by the researcher was mailed to 200 subjects randomly selected from each group.

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Gengembre, Timothy R. "Survey of patient's attitudes towards physician assistant competency and friendliness /." Connect to online version, 1988. http://minds.wisconsin.edu/handle/1793/38834.

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Rajagopalan, Jagadeesh. "Autism spectrum disorders screening & diagnostic practices: a survey of physicians." Diss., Wichita State University, 2012. http://hdl.handle.net/10057/5364.

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In 2007, the American Academy of Pediatrics (AAP) released a policy statement which urged physicians to conduct surveillance at every well-child visit and screen for Autism Spectrum Disorders (ASD) at 18 and 24 months, and at any other time when parents raised a concern about a possible ASD. The purpose of this study was to identify the screening practices of pediatricians and primary care physicians (PCPs) in following the AAP guidelines specifically related to ASD in Kansas, Oklahoma and Iowa. A survey was mailed to 1,500 pediatricians and PCPs registered to practice in Kansas, Oklahoma, and Iowa. The survey was designed to obtain the following information: demographic information, ASD screening, diagnostic and referral practices, physician’s knowledge of AAP guidelines, and their pre-professional training. A total of 481 participants returned the surveys, rendering an overall response rate of 32%. 396 surveys were included for the analysis. The analysis of the data indicated that 66 (17%) respondents routinely screened for ASD according to AAP guidelines. An additional 162 (41%) respondents routinely screened for ASD, but did not follow AAP guidelines. It was also found that the respondents’ pre-professional education in the area of ASD correlated with their confidence levels for identifying the early warning signs of ASD and their ASD screening and diagnostic practices. The data indicated that pediatricians were more likely to screen for ASD and PCPs were more likely not to screen for ASD. Also, only 19% of physicians were aware of the current AAP guidelines for ASD screening. The data also highlighted the important role of parents and multidisciplinary team in the ASD screening and diagnostic process. These results highlighted the fact that efforts should be made to address ASD screening, diagnostic, and treatment practices in the pre-professional education of these physicians.
Thesis (Ph.D.)--Wichita State University, College of Health Professions, Dept. of Communication Sciences and Disorders

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Beas, Renato, Jesus Maticorena-Quevedo, Alexander Anduaga-Beramendi, and Percy Mayta-Tristan. "Emergency Specialty and Burnout Syndrome in Peruvian Nurses: A National Survey." Elsevier B.V, 2017. http://hdl.handle.net/10757/622249.

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Kam, Chi-kong. "A survey on doctors' awareness and attitude of radiation dose of imaging examination in Hong Kong." Click to view the E-thesis via HKUTO, 2005. http://sunzi.lib.hku.hk/hkuto/record/b3972413x.

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Carew, Maureen T. "A survey of family physicians' knowledge and beliefs about the prevention of tuberculosis." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/mq20908.pdf.

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Case, Cora. "Providers' Knowledge of the U.S. Health Care System and their Medical Practice Choices: A Study of Physicians, Residents, and Non-Physician Practitioners." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1838.

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The expansion of health insurance through health care reform has reduced the number of uninsured. but access to providers has not been addressed. Understanding the relationship between practice choices and aptitude of health policy and delivery is essential to determine other factors or motivators that contribute to the development of health care access policies. This descriptive study explored the value-laden elements of health care reform, such as social constructions, to learn whether there are implicit ways to address the issue of access to health care in the United States. Schneider and Ingrams's conceptualization of policy making through social construction was used as the theoretical lens of this study. The research questions for the study examined the relationship between a provider's choices and their knowledge of health policy and delivery. This non-experimental, quantitative survey study used a convenience sample of 189 providers. The survey was a compilation of 4 existing instruments that were used to capture provider demographics and choices as well as scaled questions to assess knowledge. Data were analyzed through a series of chi-square tests. Significant relationships were found (p < .05) between the variables of specialty, medical licensure, and understanding of health policy and delivery concepts. This study contributes to social change by suggesting the need for health policy and delivery education programs geared towards providers. These changes could improve the level of provider engagement and be a catalyst for generating ideas of how the U.S. health care system could achieve the goal of providing efficient, high-quality care.

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Hong, Jiemin. "A survey on the knowledge, attitude and behavior of doctors to "inversion of burden of proof" in Guangzhou." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38479850.

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Sams, Lattice Deaver Rozier R. Gary. "Adoption and implementation of preventive dentistry initiatives for physicians a national survey of Medicaid programs /." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2009. http://dc.lib.unc.edu/u?/etd,2436.

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Thesis (M.S.)--University of North Carolina at Chapel Hill, 2009.
Title from electronic title page (viewed Sep. 3, 2009). "... in partial fulfillment of the requirements for the degree of Master of Science in Dental Hygiene Education in the Department of Dental Ecology, School of Dentistry." Discipline: Dental Ecology; Dental Hygiene Education; Department/School: Dentistry.

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Spielmans, Kara L. "Attention-Deficit/Hyperactivity Disorder Knowledge and Practices: A Survey of Pediatricians and Family Practice Physicians." DigitalCommons@USU, 2008. https://digitalcommons.usu.edu/etd/6138.

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Attention-deficit/hyperactivity disorder (ADHD) is a common childhood disorder often treated by pediatricians or family practice physicians. ADHD knowledge held by treating physicians may be an important predictor in patient outcomes. This study examined ADHD knowledge and common assessment and treatment practices of pediatricians and family practice physicians via a national survey sent to members of the American Academy of Pediatrics and the American Academy of Family Physicians. Mailings included the Knowledge of Attention Deficit Disorders Scale--Revised (KADDS-R) arid a demographic/practice questionnaire. Although both physician types reported utilizing assessment and treatment methods consistent with current ADHD practice guidelines, findings suggested that pediatricians had greater ADHD knowledge than did family physicians. Physicians who had completed a behavioral pediatric rotation or training specific to ADHD had greater knowledge than physicians who had not done so. The number of new ADHD evaluations conducted monthly was also related to ADHD knowledge. Implications for future research examining ADHD knowledge, training, and outcomes are discussed.

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Jones, Elizabeth Susann. "Using Diagnostic Decision Support Systems to Reduce Diagnostic Error: A Survey of Critical Care Physicians." Thesis, University of North Texas, 2020. https://digital.library.unt.edu/ark:/67531/metadc1703434/.

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The purpose of this study is to investigate the use of decisions support systems (DSS) by critical care physicians and to address the following questions: Does the use of a decision support system during diagnosis reduce diagnostic error and how are decision support systems used by critical care physicians? There are no studies that address these research questions in a clinical setting. The information assessment method (IAM) was used to guide the development of the survey questions. Critical care physicians from the University of Oklahoma Health Sciences Center were surveyed. Chi squared test for independence was used to determine the relationship between DSS use and diagnostic error rates. There were three main findings of the study: (1) use of a DSS by a critical care physician can decrease diagnostic error by up to 60%; (2) 56% of critical care physicians are using a DSS during diagnosis to learn something new, confirm something they already knew, and/or to reassure themselves; and (3) the increased use of a DSS by critical care physicians can lead to a decrease in the belief of the ability of a DSS to reduce diagnostic error.

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Duffett, Lisa. "Management of Superficial Venous Thrombosis: A Systematic Review of Literature and Survey of Canadian Physicians." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37105.

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Superficial venous thrombosis (SVT) is a common inflammatory and thrombotic pathology occurring within a superficial vein. SVT can result in distressing symptoms of redness and pain in the affected area and exposes patients to a risk of developing deep vein thrombosis (DVT) and pulmonary embolism (PE). Various therapeutic options are available to patients including anti-inflammatories, anti-coagulation and surgical procedures, however which of these therapies is the best first line treatment remains unknown. Several randomized controlled trials have been conducted addressing this question, yet methodological and design flaws have limited the translation of their results into a change of clinical practice. The following thesis consists of a multi-step process of reviewing the evidence to date followed by a process of engaging with clinician stakeholders with the goal of designing a randomized control trial that would provide a meaningful answer to patients and their clinicians. In the first step of this process, a systematic review of the literature was performed, including a meta-analysis to estimate pooled risk of developing symptomatic venous thromboembolic (VTE) complications in patients with isolated SVT following various treatments. These results were then presented to expert Canadian clinicians in a series of surveys using a Delphi process to determine the clinical trial design that would have the greatest impact on changing clinical practice. An additional survey of expert clinicians was conducted to determine current practice variation in the diagnosis, management, and follow up of patients with SVT, in order to design a clinical trial that best reflected current standard Canadian clinical practice. Our systematic review identified 15 articles and including 5775 patients. Quality and assessment of risk of bias was moderate for most included studies. The findings of our meta-analysis identified that Fondaparinux, at prophylactic dose, to had the lowest event rate of 2.0 events per 100 patient years of follow-up (95% CI 0.4 to 4.7, I2=33%) for the primary outcome of deep vein thrombosis (DVT) or pulmonary embolism (PE) during follow-up. Pooled event rates ranged from 8.6-16.6 events per 100 patient-years across other treatment categories, including placebo/observation only, with an event rate of 10.5 events per 100-patient years (95% CI 3.0 to 22.0). Heterogeneity was moderate to high for most pooled estimates, limiting the interpretation of these findings. Our survey of practice variation among expert Canadian clinicians revealed wide practice variation in in diagnosis and therapeutic management including sub-groups (e.g. cancer). There was agreement that clinical equipoise exists for the optimal treatment of SVT (77% of respondents), supporting the need for further research. Two rounds of surveys were performed using Delphi process methods, resulting in consensus for the design of a future randomized control trial (RCT). The agreed on design was for a randomized control trial comparing a direct oral anticoagulant (DOAC) such as Rivaroxaban, to Non-Steroidal Anti-Inflammatories (NSAIDs), using a non-inferiority RCT design with a non-inferiority margin of 3%. Future direction of this research will be to continue stakeholder engagement by engaging patients in the clinical trial design, followed by development of a pilot RCT protocol and application for peer-reviewed funding.

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Drewlo, Margaret A. "Factors in Optimal Collaboration Between Psychologists and Primary Healthcare Physicians." Antioch University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1402843063.

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Suprun, Shawn Alexander Anthony. "A survey analyzing the management of the acutely injured knee by primary care physicians in Ontario." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ28668.pdf.

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Dunlop, Sheryl Lynn. "Socio-economic status and the utilisation of physicians' services, results from the national population health survey." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0001/MQ34024.pdf.

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Kam, Chi-kong, and 甘志江. "A survey on doctors' awareness and attitude of radiation dose of imaging examination in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B3972413X.

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Vieru, Dragos. "A model for telemedicine adoption, a survey of physicians in the provinces of Quebec and Nova Scotia." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ59291.pdf.

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Hong, Jiemin, and 洪介民. "A survey on the knowledge, attitude and behavior of doctors to "inversion of burden of proof" in Guangzhou." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39724426.

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Phipps, Lisa Rochelle Burroughs. "The Effect of Variability in Substance Abuse and Dependence Terminology on Physicians' Prescribing Decisions." VCU Scholars Compass, 2006. http://hdl.handle.net/10156/1435.

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Walker, Ollie Dooling. "Physician assisted suicide : a survey of North Carolina end of life care workers : a project based upon an independent investigation /." View online, 2008. http://hdl.handle.net/10090/5943.

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Jobst, Andrea Katharina. "Validation of the ICF Core Set for Obstructive Pulmonary Diseases from the Perspective of Physicians: an International Delphi Survey." Diss., lmu, 2010. http://nbn-resolving.de/urn:nbn:de:bvb:19-124948.

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Holt, Nicole, Karen E. Schetzina, William T. Dalton, Fred Tudiver, Hazel Fulton-Robinson, and Tiejian Wu. "Primary Care Practice Addressing Child Overweight and Obesity: A Survey of Primary Care Physicians at Four Clinics in Southern Appalachia." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/5105.

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Objective: The prevalence of childhood overweight and obesity in southern Appalachia is among the highest in the United States (US). Primary care providers are in a unique position to address the problem; however, little is known about attitudes and practices in these settings. Methods: A 61-item healthcare provider questionnaire assessing current practices, attitudes, perceived barriers, and skill levels in managing childhood overweight and obesity was distributed to physicians in four primary care clinics. Questionnaires were obtained from 36 physicians. Results: Physicians' practices to address childhood overweight and obesity were limited, despite the fact that most physicians shared the attitude that childhood overweight and obesity need attention. While 71% of physicians reported talking about eating and physical activity habits with parents of overweight or obese children, only 19% reported giving these parents the tools they needed to make changes. Approximately 42% determined the parents' readiness to make small changes for their overweight or obese children. Physicians' self-perceived skill level in managing childhood overweight and obesity was found to be a key factor for childhood overweight- and obesity- related practices. Conclusion: Primary care physicians in southern Appalachia currently play a limited role in the prevention or intervention of childhood overweight and obesity. Training physicians to improve their skills in managing childhood overweight and obesity may lead to an improvement in practice.

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Jamal-Allial, Aziza Abudlah. "Survey of Saudi Arabian physicians observed use by postmenopausal females of nutrition, lifestyle changes and medication prescriptions for osteoporosis prevention and treatment /." free to MU campus, to others for purchase, 2004. http://wwwlib.umi.com/cr/mo/fullcit?p1422934.

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Thesis (M.S.)--University of Missouri-Columbia, 2004.
"Master of Science in Nutritional Science with minor in Statistics"--T.p. Typescript. Vita. Includes bibliographical references (leaves 127-146). Also available on the Internet.

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Syrowatka, Ania. "Understanding the Role of the Ottawa Ankle Rules in Physicians' Radiography Decisions: A Social Judgment Analysis Approach." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/22854.

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Clinical decision rules improve health care fidelity, benefit patients, physicians and healthcare systems, without reducing patient safety or satisfaction, while promoting cost-effective practice standards. It is critical to appropriately and consistently apply clinical decision rules to realize these benefits. The objective of this thesis was to understand how physicians use the Ottawa Ankle Rules to guide radiography decision-making. The study employed a clinical judgment survey targeting members of the Canadian Association of Emergency Physicians. Statistical analyses were informed by the Brunswik Lens Model and Social Judgment Analysis. Physicians’ overall agreement with the ankle rule was high, but can be improved. Physicians placed greatest value on rule-based cues, while considering non-rule-based cues as moderately important. There is room to improve physician agreement with the ankle rule and use of rule-based cues through knowledge translation interventions. Further development of this Lens Modeling technique could lend itself to a valuable cognitive behavioral intervention.

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Fitzgibbon, Edward James. "A systematic review of the effectiveness of palliative radiotherapy and a survey of family physicians on their awareness of the Rapid Palliative Radiotherapy Program." Thesis, University of Ottawa (Canada), 2004. http://hdl.handle.net/10393/26635.

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Problem. After two years of operation a review of the Rapid Palliative Radiotherapy Program revealed that only 17 family physicians in Eastern Ontario had used the program. Methods of investigation. This thesis consists of: (1) A systematic literature review of the relative effectiveness of a single fraction of radiotherapy to relieve painful bone metastases and (2) A survey of family physicians to assess their awareness of the Rapid Palliative Radiotherapy Program. Results. A single fraction of radiotherapy is of comparable effectiveness to multiple fraction radiotherapy treatment schedules in relieving painful metastatic bone disease (Odds Ratio: 1.13, 95% CI = 0.96 to 1.34). Only 18% of survey responders were aware of the RPRP. Conclusion. Improving family physician awareness of the Rapid Palliative Radiotherapy Program is the first step to improving utilization of the program and access for patients with painful metastatic bone disease to a proven, effective analgesic treatment.

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Zaidi, Touis Laila [Verfasser]. "Moderation of alcohol intake as a recommendation in European hypertension management guidelines : a survey on awareness, screening, and implementation among European physicians / Laila Zaidi Touis." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2020. http://d-nb.info/1223925757/34.

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Abdulaziz, Kasim. "National Survey of Physicians on the Need for and Required Sensitivity of a Clinical Decision Rule to Identify Elderly Patients at High Risk of Functional Decline Following a Minor Injury." Thèse, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/30439.

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Many elderly patients visiting the emergency department for minor injuries are not assessed for functional status and experience functional decline 6 months post injury. Identifying such high-risk patients can allow for interventions to prevent or minimize adverse health outcomes including loss of independence. For the purpose of a planned clinical decision rule to identify elderly patients at high risk of functional decline a survey of physicians was conducted. A random sample of 534 Canadian geriatricians, emergency and family physicians was selected with half randomly selected to receive an incentive. A response rate of 57.0% was obtained with 90% of physicians considering a drop in function of at least 2 points on the 28-point OARS ADL scale as clinically significant. A sensitivity of 90% would meet or exceed 90% of physicians' requirements for a clinical decision rule to identify injured seniors at high risk of functional decline 6 months post injury.

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Müller, Silvia Margarete [Verfasser], and Alarcos [Akademischer Betreuer] Cieza. "Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for Diabetes Mellitus : a worldwide delphi survey among physicians / Silvia Margarete Müller. Betreuer: Alarcos Cieza." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2014. http://d-nb.info/1048522296/34.

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Daniels-Kranz, Devorah. "MINORITY PHYSICIAN JOB SATISFACTION: A CONTENT ANALYSIS OF WRITTEN RESPONSES TO OPEN-ENDED SURVEY QUESTIONS ABOUT PROFESSIONAL A." Master's thesis, University of Central Florida, 2006. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/3611.

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Few interpersonal and organizational communication studies examine the professional and organizational aspects of career satisfaction among minority physicians. Due to the underrepresenation of minority physicians, most studies resort to comparing aggregate groups of minority physicians in juxtaposition to non-minority physicians. These studies fail to uncover possible communication differences, which originate from cultural dissimilarities between disaggregate racial/ethnic groups. Even fewer studies examine physicians' written communication to open-ended survey questions about career satisfaction/dissatisfaction between disaggregate racial/ethnic minority groups and non-minorities. This study specifically examines written responses to two open-ended survey questions about professional and organizational dissatisfaction and compares responses from disaggregate minority physician and non-minority physicians. Participants were divided into five response-driven categories of race/ethnicity as follows: Asian/Pacific Islander, Black/African American, Indian/Pakistani, Hispanic, and White/Non-Hispanic. The population consists of 1849 members of the medical staff roster of a Southeastern, U.S., not-for-profit hospital group. Primary findings indicate the presence of recurrent themes among disaggregate minority physician racial/ethnic groups' responses. Significant variation exists between responses from disaggregate minority physician racial/ethnic groups and non-minority physicians. Results imply that open-ended methods of data collection are essential to gaining knowledge about ways cultural dissimilarities between disaggregate minority racial/ethnic groups affect communication and satisfaction. Understanding more about cultural dissimilarities is necessary for: improving data collection quality; recruiting and retaining minority physicians; and reducing healthcare disparities among minorities.
M.A.
Nicholson School of Communication
Sciences
Communication

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Lotan, Gurit. "Physicians and cost containment : issues of disclosure." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0007/MQ44207.pdf.

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Cadieux, Geneviève 1978. "Predictors of antibiotic prescribing among primary care physicians." Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=80234.

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Antibiotic misuse and overuse increase health care costs while promoting antibiotic resistance. The identification of physician characteristics predictive of poor antibiotic prescribing could enable targeted educational interventions before physicians' entry into practice.
The objective of this study was to assess whether physicians' medical school training, licensure examination scores, and time in practice could predict antibiotic prescribing behaviour.
A historical cohort consisting of 912 physicians who obtained certification in 1990--1993 and subsequently entered fee-for-service practice in Quebec, and the 4,258,362 patients they saw during 1990--1998 was used. Multivariate logistic regression analyses for clustered data were performed.
Foreign medical graduates were more likely to prescribe antibiotics for viral respiratory infections (RRadjusted 1.78, 95%CI 1.30, 2.44). Physicians who scored higher on the Medical Council of Canada Qualifying Examination were more likely to prescribe newly marketed antibiotics (RRadjusted 1.19, 95%CI 1.07, 1.33). The likelihood of unnecessary and inappropriate antibiotic prescribing increased with practice experience.

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Givan, Veronica L. "Parent/Patient Satisfaction and Physician/Nurse Interaction at a Children's Hospital." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7800.

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Walden University College of Health Sciences This is to certify that the doctoral dissertation by Veronica Laviece Givan has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Diana Naser, Committee Chairperson, Health Services Faculty Dr. Nicoletta Alexander, Committee Member, Health Services Faculty Dr. Michael Brunet, University Reviewer, Health Services Faculty The Office of the Provost Walden University 2019 Parent/patient satisfaction surveys are important tools used to measure quality of health care provided by physicians, nurses, and hospitals. Research has been conducted on patient satisfaction in adult settings; however, a gap exists in the research about pediatric patient satisfaction in relationship to nurse interactions and interactions with physicians in various clinical settings. The purpose of this descriptive quantitative study was to determine whether a significant difference exists in overall parent/patient satisfaction scores and interaction of patients with nurses, and physicians, as well as interaction with anesthesiologists in terms of pain management in the pediatric surgical service in comparison to the medical inpatient unit and intensive care unit. Watson's caring science theory served as the framework for this study. Research questions evaluated parent/patient satisfaction scores and tested interactions between the parent/patient and the physicians, nurses, and anesthesiologists in a children's hospital. A total of 675 parent/patient satisfaction surveys from a children's hospital were analyzed using an independent samples t test, Levene's test, and regression analysis. The data analysis revealed a significant difference between overall parent/patient satisfaction scores (p = .021) in the pediatric surgical service as compared with the medical unit and for the parent/patient satisfaction survey responses (p = .004) for the interaction with nurses and physicians in the pediatric surgical service as compared with intensive care units. The potential social change that could result from this study is that health care organizations should record patient experiences to facilitate and improve the quality of care, interactions with physicians and nurses, and clinical outcomes

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Benoit, Paul Daniel. "Impact of on-site physician care in penetrating trauma." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0022/MQ50721.pdf.

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Eifel, Raymond Leo. "Leadership Attributes of Physician Assistant Program Directors." Thesis, The George Washington University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3610781.

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Physician assistant (PA) program directors perform an essential role in the initiation, continuation, and development of PA education programs in the rapidly changing environments of both health care and higher education. However, only limited research exists on this academic leader. This study examined the leadership roles of PA program directors in the context of full-range leadership theory. This theory distinguishes between transformational, transactional, and passive/avoidant behaviors of the program director from the perspectives of both leader and follower. This study also examined leadership outcomes.

Data were collected via an electronic survey (Multifactor Leadership Questionnaire) administered to PA program directors and other members in the same academic unit. The survey was deployed to 82 academic units. The response rates for completed MLQ surveys were 43.2% (54) for program directors and 24.6% (228) for others associated with the PA academic unit.

The results of this study indicated that program directors use transformational leadership factors frequently in the execution of their responsibilities, and those program directors perceive favorable outcomes with these behaviors. However, discrepancies existed between leader perceptions and the perceptions of individuals in the same academic unit in regards to leadership and outcomes, with program directors having more favorable perceptions. This research provides a foundation for future study of the PA program director and contributes towards professional development efforts and the measurement of associated outcomes.

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Schwartz, Michael Adam. "Communication in the doctor's office deaf patients talk about their physicians /." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2006. http://proquest.umi.com/login?COPT=REJTPTU0NWQmSU5UPTAmVkVSPTI=&clientId=3739.

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Holody, Kyle J. "CONSTRUCTING THE END: FRAMING AND AGENDA-SETTING OF PHYSICIAN-ASSISTED SUICIDE." Bowling Green State University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1305663580.

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Petersen, Katelin E. "Physicians' Perceptions of the Elements, Barriers, and Availability of Personalized Medicine." University of Cincinnati / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1367942619.

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Morton, Wendy J. "Legal and ethical issues facing physicians : treating patients in an era of reduced resources." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0023/MQ50952.pdf.

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Patra, Jayadeep. "Ethical expertise, physician performance in ethical decision making about serious surgery." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ58685.pdf.

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Joyce, Ann C. "Perspectives of Women in Orthopaedic Surgery on Leadership Development." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6521.

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Over the past 50 years, the demographics of medical school graduates in the United States has changed dramatically with the number of women (47%) almost equaling the number of men in 2014 (AAMC, 2014). However, the Association of American Medical Colleges (2014) reports that orthopaedic surgery has the lowest proportion of female residents, instructors, assistants, associate, and full professors of all the sub-specialties and little has changed in the past several decades. Due to the healthcare reform and the changing needs of our society, it is importance to recruit, retain, and promote women into leadership positions. The purpose of this study is to ensure the success of women in orthopaedic surgery. A self-report survey was sent to all known women in orthopaedic surgery. The survey assessed perspectives of women in orthopaedic surgery in regards to organizational culture, leadership development, challenges, diversity, gender bias, recruitment, and retainment. An examination of the data provides insights into areas of improvement and implications for institutional practice. The results indicated that although institutions are making progress, more advocacy for gender equality, pro-family policies, and employee retention is needed.

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Rubinowicz, Analia. "Evaluating the role of primary care physicians in the treatment of latent tuberculosis: a population study." Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=104893.

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Background: Tuberculosis (TB) remains within the world's most important infectious causes of morbidity and mortality among adults. There are close to 10 million new cases of TB annually and latent TB (LTBI) is the main source of new active cases. Treatment of LTBI is long and often results in poor treatment completion rates. Primary care physicians have been identified as playing an important role in LTBI treatment; however, how large a role they currently play and the impact of this have not been assessed. Objective: To estimate the treatment completion rate in individuals receiving therapy for LTBI when the treatment is initiated by a primary care physician after controlling for initial health status and other patients characteristics. Study design and population: The province of Quebec (Canada) provides TB treatment free of charge to all residents. The study population consists of all Quebec residents who have been prescribed, for 30 days or more, LTBI therapy between January 1, 1998 and December 31, 2005.Data gathering: Using data from the regional health insurance board (Régie de l'Assurance Maladie du Québec), de-identified data was extracted from the beneficiaries database, the medical services database, the prescription claims database and the hospital services database (Med-Echo), all linked with a unique patient identifier. Basic descriptive statistics were done to describe the study population and determine the proportion of treatment initiated by primary care physicians. Regression modeling was used to determine what factors were significantly associated with completion rates including the type of prescribing physician. Results: Twenty-six percent of all LTBI prescriptions during the study period were initiated by primary care physicians. This proportion decreased from 1998 (28.7%) until 2005 (21.1%). A total of 6 059 (41.1%) individuals completed the treatment. Individuals prescribed by primary care physicians were less likely to complete the LTBI treatment (OR: 0.80, 95% CI: 0.67-0.95). Conclusions: More than half of patients treated for LTBI are still not completing the recommended regimen. Between a third and a quarter are initiated by primary care physicians. The reasons why completion is less likely for those initiated by primary care physicians need to be investigated.
Contexte: La tuberculose (TB) est encore une des plus importantes causes d'infections de mortalité et morbidité entre des adultes. Il y a presque 10 millions de nouveaux cas de tuberculose annuellement, et la TB latente (LTBI) et la plus importante source des nouveaux cas actifs. Les médecins de famille ont été identifiés comme jouant un rôle important dans le traitement de la LTBI; cependant, le vrai rôle qu'ils jouent et son impact doit être analysé en profondeur. Objectif: Estimer le taux d'achèvement du traitement chez les personnes recevant un traitement de la tuberculose latente lorsque le traitement est prescrit par un médecin de famille après contrôle de l'état de santé initial et d'autres caractéristiques des patients Conception de l'étude et la population: La province de Québec (Canada) offre un traitement antituberculeux gratuitement à tous ces résidents. La population étudiée se compose de tous les résidents du Québec à qui ont été prescrits, pendant 30 jours ou plus, la thérapie LTBI entre le 1 janvier 1998 et le 31 décembre 2005.La collecte des données: En utilisant les données de la Régie de l'Assurance Maladie du Québec, les données dépersonnalisées ont été extraites de la base de données de «Information personne assurée», le fichier des «Services médicaux», le fichier des «Services pharmaceutiques» et de le fichier des «Séjours-hospitaliers» (Med-Écho), tous liés à un identificateur unique du patient. Des statistiques descriptives de base ont été faites pour décrire la population à l'étude et pour déterminer la proportion du traitement initié par des médecins généralistes. Un modèle de régression logistique a été utilisé pour déterminer quels sont les facteurs qui étaient significativement associés à des taux d'achèvement, y compris le type de médecin prescripteur.Résultats: Vingt-six pour cent des prescriptions LTBI ont été initiées par des médecins généralistes. Cette proportion a diminué à partir de 1998 (28,7%) jusqu'en 2005 (21,1%). Un total de 6 059 (41,1%) personnes ont répondu au traitement. Les individus qui ont reçu des prescriptions par les médecins de famille étaient moins susceptibles de terminer le traitement de LTBI (OR: 0,80, IC 95%: 0,67- 0.95). Conclusions: Plus de la moitié des patients traités pour l'infection tuberculose latente ne finissent pas le traitement recommandé. Entre un tiers et un quart des prescriptions sont initiées par des médecins de famille. Les raisons pour lesquelles l'achèvement du traitement est moins probable chez des patients qui ont consulté un médecin de famille doit être recherché.

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Sewitch, Maida. "Effect of discordant physician-patient perceptions on patient adherence in inflammatory bowel disease." Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=37835.

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Background. Discordant physician-patient perceptions on health-related information have been related to less favourable health outcomes and increased use of health services.
Objectives. To develop a psychometrically-sound measure of physician-patient discordance that could be used by clinicians and researchers working with patients with various chronic diseases. To investigate the relationship between physician-patient discordance and patient adherence to self-care in inflammatory bowel disease.
Study design and population. A prospective cohort study with follow-ups at 2-weeks and 4-months was conducted between February and November 1999 at three gastroenterology clinics affiliated with the McGill University Health Centre. Ten physicians and 200 patients with inflammatory bowel disease participated in the study.
Methods. A 10-item visual analog scale questionnaire was developed which assessed perceptions of the patient's health status and of the clinical visit. Questionnaires were completed independently by physicians and patients following the index clinical visit. Discordance was calculated within physician-patient pairs. Demographic, clinical and psychosocial data were obtained prior to the visit. Patient adherence data were obtained at 2-weeks using a telephone interview and mail-back survey. General adherence was assessed with a visual analog scale; medication adherence was determined with a validated questionnaire. Medication data were obtained by chart review at 4-months. Multivariable generalized estimating equations models and mixed models for unbalanced repeated measures analysis of variance were used to determine associations between discordance and patient adherence.
Results. Satisfactory psychometric properties were obtained for discordance scores. Higher psychological distress was the most important determinant of higher discordance. Higher distress was correlated with active disease, less time since diagnosis, greater number and impact of negative life events. Higher satisfaction with social support reduced psychological distress by buffering the negative impact of perceived stress. Higher discordance on symptoms and treatment increased the risk of general nonadherence in patients with higher social support satisfaction. Medication adherence was associated with active disease, greater disease duration and scheduling another appointment. Higher discordance on well-being decreased the probability of medication adherence in non-distressed patients.
Conclusion. Preliminary evidence has been provided to support the validity of the new measure of physician-patient discordance. Higher discordance was associated with an increased risk of nonadherence in patients with healthy psychosocial characteristics.

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Flamenbaum, Jaime. "A critique of the biomedical model : the clash between physician and patient expectations." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape8/PQDD_0017/MQ55056.pdf.

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Olaisen, R. Henry. "Developing and Assessing Measures of Primary Care in the Medical Expenditure Panel Survey." Case Western Reserve University School of Graduate Studies / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case1523036135517028.

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Marshall, Trisha L. M. D. "Diagnostic Learning Opportunities: Increasing Physician Reporting of Suspected Diagnostic Errors." University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1592171499312483.

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Lashley, Myrna. "Informed proxy consent : communication between surgeons and surrogates about surgery." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=29068.

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Professionals whose job it is to counsel patients must be cognizant of the role played by communication in the establishment of a trusting working relationship. This is no less true for those within the medical community who must obtain informed consent for surgical interventions than it is for those working within the area of mental health. In order to determine what role communication plays in the obtaining of informed consent within a pediatrics setting, a qualitative study was conducted of 20 surrogates (those individuals giving consent on behalf of legally incompetent children) and of 5 surgeons performing surgical interventions on those children. Two sets of questionnaires were administered in order to elicit information pertaining to how surgeons communicate information to surrogates and to investigate how that information is received and processed by the surrogate. Results showed that while the obtaining of signed informed consent itself may not be a major problem, there are some difficulties in the communication between surgeons and surrogates in this domain. Based on the findings, recommendations for improved communication between surgeons and surrogates are proposed.

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Liu, Xinliang. "The Effect Of Physician Ownership On Quality Of Care For Outpatient Procedures." VCU Scholars Compass, 2012. https://scholarscompass.vcu.edu/etd/2886.

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Ambulatory surgery centers (ASCs) play an important role in providing surgical and diagnostic services in an outpatient setting. They can be owned by physicians who staff them. Previous studies focused on patient “cherry picking” and over-utilization of services due to physician ownership. Few studies examined the relationship between physician ownership and quality of care. Using a retrospective cohort of patients who underwent colonoscopy, this study examined the effect of physician ownership of ASCs on the occurrence of adverse events after outpatient colonoscopy. Agency theory is used to as a conceptual framework. Depending on the extent to which consumers are able to assess quality of care differences across health care settings, physician ownership can function as a mechanism to improve quality or as a deterrent to quality. Four adverse event measures are used in this study: same day ED visit or hospitalization, 30-day serious gastrointestinal events resulting in ED visit or hospitalization, 30-day other gastrointestinal events resulting in ED visit or hospitalization, and 30-day non-gastrointestinal events resulting in ED visit or hospitalization. Physician ownership status is determined based on a court decision in California in 2007. Data sources include the State Ambulatory Surgery Databases (SASD), State Inpatient Databases (SID), Emergency Department Databases (SEDD), State Utilization Data Files, the Area Resource File (ARF), and HMO/PPO data from Health Leaders. After controlling for confounding factors, the study found that colonoscopy patients treated at a physician-owned ASC had similar odds of experiencing same day ED visit or hospitalization and 30-day non-gastrointestinal events resulting in ED visit or hospitalization as those treated in a hospital-based outpatient facility. But the former had significantly higher odds of experiencing 30-day serious gastrointestinal events and 30-day other gastrointestinal events resulting in ED visit or hospitalization. The results are robust to changes in propensity score adjustment approach and to the inclusion of a lagged quality indicator. They suggest that physician ownership of ASCs was not associated with better quality of care for colonoscopy patients. As more complex procedures are shifted from hospital-based outpatient facilities to ASCs, expanded efforts to monitor and report quality of care will be worthwhile.

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Lambert, Rebecca Click. "Chagas Disease in the United States: the Emerging Threat and the Role Climate and Awareness Play in Its Spread." Thesis, Virginia Tech, 2007. http://hdl.handle.net/10919/42377.

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This study evaluates the roles of temperature variability and disease awareness in the emergence of Chagas disease (American trypanosomiasis). Chagas disease is endemic in Latin America and primarily spreads to humans directly via the triatomine vector. Hosts for most triatomine species are mainly rodents and occasionally dogs. The disease itself is caused by a parasitic protozoan, Trypanosoma cruzi (T. cruzi) which is found in the triatomineâ s feces and is often spread while the triatomine is consuming a blood meal. T. cruzi from feces enters the body via an abrasion on the skin, the mucous membranes, conjunctivae, or through consumption. To determine the risk of Chagas disease transmission one must define qualities that make the triatomine an effective disease vector as well as investigate the level of disease awareness among physicians and the population within the vectorâ s range. This thesis maps triatomine species within the U.S. that harbor T. cruzi naturally and that exhibit qualities of domesticity. These qualities are defined by whether the species bites humans and dogs as well as reports that the species has been found in the domestic setting. Ranges illustrating temperature thresholds for increased triatomine activity for 2000 and 2030 are also depicted. Additionally, outcomes of a physician survey are presented to gauge the status of Chagas disease awareness in areas at higher risk for disease transmission. Results reveal limited consideration of Chagas disease in physician diagnosis despite the higher risk range which extends through the southern U.S. and is predicted to expand significantly by 2030.
Master of Science

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