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Full-Text Articles in Medicine and Health Sciences

Scramble Or Script: Responding To New Medicare Billing For Medications In Hospice, Jennifer Tjia, Shaida Talebreza, Maija Reblin, Anna Beck, Lee Ellington Jul 2015

Scramble Or Script: Responding To New Medicare Billing For Medications In Hospice, Jennifer Tjia, Shaida Talebreza, Maija Reblin, Anna Beck, Lee Ellington

Jennifer Tjia

No abstract provided.


Electronic Prescribing And Its Implementation In The United States, Kate Englebert, Amber Porterfield, William Willis, Alberto Coustasse Jul 2015

Electronic Prescribing And Its Implementation In The United States, Kate Englebert, Amber Porterfield, William Willis, Alberto Coustasse

William K Willis

Introduction: Electronic prescribing (e-prescribing) is an important part of the nation’s push to create an electronically accessible national health system. E-prescribing allows providers to send prescriptions electronically to the pharmacy and can be stand-alone systems or part of an integrated electronic health record system. Methodology: The methodology for this study was a literature review. Electronic databases accessed include EBSCOhost, PubMED, and Google Scholar. Additionally, government websites and a semi-structured interview were used. A total of 39 sources were referenced for the review. Results: The results of the literature review demonstrated that e-prescribing reduces prescribing errors, increases efficiency, and helps save …


Current Trends In Patients’ Adoption Of Advanced E-Health Services, E. Wilson, Sule Balkan, Nancy Lankton Jul 2015

Current Trends In Patients’ Adoption Of Advanced E-Health Services, E. Wilson, Sule Balkan, Nancy Lankton

Nancy K. Lankton

This paper presents a fine-grained, longitudinal analysis of demographic factors contributing to adoption by patients of advanced e-health services in the areas of transaction, communication, and personal support. The research uses Health Information National Trends Survey (HINTS), conducted in 2003, 2005, and 2007 by the U.S. National Cancer Institute. The findings show that while use of advanced e-health services is increasing overall, adoption trends vary substantially by service and by patients’ demographic characteristics.


Factors Associated With Integrating Self-Management Support Into Primary Care, Richard Crespo, Molly Shrewsberry Jul 2015

Factors Associated With Integrating Self-Management Support Into Primary Care, Richard Crespo, Molly Shrewsberry

Richard Crespo

Purpose The purpose of this article is to expand the understanding of self-management support by describing factors that contribute to implementing a comprehensive self-management program in primary care. Methods Four rural health centers in medically underserved areas participated in a study to document the implementation of a self-management program. This program consisted of a social marketing plan and decision-making tools to guide patients in making self-management behavior changes. The stages of change constructs of the transtheoretical model were used to design the social marketing plan. Key informant interviews were conducted at 6-month and 9-month intervals to document the implementation process. …


The Experience Of Disability In Families: A Synthesis Of Research And Parent Narratives, Philip Ferguson, Alan Gartner, Dorothy Lipsky Jun 2015

The Experience Of Disability In Families: A Synthesis Of Research And Parent Narratives, Philip Ferguson, Alan Gartner, Dorothy Lipsky

Philip M. Ferguson

This chapter focuses on the difficulties parents of those with intellectual disabilities face.


Compensating Differentials And Unmeasured Ability In The Labor Market For Nurses: Why Do Hospitals Pay More?, Edward Schumacher, Barry Hirsch Mar 2015

Compensating Differentials And Unmeasured Ability In The Labor Market For Nurses: Why Do Hospitals Pay More?, Edward Schumacher, Barry Hirsch

Edward J Schumacher

Registered nurses (RNs) employed in hospitals realize a large wage advantage relative to RNs employed elsewhere. Cross-sectional estimates indicate a hospital RN wage advantage of roughly 20%. This paper examines possible sources of the hospital premium, a topic of some interest given the current shifting of medical care out of hospitals. Longitudinal analysis of Current Population Survey data for 1979-94 suggests that a third to a half of the advantage is due to unmeasured worker ability, and the authors conclude that the remainder of the advantage probably reflects compensating differentials for hospital disamenities. Supporting these conclusions is evidence that hospital …


The Earnings And Employment Of Nurses In An Era Of Cost Containment, Edward Schumacher Mar 2015

The Earnings And Employment Of Nurses In An Era Of Cost Containment, Edward Schumacher

Edward J Schumacher

Previous research has shown that from the 1980s through the early 1990s, nurses enjoyed substantial wage and employment gains that stemmed, to some extent, from increased labor demand. Using individual data for 1988-98 to compare nurses' fortunes with those of college-educated women and other workers in the health care industry, the author documents that nurses experienced a decline in real wages beginning in the early 1990s, at the same time that the skill premium for RNs, as reflected by the return to education and experience, was increasing. Changes in measured characteristics and their returns explain very little of the decline, …


What Explains Wage Differences Between Union Members And Covered Nonmembers?, Edward Schumacher Mar 2015

What Explains Wage Differences Between Union Members And Covered Nonmembers?, Edward Schumacher

Edward J Schumacher

An individual covered by a collective bargaining agreement but who is not a union member is estimated to earn about 13% lower wages than a union member. Sectors with relatively few covered nonmembers are associated with a large coverage differential, while sectors with high proportions of covered nonmembers are associated with small differentials. This suggests freeriders either weaken the bargaining position of the union or weak bargaining positions increase the incentive to freeride. Only a modest amount of this differential is accounted for by unmeasured ability, the probationary period associated with newly hired union workers, or union status misclassification.


The Role Of Leadership In Creating A Strategic Climate For Evidence-Based Practice Implementation And Sustainment In Systems And Organizations, Gregory Aarons, Mark Ehrhart, Lauren Farahnak, Marisa Sklar Mar 2015

The Role Of Leadership In Creating A Strategic Climate For Evidence-Based Practice Implementation And Sustainment In Systems And Organizations, Gregory Aarons, Mark Ehrhart, Lauren Farahnak, Marisa Sklar

G A Aarons

There is a growing impetus to effectively implement evidence-based practices (EBPs) in health and allied health settings in order to improve the public health impact of such practices. To support implementation and sustainment of EBPs, it is important to consider that health care is delivered within the outer context of public health systems and the inner context of health care organizations and work groups (3). This article identifies two relevant types of leadership for implementation and recommends steps that leaders can take in developing a strategic climate for EBP implementation and sustainment within the outer and inner contexts of health …