Health and Medical Administration Commons^™

Electronic Health Records And Rural Hospitals, Kaitlin Bischoff

Annual Undergraduate Conference on Health and Society

Nearly 20% of the U.S. population lives in rural areas and are not resistant to many of the U.S. healthcare challenges such as cost, quality, and access. In fact, the distinguishing cultural, social, economic, and geographic traits which characterize rural America place rural populations at greater risk for many diseases and health disorders. Like those in urban settings, people from rural areas have been affected by the use of health information technology, where treatment is now data-intensive, and there are more options and greater expectations of quality and accountability. Due to cost, geographic and social traits, and the ...

Primary Care Physician Shortage: Increased Demand And Insufficient Supply, Sara Gorham

Annual Undergraduate Conference on Health and Society

The Affordable Care Act (ACA) is attempting to reform the organization, delivery and reimbursement rates associated with the health care system. The current healthcare system supports the provision of fragmented, uncoordinated care, which has contributed to its high costs and has led to a system that is not strongly based on primary care. As a result of this system, the unfavorable stigma of the primary care field, and the much higher income made by specialists, there is a shortage of primary care physicians (PCPs). This paper will first describe and analyze the current primary care physician shortage and the factors ...

Public Transportation: Perceptions Of Cleanliness Contributing To Poor Health, Dashka Bernard

Annual Undergraduate Conference on Health and Society

Public transportation vehicles such as trains or buses have a reputation as unsanitary. Many riders of public transit are concerned with the health risks they are facing in regards to contagion. Perceptions of cleanliness derive from public health historically, with class, morality, and good health tied together in the American public’s attitudes. Certainly, infectious disease and sanitation are directly correlated in many instances, such as in the highly overcrowded and dirty cities in the early twentieth-century United States. Those living in filthy conditions (particularly, lower class individuals) were not only prone to becoming ill, but also considered to be ...

Comprehensive State-­‐Mandated Insurance Coverage Of Infertility Treatments In Minimum Benefits Packages Of Employee Health Insurance, Danielle Petrilli

Annual Undergraduate Conference on Health and Society

Minimum benefits packages for employee health insurance plans usually only include the basic coverage necessary to survive in an attempt to control costs, similar to the new categorization of essential health benefits (EHBs) outlined in the Patient Protection and Affordable Care Act (ACA). However, in some cases, the advantages that accompany the inclusion of higher-­‐level, more expensive services in a minimum benefits package actually lead to decreased costs over time. Coverage of infertility treatments, such as in vitro fertilization, is an example of a higher-­‐level service that actually leads to lower health care costs in the long run ...

State Medicaid Programs: A Trifocal Examination Of The Controversy Surrounding Expansion, Meredith Daly

Annual Undergraduate Conference on Health and Society

The conversation regarding Medicaid expansion is ever-changing as states grapple with whether to expand their existing programs. Through this now-optional piece of legislation, state governments can choose to extend healthcare coverage via the federal government to millions of previously uninsured citizens. In order to understand and form an opinion on the controversy over expanding Medicaid programs, the issue demands to be looked at through three varying lenses. The first and most important lens is social. Several studies are examined to show that with expansion, there is a high correlation with better health outcomes; without it there is a care gap ...

Optimal Screening Approaches - Coordinating Optimal Screening Programs In Canada: A Multifacted Approach, Eric Chen, Hamza Qamar

The Meducator

Disease screening is the process of testing asymptomatic individuals for the risk or presence of disease. However, the advent of advanced screening technologies in recent decades poses a challenge to the Canadian health system. The lack of a consistent screening policy among Canadian provinces and poor adherence to screening guidelines have compounded the challenge. The McMaster Health Forum convened a stakeholder dialogue on October 17, 2013 with regards to supporting optimal screening practices in Canada. In consultation with stakeholders, the Forum created an issue brief describing the problem, three elements of a comprehensive approach to address this problem, and key ...

Implementing Centralized Waiting Lists For Patients Without A Family Physician In Quebec, Mylaine Breton, Jennissa Gagne, Fortuné Gankpe

Health Reform Observer - Observatoire des Réformes de Santé

In 2008, the Quebec government mandated the ninety-four Centres de Santé et des Services Sociaux (CSSS ­or Centres for Health and Social Services) to implement a Guichet d'Accès aux Clientèles Orphelines (GACO) – a centralized waiting list to help patients without a family physician find one. Specifically, the goal of GACOs is to increase the number of patients with a family physician as well as to give priority access to vulnerable patients. The media treatment of “orphan” patients as well as the Fédération des Médecins Omnipraticiens du Québec (FMOQ ­ or Federation of General Practitioners of Quebec) both played a crucial ...

Diffusion Theory And Knowledge Dissemination, Utilization And Integration, Lawrence W. Green, Judith M. Ottoson, César García, Robert A. Hiatt, Maria L. Roditis

Frontiers in Public Health Services and Systems Research

Part of the Community Health and Preventive Medicine Commons, Health and Medical Administration Commons, Health Policy Commons, Health Services Administration Commons, Health Services Research Commons, and the Public Health Education and Promotion Commons

Many accomplishments of public health have been distributed unevenly among populations. This article reviews the concepts of applying evidence-based practice in public health in the face of the varied cultures and circumstances of practice in these varied populations. Key components of EBPH include: making decisions based on the best available scientific evidence, using data and information systems systematically, applying program planning frameworks, engaging the community and practitioners ...

Community Health Assessment By Local Health Departments: Future Questions, Kay Lovelace

Frontiers in Public Health Services and Systems Research

This "Letter to the Editor" is a response to the article "Community Health Assessment by Local Health Departments: Presence of Epidemiologist, Governance, and Federal and State Funds are Critical" published in volume 2, issue 6 of this journal. It considers how LHDs develop CHAs in complex jurisdictions, the roles of other professionals in the development of CHAs, and the conduct, quality, and use of CHAs.

Introducing Physician Assistants To Ontario, Meredith Vanstone, Sarah E. Boesveld, Kristen Burrows

Health Reform Observer - Observatoire des Réformes de Santé

In 2006, the Ontario Ministry of Health and Long Term Care (MOHLTC) introduced Physician Assistants (PAs) through the announcement of demonstration projects, education and training programs, and subsequent funding. PAs are directly supervised by physicians and act as physician extenders by performing acts as delegated to them by their supervising physicians. PAs were proposed as a potential solution to help improve access to health care and reduce wait times throughout the province. Prior to the 2006 Ministry announcement, there was little public discussion regarding the acceptance of the PA role or its sustainability. Opposition from nursing and other groups emerged ...

In The Pink Of Health, Singapore Management University

Perspectives@SMU

SingHealth works to attract and retain doctors in Singapore’s public health sector.

An Indian Healthcare Company’S Foray Onto The World Stage, Singapore Management University

Perspectives@SMU

Fortis Healthcare expanded from one hospital to over 70 in a dozen years. It is now consolidating to focus on what it does best: saving lives.

Underrepresented Minority Faculty In Academic Medicine: A Systematic Review Of Urm Faculty Development., José E. Rodríguez Md, Kendall M. Campbell Md, John P. Fogarty Md, Roxann L. Williams Mslis

Family Medicine and Rural Health Faculty Publications

BACKGROUND AND OBJECTIVES: Retention and recruitment of minority faculty members continues to be a concern of medical schools because there is higher attrition and talent loss among this group. While much has been written, there has not been a systematic review published on this topic. This is the first study to use evidence-based medicine (EBM) criteria and apply it to this issue.

METHODS: We searched MEDLINE, Web of Knowledge, ProQuest, and Google Scholar for papers relating to the recruitment and retention of minority faculty. We then graded the evidence using the EBM criteria as defined by the American Academy of ...

Clinical Information Needs Of The Allopathic Medical Practitioners In Developing Country, India: A Descriptive Analysis With Workplace., Dr.Sathivel Murugan Bomman, Dr.Ally Sornam S, Dr.Mohan Kumar V

Library Philosophy and Practice (e-journal)

Clinical Information need is an important factor for the practicing allopathic medical practitioners. This study aim is to identify the practitioners’ clinical information needs level and analysed with their experience and correlate with gender, educational qualification and workplace. Experience is classified into six categories like; 0-5years, 6-10years, 11-15years, 16-20years, 21-25years and above 25 years. Survey method is adopted and pretested questionnaire is used as a tool for data collection. Salem, Erode, Trippur, Coimbatore, and the Nilagari districts medical practitioners are used for this study. Among the 5290 samples, 10% (529) practitioners are selected by Stratified Proportionate Random ...

Implanter Des Guichets D’Accès Aux Clientèles Sans Médecin De Famille À Travers Le Québec, Mylaine Breton, Jennissa Gagne, Fortuné Gankpe

Health Reform Observer - Observatoire des Réformes de Santé

En 2008, le gouvernement du Québec a mandaté les quatre-vingt-quatorze centres de santé et des services sociaux (CSSS) d’introduire un guichet d’accès aux « clientèles orphelines » (GACO; le terme de clientèle orpheline désigne les patients n'ayant pas accès à un médecin de famille) au sein de leur organisation. L’objectif des GACO est d’augmenter le nombre de patients avec un médecin de famille et de prioriser les patients vulnérables. La médiatisation de l’enjeu des patients orphelins et la Fédération des médecins omnipraticiens du Québec ont joué un rôle prépondérant dans la conceptualisation et l'introduction de ...

Navigating The Health Care Labyrinth: Portraits Of The Socioeconomically Disadvantaged, Thomas C. Crawford Phd

Dissertations & Theses

In 2010, an estimated population of the 311,212,863 Americans generated approximately 1,014,688,290 physician office encounters (Moore, 2010). The frequency and number of professional interactions between caregivers and patients/family members in medical office settings equated to a staggering 1,931 visits per minute. Based on the massive volume of interactions that occurred between patients of different races, ethnicities, genders, sexual orientations, and socioeconomic standings that generated an average household income of $49,445 in 2010 (United States Census Bureau, 2010a) with a physician workforce that the Association of American Medical Colleges (2010) captured as being ...

Action-Oriented Research For Master’S Level Dissertations: An Opportunity To Improve Practice, Pauline Joyce, Maha Al Fahim

Institute of Leadership Reports

As academic staff become familiar with the qualifications framework of the UAE and work towards demonstrating alignment between learning outcomes, teaching/learning strategies and assessment, this is an opportune time to revisit traditional masters’ dissertation guidelines and methodologies to ensure students demonstrate mastery of a topic via achievement of a capstone project. Such a project is an opportunity to demonstrate both a contribution to knowledge and an improvement in practice.

This discussion document takes the view that formal master’s level programs can miss this opportunity to use rich experiences of working professionals to produce knowledge and learning. An action-oriented ...

Language Barriers And Their Effects On Quality Healthcare, Shannen Fyffe

University Honors Program Theses

In the United States, 3.38 million people report not speaking English well. These 3.38 million people continuously struggle to find employment, face underemployment, struggle to do everyday tasks, and feel considerable discomfort when in a doctor’s office due to a significant lack of adequate translation services. The purpose of this paper is to provide statistics based upon research and provide information based upon personal experience to raise awareness to the growing issue of miscommunication and improper translation measures taken to provide quality healthcare to Spanish speakers in the United States.

Leading Change As A Professional: Working Across Boundaries, Pauline Joyce, Paula Kinnarney

Institute of Leadership Articles

This paper outlines an initiative, namely a leadership symposium, which developed from a chance meeting of like-minded academics, who were trying to achieve similar outcomes with their student groups; namely, to include the scholarly activity of disseminating graduates' action-oriented projects. One group of graduates were from a mix of healthcare professions, the other group were teachers. Both were leading change projects across their professions. One group was guided by action research and the other by action learning. This paper outlines the graduates’ experiences of their challenges, opportunities and learning from leading these change initiatives. Arising from the symposium exchanges, the ...

Evaluating Quality Improvement To Improve Hiv Reporting, Nandi A. Marshall, William C. Livingood, Angela Peden, Gulzar H. Shah, Russ Toal, Dayna Alexander, Alesha Wright, Sandra Jump, Shelby Freeman, Kay Davis, Lynn Woodhouse, Kellie Penix

Frontiers in Public Health Services and Systems Research

The incorporation and evaluation of Quality Improvement into Georgia’s public health systems continues to be a focus of the Georgia Public Health Practice Based Research Network. This report describes the process, preliminary results and lessons learned from incorporating Quality Improvement into one of Georgia’s public health districts.