Medicine and Health Sciences Commons^™

Colloquium - Gender, Law And Health Care: New Perspectives For Teaching And Scholarship: The Role Of Gender In Law And Health Care, Karen H. Rothenberg

Karen H. Rothenberg

No abstract provided.

A Descriptive Review Of Health Care Providers Perspective On Stigmatization Of Hiv/Aids Patients: United States And South Africa, Ana I. Fonseca

Honors Projects

Compares the issue of social stigma affecting people with HIV/AIDS in the United State and in South Africa. Posits that stigma is more of an interpersonal problem in the United States, while it is a huge barrier to access to care in South Africa. Data was compiled through personal conversations and experiences in South Africa during June 2009, interviews with health professional and community members in Rhode Island during the fall of 2009, and reading of the professional literature.

Finding Solutions To Language Barriers Between Nurses And Their Clients, Tammy Poisson

Honors Projects

Explores perceptions of current registered nurses' encounters with limited English proficiency (LEP) Spanish speaking clients, negative outcomes related to LEP perceived by these nurses, and suggestions offered by these RNs for innovative interventions that would lessen language barriers. Describes an exploratory study conducted via a survey of nurses working in urban health clinics within Rhode Island and discusses microscopic and macroscopic nursing implications related to language barriers between nurses and their clients.

Mid-Atlantic Ethics Committee Newsletter, Fall 2009

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Caring For The Country: Physician Retention At Cortland Regional Medical Center, Jennifer E. Truck

MPA Capstone Projects 2006 - 2015

Americans living in rural areas of the United States have historically suffered from a lack of adequate health care. As the focus of this study, the Cortland County area of central upstate New York State is a rural community of 74,000 that has been served for the last 118 years by Cortland Regional Medical Center (CRMC). CRMC is the federally designated "sole community hospital" which means that there are no other hospitals within 45 minutes of the medical center ("Department of Health and Human Services," 2009). Its HSPA designation indicates that on average, each primary care physician must allocate services …

Holistic Approach To Health, Hatim A. Omar, Joav Merrick

Pediatrics Faculty Publications

No abstract provided.

Ageing Population: Status, Challenges And Opportunities For Health Care Providers In Pakistan, Waris Qidwai Dr

Department of Family Medicine

No abstract provided.

Effectiveness Of A Multidisciplinary Patient Assistance Program In Diabetes Care, Edward Joseph Doyle, Iii

Senior Honors Projects

This retrospective chart review is to evaluate the changes in personal health markers that serve as prognostic indicators in the progression of type 2 diabetes mellitus. Subjects in the Patient Assistance Liaison (PAL) Program at the Diabetes Resource Center (DRC) of the St. Joseph Health Services of Rhode Island Hospital for Specialty Care have no health insurance to pay for needed services and medications. It is desirable to know if the care they are receiving is equivalent to patients at the DRC that have prescription drug insurance from a third party provider.

Presently there are over 23.6 million Americans with …

Coping With Loss: A Khmer Perspective On Guiding Children And Adolescents Upon The Death Of A Loved One, Sekboppa Sor

Senior Honors Projects

The emotions that come with death and dying, such as grief, sadness and anger are experienced by everyone at some point in their lifetime. Because death is such a sensitive subject, many people are hesitant to explain the process to children. Children, like adults, experience loss and it is important that they understand how to cope with the issue if and when it affects them. Soon after the death, mourning begins. The mourning process serves as an opportunity for individuals to express their emotions after a loss through their own traditions and rituals. For many individuals, it is an important …

Healthcare Disparities Between Older And Younger Adults, Megan Coral

Senior Honors Projects

The Centers for Disease Control (CDC) states that within the next few decades, adults aged 65 and older will represent 20% of the US population. As a result, health professionals will see an increase in the number of older patients they treat and as such, must be knowledgeable about the aging process and age-associated issues in order to provide appropriate treatment. Often, older patients do not receive care that is of comparable quality to that provided to younger adults. This original research project was designed to identify perceived barriers to providing appropriate and high quality treatment to older adults and …

The Effect Of Obesity On State Health Care Expenditures: An Empirical Analysis, Kristen Collins

Honors Projects in Economics

The purpose of this study is to examine the effects of obesity rates on per capita state health care expenditures. A two-stage least square regression model is used. In the first stage of the estimation, factors influencing obesity rates are determined. The determinants of obesity rates are outlined throughout the research process. In the second stage, the impact of obesity rates on per capita health expenditures across states is evaluated. The empirical results indicate that obesity rates do indeed have a direct effect on state health care expenditures. After reviewing the project’s results, various solutions are proposed as possible methods …

Mid-Atlantic Ethics Committee Newsletter, Spring 2009

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Over-Utilization Of Advanced Imaging In The Hospital Setting: An Educational Approach To Reduce Unnecessary Inpatient Studies, Guillermo Madero, J. Platnick, L. Voutsinas, R. Wetz, S. Buchbinder

Internal Medicine

By several measures, health care spending continues to rise, forcing businesses and families to cut back on operations and household expenses. In 2008, health care spending in the United States reached $2.4 trillion dollars, and is projected to reach $3.1 trillion in 2012.During the past decades, there has been a steady increase in the utilization of expensive inpatient imaging studies, with an overall increase in health care costs. In particular, advanced imaging includes CT, MRI and Nuclear Medicine, used for the diagnosis and management of hospitalized patients. The reasons for unnecessary imaging examinations include indirect financial benefit to physicians, medico-legal …

Or Practice—Efficient Short-Term Allocation And Reallocation Of Patients To Floors Of A Hospital During Demand Surges, Steven M. Thompson, Manuel Nunez, Robert Garfinkel, Matthew D. Dean

Management Faculty Publications

Many hospitals face the problem of insufficient capacity to meet demand for inpatient beds, especially during demand surges. This results in quality degradation of patient care due to large delays from admission time to the hospital until arrival at a floor. In addition, there is loss of revenue because of the inability to provide service to potential patients. A solution to the problem is to proactively transfer patients between floors in anticipation of a demand surge. Optimal reallocation poses an extraordinarily complex problem that can be modeled as a finite-horizon Markov decision process. Based on the optimization model, a decision-support …

The Life Science Lawyer, Erin Albert

Butler University Books

Health care and life sciences are increasingly complex. There are many global players in life sciences and healthcare-patients, governments, hospitals, managed care companies, pharmaceutical, biotechnology, and medical device companies and pharmacies are only a few. With this increasing complexity comes a higher demand for hybrid professionals who can translate both the science as well as the legal issues surrounding this complicated environment. In the US, there are thousands of life science lawyers--people who have both a scientific/healthcare background and also who have gone on to law school (or in one case, vice versa). This book explores the following through interviews: …

Handbook On Sensitive Practice For Health Care Practitioners: Lessons From Adult Survivors Of Childhood Sexual Abuse, Candice L. Schachter, Carol Stalker, Eli Teram, Gerri C. Lasiuk, Alanna Danilkewich

Lyle S. Hallman Social Work Faculty Publications

This handbook is the culmination of a multiphase, multidisciplinary research project that used grounded theory and participatory action research to illuminate ways that healthcare providers can work sensitively (in a trauma-informed way) with adult survivors of childhood sexual abuse.

The research identified nine Principles of Sensitive Practice: respect, rapport, taking time, sharing information and control, respecting boundaries, fostering mutual learning, understanding non-linear healing and demonstrating an understanding of trauma to patients. Specific guidelines were developed for a wide variety of issues pertinent to clinical practice such as, removal of clothing, touch, responding to disclosures of abuse, managing triggers among others. …

The Ethical Foundations Of Consumer-Driven Health Care, Marshall B. Kapp

Journal of Health Care Law and Policy

No abstract provided.

Chasms In Care: Implications Of A Disparate System On Childhood Obesity, Sara Dianne Miller

Mahurin Honors College Capstone Experience/Thesis Projects

There are disparities that exist between public health and personal health care in addressing childhood obesity. Public health efforts to reduce the prevalence of this epidemic have focused on preventive strategies because a coordinated system of health care to address the treatment of obesity in children does not exist. For children who are already overweight, these strategies are not enough. What programs do exist are typically fee-for-service. This study examines the ethics and implications of the disparities that exists in our nation, as well as the role socioeconomic status plays in adolescent overweight and obesity and its primary behavior risk …

Contextual Leadership: The Social Construction Of Leadership In A Comprehensive Healthcare System, Mark J. Moir

Antioch University Full-Text Dissertations & Theses

Healthcare is a complex and dynamic environment containing a plurality of social forces and perspectives that shape the organizational culture and the nature of the leadership. As leadership is a social phenomenon, it is important to understand the complex social processes that mediate our perceptions and that in turn influence processes of leader attribution. The central purpose of this study has been to illuminate the nature of culturally specific processes that emerge within a specific organizational setting and that fuel leader attribution and the social construction of leadership. Accordingly, this qualitative study has developed a Grounded Theory utilizing Situational Analysis …

Educating Clinical Pastoral Education Supervisors: A Grounded Theory Study Of Supervisory Wisdom, Judith R. Ragsdale

Antioch University Full-Text Dissertations & Theses

Clinical Pastoral Education (CPE) is an 80 year old education modality that provides professional education for students of pastoral care. Supervision is central to the CPE process. Pastoral supervisors in the Association for Clinical Pastoral Education (ACPE) have done little writing about their work educating Students in Supervisory Education (SSEs). The purpose of this dissertation is to identify and interview those practitioners in ACPE who have been identified by their peers as excellent in practice, and to cull their wisdom by listening to and categorizing their experience of supervising SSEs. The research question to the supervisors was: What is your …

Provision Of Health Care Services In Canada: Challenges And Opportunities, Rosa Rodriguez-Monguio, Enrique Seoane-Vazquez, Fernando Antoñanzas Villar

Pharmacy Faculty Articles and Research

The Canadian health care system provides comprehensive coverage of hospital and outpatient care, including therapeutic, diagnostic and preventive services. The level of coverage of services varies across the country. This study examines the key characteristics of the Canadian health and long-term care systems; presents a structured analysis of the insurance, financing and provision of health and long-term care services in Canada; describes the main challenges of the Canadian health and long-term care systems; and concludes with feasible opportunities for the Canadian health policy.

Main challenges to the Canadian system are related to population ageing; prevalence of avoidable diseases caused by …