Dissertations / Theses: 'Physician'

1

Swiatek-Kelley, Janice. "Physician Information Seeking Behaviors: Are Physicians Successful Searchers?" NSUWorks, 2010. http://nsuworks.nova.edu/gscis_etd/360.

Full text

Abstract:

In the recent past, physicians found answers to questions by consulting colleagues, textbooks, and professional journals. Now, the availability of medical information through electronic resources has changed physician information-seeking behaviors. Evidence-based medicine is now the accepted decision-making paradigm, and a physician's ability to locate best practice guidelines through electronic information resources has become an essential skill. As physicians struggle to stay current in the wake of an ever-growing volume of medical information, several electronic resources claim to provide one-stop access to the most current information with correct and complete answers to problems encountered in the practice of health care. The complexity of medical information, however, prevents one resource from meeting all of a physician's information needs. The research described here sought to identify which resources physicians used to find answers for a particular area of inquiry, identify the appropriateness of their resource selection, and compare the choices with their satisfaction with their results. A questionnaire was e-mailed to a randomized group of family practice physicians asking them to indicate which resources they use to answer questions that arise within their professional practice. Physicians were also asked to rate the attributes of these resources. Their responses revealed that physicians do not always select the correct resource and are not necessarily confident even when they do select the correct resource. Physicians did not demonstrate a global overview of the strengths and weaknesses of information resources, but rather, consistently chose the same resources in approximately the same order regardless of the information they were seeking. The results of this study indicate that physicians do not understand the scope and capabilities of the resources they are using. This research has produced recommended guidelines to provide health information professionals with a course of action to restructure physician training. These guidelines cover such concepts as vetting a resource, selecting the correct resource for a topic of interest, when to partner with an information professional, an overview of the resources their patients may be using, and a synopsis of other features to support information literacy.

APA, Harvard, Vancouver, ISO, and other styles

2

Santana-Cebollero, DeAnna. "Physician Well Being and Patient Satisfaction Among Employed Physicians." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/167.

Full text

Abstract:

Understanding physician well-being may help prevent physician burnout, improve the quality of care they provide to their patients, reduce medical errors, and improve patient satisfaction. Using the biopsychosocial-spiritual theory as the conceptual framework, this quantitative study examined the relationship between: (a) physician well-being and patient satisfaction, (b) physician gender and physician well-being, (c) primary care providers' and specialists' well-being, (d) patient satisfaction based on physician specialty, and (e) the duration of practice and physician well-being. All of the 87 employed physicians in a Florida regional hospital were invited to respond to a physician well-being questionnaire; a response rate of 58.4% was achieved. Patient satisfaction information was obtained through archived data of 4,500 patient surveys. Data were analyzed utilizing linear regression to examine the relationship between patient satisfaction and duration of physicians' practice, with the dependent variable, physician well-being. Two logistic regression analyses were utilized to examine (a) differences between physician well-being, gender, and specialty; and (b) differences between patient satisfaction and physician specialty. There were no significant relationships evident; however, it was speculated that the nonsignificance may be due to the small available sample of physicians. Future research on physician well-being may use the current findings to refine the conceptual framework and increase the understanding of how physician well-being can prevent physician burnout, improve the quality of care they provide to their patients, reduce medical errors, and improve patient satisfaction. Future research in this area will have the potential to increase the quality of patient care that will address positive social change.

APA, Harvard, Vancouver, ISO, and other styles

3

Blackwelder, Reid B. "Physician Wellness." Digital Commons @ East Tennessee State University, 2005. https://dc.etsu.edu/etsu-works/6915.

Full text

APA, Harvard, Vancouver, ISO, and other styles

4

Mkandawire, Collins Yazenga. "Hospital Outcomes Based on Physician Versus Non-Physician Leadership." Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10257047.

Full text

Abstract:

Hospital performance metrics are an indicator of leadership performance. However, there is inadequate research on whether physician or nonphysician chief executive officers (CEOs) perform better in the U.S. hospitals. The purpose of this study was to examine which type of leaders is better. Leadership trait, situational leadership, and leadership behavior theories constituted the theoretical foundation. The key research question examined the relationship between a hospital’s outcomes, which in this study, included hospital net income, patient experience ratings, and mortality rates, and the type of CEO in that hospital: physician or non-physician. A quantitative, causal comparative design was used to answer this question. Three hypotheses were tested using multivariate analysis of variance. The dependent variable was hospital outcomes: hospital net income, patient experience ratings, and mortality rates. The independent variable was the type of hospital CEO: physician and nonphysician. Datasets from 2014-2015 were used, which were publically available on the websites of U.S. based hospitals, research organizations, and journals. A sample of 60 hospitals was drawn from U.S. non-federal, short-term, acute care hospitals, based on number of staffed beds (n = 60). No significant differences were found between nonphysician and physician CEOs on hospitals’ net income (p = .911), patient experience ratings (p = .166), or mortality rates ( p = .636). Thus, the null hypotheses were retained. Findings suggest that physician and non-physician CEOs may produce similar outcomes in the hospitals they lead. Based on these findings, hospital boards can view CEO applicants equally when considering whom to hire and understanding U.S. hospital leadership.

APA, Harvard, Vancouver, ISO, and other styles

5

Li, Mingqiang. "Physician Agency, Patients' Trust and Institutions Within Physician Groups." Thesis, Harvard University, 2016. http://nrs.harvard.edu/urn-3:HUL.InstRepos:27201725.

Full text

Abstract:

One of the major challenges of health care contracting is that physicians' financial and personal interests are often not aligned with patients' best interests. When this physician agency problem is widespread, patients may lose trust in their physicians, leading to undesirable clinical outcomes. In this dissertation, we explore several means to solve the physician agency problem through institutional arrangements. Chapters 1 and 2 focus on peer-to-peer institutions within physician groups that can sustain a good group reputation, and this group reputation mechanism can play a role in encouraging physicians to provide appropriate treatments. Chapter 1 investigates the group reputation mechanism from a theoretical perspective. The theory suggests that a physician group's reputation outperforms each physician's individual reputation when some kinds of intragroup institutions can minimize an individual physician's motivation to free-ride on the group reputation. These intragroup institutions have to address the information sharing among physicians and the enforcement of peer sanctions after a misbehaving doctor is detected. We investigate the suspension as an example of such an enforcement. Chapter 2 further provides empirical evidence on the effects of peer-monitoring institutions on reducing harmful overtreatments in a laboratory setting. The experimental results suggest that information sharing alone does not significantly reduce overtreatment. By contrast, peer-selection enforcement, in which doctors have the freedom to choose their group affiliations and colleagues, significantly reduces overtreatment, nearly eliminating overtreatment in the best physician groups. Furthermore, patients are more likely to see a doctor from the physician group that maintains a low overtreatment rate. While physicians can adopt vigorous peer-monitoring to mitigate the physician agency problem, patients may attempt to ensure doctors' commitment to prioritizing their patients' best interest when the physician agency problem is perceived. Chapter 3 investigates the informal payment (red-packet) phenomenon in the medical setting using data from China, which can be regarded as an informal gift-exchange institution initiated by patients. We provide supportive evidence that, when patients report low trust in their doctors and indicate poor communication and lack of empathy of their doctors, they tend to offer red packets.

APA, Harvard, Vancouver, ISO, and other styles

6

Blackwelder, Reid B. "Physician Burn Out/Wellness, How to Protect the Family Physician." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6948.

Full text

APA, Harvard, Vancouver, ISO, and other styles

7

Gillen, Kristin. "Understanding attitudes toward nurse/physician collaboration in practicing nurses and physicians /." abstract and full text PDF (free order & download UNR users only), 2007. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1447815.

Full text

Abstract:

Thesis (M.S.)--University of Nevada, Reno, 2007.
"May 2007." Includes bibliographical references (leaves 38-41). Online version available on the World Wide Web. Library also has microfilm. Ann Arbor, Mich. : ProQuest Information and Learning Company, [2007]. 1 microfilm reel ; 35 mm.

APA, Harvard, Vancouver, ISO, and other styles

8

Smith, Kimberly A. "Physicians in 21st century healthcare: developing physician leaders for the future." Diss., Kansas State University, 2014. http://hdl.handle.net/2097/17380.

Full text

Abstract:

Doctor of Philosophy
Department of Educational Leadership
Sarah Jane Fishback
This bounded case study explored ten purposefully selected physician participants’ perceptions of the effectiveness of an eight session, two year in-house physician leadership development program at a major Academic Medical Center (AMC) in the Midwest. While physicians are generally educated to care for patients in their specialty area, reforms necessitate the need for physician leadership involvement in metric tracking by healthcare organizations in order to provide a focus on quality patient care and safety. Participants indicated finding the course effective, especially the negotiations and finance modules. These modules provided new language, a better understanding of processes and an opportunity to develop skills through interactive class exercises such as case studies. Participants described an increased self-awareness of their interpersonal skills and expressed a desire for greater exposure to emotional intelligence principles. Participants experienced a transformational shift in how they constructed their identity as a physicians and leaders, and questioned assumptions about the physician’s role in healthcare. While effective in initiating a process of exploration, this course was not sufficient to meet the goals and objectives of the program. Therefore, recommendations for the advanced course included a focus on leadership competencies identified by Dye and Garman (2006) as cited by Dye and Sokolov (2013), emotional intelligence, and transformational leadership.

APA, Harvard, Vancouver, ISO, and other styles

9

Pregitzer, Lynn M. "The future of physician leaders| A study of physician leadership practices." Thesis, Pepperdine University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3629114.

Full text

Abstract:

The administration's healthcare reform act of 2010 brings changes that are targeted to increase the quality of care, cut rising healthcare costs, and improve the health of the population, but the principle objectives of the law can only be met with the active involvement of physicians. However, leading in multidisciplinary healthcare organizations is difficult and physicians prepared for leadership are in short supply. Addressing this shortage first requires an understanding of the leadership practices of physicians in order to develop an effective leadership development program. To this end, the primary purpose of this study is to explore the practices of physician leaders.

This study used the qualitative phenomenological method to examine the experiences of physicians in their lives as leaders. The theoretical framework used to guide the research was the five practices of exemplary leaders (Kouzes & Posner, 2012). Interviews were conducted with 8 participants and the data were coded and analyzed using HyperRESEARCH, a qualitative coding software package. The validity and reliability of the study were enhanced by presenting an in-depth, vivid analysis of the data, by conducting a peer review and by clarifying the researcher's bias at the outset of the study. The study found that all 5 of the practices in Kouzes and Posner's (2012) theoretical framework were present in physician leaders to varying degrees. Overall, the expressions which represented the practices of "enable others to act," "inspire a shared vision," and "challenge the process," were counted more often than "model the way" and "encourage the heart."

The study recommends that instructional designers develop a systematic curriculum with advanced leadership concepts. Additional recommendations include executive coaching and change leadership training. Recommendations for future research include increasing the number of participants, replicating the study using a different theoretical framework, including more physicians from small practices, expanding the study to collect demographics of the participants, and using a quantitative method or mixed method to enhance the transferability of the study results.

APA, Harvard, Vancouver, ISO, and other styles

10

Smith, Donna M. "Physician managerial skills: Assessing the critical competencies of the physician executive." Case Western Reserve University School of Graduate Studies / OhioLINK, 1990. http://rave.ohiolink.edu/etdc/view?acc_num=case1054737799.

Full text

APA, Harvard, Vancouver, ISO, and other styles

11

Pertiwi, Yopina Galih. "The Role of Physician Social Identities in Patient-Physician Intergroup Relations." University of Toledo / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1556750133228496.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

Morgan, William F. "Resilience in Physician Lives." Thesis, Pacifica Graduate Institute, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1690649.

Full text

Abstract:

Physicians require discipline, determination, a tolerance for delayed gratification, and brainpower to navigate college, medical school, postgraduate education, and their personal and professional careers. A high degree of resilience is needed for this journey. Adding to research on the concept of resilience, this thesis recognizes two factors beyond one’s control that influence one’s capability for resilience: infant attachment pattern and adverse childhood experiences. Alchemical hermeneutic methodology was employed to examine the influence of these factors on the development of resilience and to explore the vulnerability of medical students and physicians to a failure of resilience. A heuristic approach taken to incorporate the author’s experience and observations as a physician provides evidence of the pressures and potential pitfalls in physician lives. The author proposes changes in medical training and the structure of medical practice that take into account individuals’ strengths and limitations in regard to their capacity for resilience.

APA, Harvard, Vancouver, ISO, and other styles

13

Collins, Blanche C. "The association between 2002 office Chlamydia screening rates, physician perception, and physician behavior." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2006. https://www.mhsl.uab.edu/dt/2007r/collins.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

14

Hoffstatter, John Arthur. "Preconceived Physician Attitude Toward Computerized Physician Order Entry (CPOE): Implications for Successful Implementation." UNF Digital Commons, 2004. http://digitalcommons.unf.edu/etd/240.

Full text

Abstract:

There has been a societal and legislative push to implement computerized physician order entry (CPOE) systems throughout hospitals nationally in recent years due in large part to the public's awareness of an inordinate number of patient deaths due to medication errors in hospital settings. This mortality, and untold morbidity, became even more unacceptable when published findings suggested the majority of these 100,000 deaths each year could be avoided through the use of CPOE systems. Yet acceptance has been slow and only a fraction of the hospitals have implemented this technology due to large start up costs, enormous technological requirements, and prior well-published failures of such attempts largely due to physicians' lack of acceptance. A total of71 participants were surveyed whose daily responsibility involved the ordering of medications, to determine what attitudes they had concerning CPOE systems. This was done at a facility scheduled to implement such a system over the next year. The data showed evidence supporting many of the current implementation strategies, while suggesting modification of others. Based on these findings, recommendations are made for future implementations with the hope of gaining enhanced physician acceptance and adoption, facilitating a more successful implementation of CPOE systems.

APA, Harvard, Vancouver, ISO, and other styles

15

Ozaki(Utsugi), Makiko. "Physician Job Satisfaction and Quality of Care Among Hospital Employed Physicians in Japan." 京都大学 (Kyoto University), 2010. http://hdl.handle.net/2433/97939.

Full text

APA, Harvard, Vancouver, ISO, and other styles

16

Ashley, Mary U. "Physician opinion of the effect of direct-to-consumer advertising on physician-patient relations." The Ohio State University, 2000. http://rave.ohiolink.edu/etdc/view?acc_num=osu1406030745.

Full text

APA, Harvard, Vancouver, ISO, and other styles

17

Woods-Duvendack, Tammy Hines Edward R. "Customer satisfaction an integral component of hospital strategy /." Normal, Ill. : Illinois State University, 2003. http://wwwlib.umi.com/cr/ilstu/fullcit?p3115183.

Full text

Abstract:

Thesis (Ph. D.)--Illinois State University, 2003.
Title from title page screen, viewed Oct. 15, 2004. Dissertation Committee: Edward R. Hines (chair), Kenneth H. Strand, Ross A. Hodel, Zeng Lin. Includes bibliographical references (leaves 92-99) and abstract. Also available in print.

APA, Harvard, Vancouver, ISO, and other styles

18

Smalley, Hannah Kolberg. "Optimization methods for physician scheduling." Diss., Georgia Institute of Technology, 2012. http://hdl.handle.net/1853/50124.

Full text

Abstract:

This thesis considers three physician scheduling problems in health care systems. Specifically, we focus on improvements to current physician scheduling practices through the use of mathematical modeling. In the first part of the thesis, we present a physician shift scheduling problem focusing on maximizing continuity of care (i.e., ensuring that patients are familiar with their treating physicians, and vice versa). We develop an objective scoring method for measuring the continuity of a physician schedule and combine it with a mixed integer programming model. We apply our methods to the problem faced in the pediatric intensive care unit at Children's Healthcare of Atlanta at Egleston, and show that our schedule generation approach outperforms manual methods for schedule construction, both with regards to solution time and continuity. The next topic presented in this thesis focuses on two scheduling problems: (i) the assignment of residents to rotations over a one-year period, and given that assignment, (ii) the scheduling of residents' night and weekend shifts. We present an integer programming model for the assignment of residents to rotations such that residents of the same type receive similar educational experiences. We allow for flexible input of parameters and varying groups of residents and rotations without needing to alter the model constraints. We present a simple model for scheduling 1st-year residents to night and weekend shifts. We apply these approaches to problems faced in the Department of Surgery Residency Program at Emory University School of Medicine. Rotation assignment is made more efficient through automated schedule generation, and the shift scheduling model allows us to highlight infeasibilities that occur when shift lengths exceed a certain value, and we discuss the impact of duty hour restrictions under limitations of current scheduling practices. The final topic of this thesis focuses on the assignment of physicians to various tasks while promoting equity of assignments and maximizing space utilization. We present an integer programming model to solve this problem, and we apply this model to the physician scheduling problem faced in the Department of Gynecology and Obstetrics at Emory University Hospital and generate high quality solutions very quickly.

APA, Harvard, Vancouver, ISO, and other styles

19

Peele, Pamela Bonifay. "Three essays on physician pricing." Diss., Virginia Tech, 1994. http://hdl.handle.net/10919/37256.

Full text

APA, Harvard, Vancouver, ISO, and other styles

20

Liang, Su-Ying. "Contract choice and physician productivity /." Thesis, Connect to this title online; UW restricted, 1999. http://hdl.handle.net/1773/7424.

Full text

APA, Harvard, Vancouver, ISO, and other styles

21

Hamdan, Rachel Malek. "Dimensions of Nurse-Physician Communication." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3350.

Full text

Abstract:

Hospital leaders set quality and safety as high priorities in their strategic goals. Improving the quality and safety of patient care requires improving internal processes that have direct implications for patient care. Hospital leaders need to improve health care providers' communication as part of improving quality and safety. The problem addressed in this study was the lack of strategies health care administrators use to guide nurse-physician communication patterns in a university medical center in the Middle East. The purpose of this qualitative case study was to explore communication strategies that health care administrators use to guide nurse-physician communication. Relational coordination informed the conceptual framework of the study. The research question was designed to identify strategies health care administrators use to guide nurse-physician communication patterns. Data were collected and thematically analyzed through semistructured interviews with 5 administrators, 3 nurses, and 3 physicians, and the hospital policy manual. Analysis revealed 4 major themes: nurses' empowerment, nurses and physicians' accountability, multidisciplinary care delivery, and mutual respect. Strategies were identified through the exploration and analysis of the 4 themes. The key findings included that administrators considered holding nurses and physicians accountable for their work to be a key strategy that guides communication, and that effective communication is directly connected to mutual respect among different teams and individuals. The implications for social change include improved patient care and safety, and increased job satisfaction through health care leaders applying the identified strategies to enhance nurse-physician communication.

APA, Harvard, Vancouver, ISO, and other styles

22

Huonker, John Walter. "The determinants of physician practice choice and its effect on physician autonomy, satisfaction, and commitment." Diss., The University of Arizona, 1993. http://hdl.handle.net/10150/186498.

Full text

Abstract:

The effective management of professionals requires achieving a balance between organizational control and professional autonomy. The problem of achieving a balance is important currently in the United States healthcare industry. This dissertation examined the antecedents and consequences of physician autonomy in both traditional fee-for-service (FFS) and non-traditional managed care settings. The population of physicians in one county were surveyed. Two models were developed arguing that physician practice choice affects autonomy. The antecedents and consequences of autonomy were compared both between FFS and managed care practice and between different types of managed care organizations (MCOs). Results indicate that most physicians in the survey area choose managed care practice, and the value physicians place on income is positively associated with the volume of patients from MCOs. FFS practice generated greater autonomy than MCO practice, and autonomy within MCOs positively affected practice satisfaction. Group practice positively affected autonomy within MCOs. Autonomy did not vary across different MCO types but was influenced by the process variables physician decision involvement and organizational formalization, thus suggesting that classifying organizations by autonomy requires knowledge of the processes used in the MCO.

APA, Harvard, Vancouver, ISO, and other styles

23

Tapley, Robin L. "Moral responsibility in physician-assisted death." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0007/NQ42768.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

24

Tapley, Robin L. "Moral responsibility in physician-assisted death /." *McMaster only, 1997.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

25

Smith, Stephen William. "Autonomy, paternalism and physician-assisted suicide." Thesis, University of Manchester, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.488070.

Full text

APA, Harvard, Vancouver, ISO, and other styles

26

Schaffer, Michael S. "Navy Obstetrics/Gynecology physician allocation model." Thesis, Monterey, California. Naval Postgraduate School, 1992. http://hdl.handle.net/10945/23984.

Full text

APA, Harvard, Vancouver, ISO, and other styles

27

Yip, Winnie Chi-man. "Physician response to medicare fee regulations." Thesis, Massachusetts Institute of Technology, 1994. http://hdl.handle.net/1721.1/11950.

Full text

APA, Harvard, Vancouver, ISO, and other styles

28

Broekmann, Reginald J. (Reginald John). "Power in the physician-patient relationship." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51884.

Full text

Abstract:

Thesis (M.A.)--University of Stellenbosch, 2000.
ENGLISH ABSTRACT: This paper examines aspects of power within the physicianpatient relationship. The historical development of the physician-patient relationship is briefly reviewed and some of the complexities of the relationship highlighted. It is shown that, historically, there is no imperative for the physician to consider only the interests of the patient and it has always been acceptable to consider the interests of a third party, such as the State or an employer - essentially the interests of whoever is paying the physician. The classical sources of power are then considered. These sources include legitimate power, coercive power, information power, reward power, expert power, referent power, economic power, indirect power, associative power, group power, resource power and gender power. Other approaches to power are also considered such as principle-centred power as described by Covey, power relationships as explained by Foucault, the power experience as described by McClelland and an analysis of power as expounded by Morriss. The various sources of power are then considered specifically within the physician-patient relationship to determine: if this particular type of power is operative in the physicianpatient relationship, and if so if it operates primarily to the advantage of the physician or the advantage of the patient. A simple method of quantifying power is proposed. Each form of power operative in the physician-patient relationship is then considered and graphically depicted in the form of a bar chart. Each form of power is shown as a bar and bars are added to the chart to 'build up' an argument which demonstrates the extent of the power disparity between physician and patient. It is clearly demonstrated that all forms of power operate to the advantage of the physician and in those rare circumstances where the patient is able to mobilize power to his/her advantage, the physician quickly calls on other sources of power to re-establish the usual, comfortable, power distance. Forms of abuse of power are mentioned. Finally, the ethical consequences of the power disparity are briefly considered. Concern is expressed that the power disparity exists at all but this is offset by the apparent need for society to empower physicians. Conversely, consideration is given to various societal developments which are intended to disempower physicians, particularly at the level of the general practitioner. Various suggestions are made as to how the power relationships will develop in future with or without conscious effort by the profession to change the relationship.
AFRIKAANSE OPSOMMING: Hierdie voordrag ondersoek aspekte van mag in die verwantskap tussen pasiënt en geneesheer. Die historiese ontwikkeling van die verwantskap word kortliks hersien en 'n kort beskrywing van die ingewikkeldheid van die verwantskap word uitgelig. Vanuit 'n historiese oogpunt, word 'n geneesheer nie verplig om alleenlik na die belange van die pasiënt om te sien nie en was dit nog altyd aanvaarbaar om die belange van 'n derde party soos die Staat of 'n werkgewer se belange to oorweeg - hoofsaaklik die belange van wie ookal die geneesheer moet betaal. Die tradisionele bronne van mag word oorweeg. Hierdie bronne sluit in: wetlike mag of 'gesag', die mag om te kan dwing, inligtingsmag, vergoedingsmag, deskundigheidsmag, verwysingsmag, ekonomiesemag, indirektemag, vereeningingsmag, groepsmag, bronnemag en gelslagsmag. Alternatiewe benaderings word ook voorgelê, naamlik die beginsel van etiese mag soos deur Covey beskryf, krag in menslike verhoudings soos deur Foucault, die ondervinding van krag soos beskryf deur McClelland en 'n ontleding van krag soos deur Morriss verduidelik. Hierdie verskillende mag/gesagsbronne word spesifiek met betrekking tot die geneesheer-pasiënt verhouding uiteengesit om te besluit: of hierdie tipe mag aktief is tussen geneesheer en pasiënt, en indien wel, werk dit tot die voordeel van die geneesheer of die pasiënt. 'n Eenvoudige sisteem vir die meting van mag/gesag word voorgestel. Die bronne word individueeloorweeg en gemeet en die resultaat in 'n grafiese voorstelling voorgelê op so 'n wyse dat 'n argument daardeur 'opgebou' word om die verskille van van mag/gesag tussen geneesheer en pasiënt uit te wys. Dit word duidelik uiteengesit dat alle vorms van mag/gesag ten gunste van die geneesheer werk. Kommer is getoon dat hierdie magsverskil werklik bestaan, asook die snaakse teenstelling dat die gemeenskap wil eintlik die geneesheer in "n magsposiesie plaas. Die etiese gevolge van hierdie ongebalanseerde verwantskap, asook die moontlikheid van wangebruik van hierdie mag word ook genoem. Verskillende gemeenskaplike ontwikkelinge wat die mag van die geneesheer wil wegneem word geidentifiseer, meestalop die vlak van die algmene praktisyn. Verskeie voorstelle vir toekomstige ontwikkeling van die verwantskap word voorgelê, met of sonder spesifieke pogings van die professie om die verwantskap te verbeter.

APA, Harvard, Vancouver, ISO, and other styles

29

Blackwelder, Reid B. "Finding and Nurturing your Physician Champion." Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/6963.

Full text

APA, Harvard, Vancouver, ISO, and other styles

30

McDonald, Lisa Elaine. "A historical analysis of physician dissatisfaction." [New Haven, Conn. : s.n.], 2008. http://ymtdl.med.yale.edu/theses/available/etd-12092008-143028/.

Full text

APA, Harvard, Vancouver, ISO, and other styles

31

Hooker, Roderick Stanton. "Cost-Benefit Analysis of Physician Assistants." PDXScholar, 1999. https://pdxscholar.library.pdx.edu/open_access_etds/4029.

Full text

Abstract:

This study examined if physician assistants (PAs) are cost-beneficial to employers. In an era of cost accountability, questions arise about whether a visit to a PA for an episode of care differs from a visit to a physician, and if PAs erode their cost-effectiveness by the manner in which they manage patients. Four common acute medical conditions seen by PAs and physicians within a large health maintenance organization were identified to study. An episode approach was undertaken to identify all laboratory, imaging, medication and provider costs for these diagnoses. Over 12,700 medical office visits were analyzed and assigned to each type of provider and medical department. Patient variables included age, gender, and health status. A multivariate analysis identified significant cost differences in each cohort of patients. In every condition managed by PAs, the total cost of the visit was less than that of a physician in the same department. This was significant for episodes of shoulder tendinitis, otitis media, and urinary tract infections. In no instance were PAs statistically different from physicians in use of laboratory and imaging costs. In each instance the total cost of the episode was less when treated by a PA. Sometimes PAs ordered fewer laboratory tests than physicians. There were no differences in the rate of return visits for a diagnosis between physicians and PAs. Patient differences were held constant for age, gender, and health status. This study affirms that PAs are not only cost-effective from a labor standpoint but are also cost-beneficial to those who employ them. In most cases, they order resources for diagnosis and treatment in a manner similar to physicians for an episode of care, but the cost of an episode of an illness is more economical overall when the P A delivers the care. This study validates the federal policy of support for primary care P A education and suggests that PA employment should be expanded in many sectors of the health care system. These findings and the results of this cost-benefit model are evidence of its validity in predicting health care costs.

APA, Harvard, Vancouver, ISO, and other styles

32

Varga, Stefanie. "Ruling out the 'bad things' : how physicians make meaning of persistent unexplained illness in children." Thesis, University of Plymouth, 2008. http://hdl.handle.net/10026.1/2736.

Full text

Abstract:

This was a study of physicians' narratives regarding their medical experiences with children with persistent medically unexplained physical illness. The goal was to better understand those attitudes and beliefs that are involved in the construction of meaning regarding the child's symptoms of illness or pain. The study also sought to learn more about physicians' early life experiences with health and illness and their potential to shape diagnostic thinking and treatment. Ten physician participants were interviewed using an open-ended, semistructured interview methodology. Interviews were analyzed using an alternative narrative approach described by Mishler (1986, 1991) to identify key themes within and across interviews for comparative analysis. The subjective experience and dynamic discourse between interviewer and participant were also analyzed (Mishler, 1991; Paget, 1983). Four key themes emerged: (1) the experience of certainty and uncertainty; (2) physician search for restitution; (3) the path to truth and the construction of the physician's illness narrative; and (4) the parallel anxiety between physician and parent. Findings suggested a "stages of training" model or developmental career theme associated with the ways in which physicians make meaning of persistent medically unexplained illness or pain in the child. Implications for diagnosis and treatment include the possibility that the nature of the relationship between physicians and parents-- particularly the ability to negotiate trust, intimacy, and power--may lead to a hidden and collaborative meaning making of symptoms that occurs in exclusion, of the child, Certain early life experiences of the physician may also be brought to bear in the medical encounter with parent and child. Physicians would benefit from training in neutrality and negotiation of therapeutic goals with parents of sick children, as well as training to enhance self-awareness and understanding of the ways in which alliances and conflicts with patients and parents may occur as a result of family of origin issues.

APA, Harvard, Vancouver, ISO, and other styles

33

Smith, Ashley. "The Rural Health Physician Narrative: A New Historic Analysis of Appalachian Representation in Twentieth-Century Rural Physician Narratives." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etd/3604.

Full text

Abstract:

The rural health physician narrative is one of the most understudied genres in non-fictional Appalachian literature. Physician narratives are significant in the historical, social, and political contexts of twentieth-century Appalachian representation. These accounts provide insight into the social contexts in which physicians lived as they wrote about healthcare and Appalachian communities. New Historicism is an analytical tool used to better understand the complexity surrounding Appalachian representation, particularly in terms of the politics of representation, gender, and race that influenced these narratives in the twentieth century. I engage in close readings of narratives written by or about rural health physicians who practiced in Appalachian communities during the early and mid-twentieth century. The physicians include Drs. Mary Martin Sloop, Gaine Cannon, A.W. Roberts, and Anne A. Wasson. I provide a nuanced discussion of the emergence and reiteration of Appalachian stereotypes in physician narratives and consider the lessons they provide for current physicians.

APA, Harvard, Vancouver, ISO, and other styles

34

Windt, Johann Dirk. "Turning exercise into medicine : exploring the feasibility of a 3 step physician workshop to promote the physical activity prescription behaviours of family physicians." Thesis, University of British Columbia, 2015. http://hdl.handle.net/2429/54267.

Full text

Abstract:

Objective: To investigate the feasibility of an educational workshop with the provision of practical tools to change the proportion of family physicians in our sample who provided their patients with written physical activity prescriptions. Design: A pre-post study. Setting: Abbotsford and Mission, British Columbia. Participants: 25 family physicians registered with the Abbotsford or Mission Divisions of Family Practice. Intervention: A three-hour educational workshop for family physicians combined with practical tools to facilitate physical activity prescription. The educational content of the workshop included 1) assessing patients’ physical activity levels, 2) using motivational interviewing techniques to encourage physical activity, and 3) providing written physical activity prescriptions when appropriate. Tools to facilitate physician behaviour changes included a 1) ‘physical activity vital sign’, a measure of patient self-reported physical activity, and 2) copies of the “Exercise Prescription and Referral Tool” designed by the Exercise is Medicine Canadian Taskforce, a written prescription pad for physicians to provide physical activity prescriptions to their patients. Participating physicians completed a bespoke questionnaire before and four weeks after their attendance at the workshop. Outcome Measures: The feasibility of the intervention was ascertained by assessing changes in the proportion of family physicians who reported providing written physical activity prescriptions at four week follow up, compared to baseline. Exploratory outcomes included changes in physicians’: 1) other physical activity prescription behaviours, 2) the perceived importance of various barriers to physical activity prescription, 3) knowledge and confidence regarding physical activity prescription, 4) knowledge of the Canadian Physical Activity Guidelines and 5) self-reported physical activity levels. McNemar’s test evaluated changes in proportions before and after the workshop, while Wilcoxon signed-rank tests evaluated changes in Likert data. Results: Twenty five family physicians completed the baseline questionnaire and attended the workshop, with 100% follow up response rate. The proportion of family physicians who reported providing written physical activity prescriptions in their clinical practice increased from 10 (40%) at baseline to 17 (68%) four weeks after the intervention. Conclusion: Educational workshops combined with practical tools appear to be a feasible method to encourage the use of written physical activity prescriptions among family physicians in this setting.
Medicine, Faculty of
Medicine, Department of
Experimental Medicine, Division of
Graduate

APA, Harvard, Vancouver, ISO, and other styles

35

Arawi, Thalia. "Medical schools and the virtuous physician : how to ensure that physicians will do the right thing." Thesis, Keele University, 2014. http://eprints.keele.ac.uk/3213/.

Full text

Abstract:

The focus of this thesis is moral education. This study is important as it aims at solving a prevailing and increasing problem that is harming the medical profession of our times, namely, the fact that physicians are losing touch with the nature of their profession as a moral venture. This is evident from the numerous surveys done which report complaints from patients regarding physicians’ interpersonal and ethical skills. I argue in this thesis that modern day physicians experience moral erosion and that medicine is falling prey to deprofessionalization. This thesis focuses on the case of medicine in US-style universities in general and Lebanon in particular. Starting from the assumption of the ends of medicine as elaborated by Edmund Pellegrino, it asks what are the means that are most conducive to the attainment of these ends (or some of these ends)? The main conclusions are that curricular reforms must be made to ensure appropriate training of students of medicine and that the hidden curriculum is far too important to be ignored if changes are to take place and if moral erosion of physicians is to be avoided. In addition to curricular reforms, there is a need to work with veteran physicians who should serve as role models and mentors in an appropriate institutional culture, hence, there is a need for what I term a “post-flexnerian revolution”. In addition to teaching students the basic sciences and skills necessary for the making of a successful physician, medical schools ought to concentrate on attempting to produce graduates that are virtuous physicians, who will do the right thing even when no one is looking. If adequate training in virtue and goodness takes place, doing the right thing will become a second nature and the moral ends of medicine will be met.

APA, Harvard, Vancouver, ISO, and other styles

36

Lingard, Lorelei. "Genre as initiation, socializing the student physician." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0017/NQ37726.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

37

Lindqvist, Joakim. "Implementing a Physician Roster Using Constraint Programming." Thesis, Uppsala universitet, Institutionen för informationsteknologi, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-204896.

Full text

Abstract:

A successful rostering of physicians to different activities demands satisfying the minimal allocation of physicians to each activity, following regulations and hospital guidelines in regard to workload, and adhering to the preferences of the physicians. Keeping track of all of the constraints, ensuring that they are not violated, is a complicated task, which is still often done manually. This thesis uses constraint programming to propose a general model to the problem, with which a solution can be found by incrementally tighten the constraints through an iterative interaction with a user. An implementation of the model was, to a great extent, successful in handling generated instances of these iterations.

APA, Harvard, Vancouver, ISO, and other styles

38

Franco, Richard Peter. "A multivariate analysis of Navy physician retention." Thesis, Monterey, California. Naval Postgraduate School, 1989. http://hdl.handle.net/10945/27146.

Full text

APA, Harvard, Vancouver, ISO, and other styles

39

Ralley, Robert Charles. "The clerical physician in late medieval England." Thesis, University of Cambridge, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.431171.

Full text

APA, Harvard, Vancouver, ISO, and other styles

40

Frakes, Michael (Michael D. ). "Essays on malpractice law and physician behavior." Thesis, Massachusetts Institute of Technology, 2009. http://hdl.handle.net/1721.1/49706.

Full text

Abstract:

Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Economics, 2009.
Includes bibliographical references.
This dissertation contributes to an understanding of the manner in which various dimensions of malpractice law shape physician behavior and how this behavior, in turn, impacts health outcomes. In Chapter 1, I explore the association between regional variations in physician practices and the geographical scope of the standards of care to which physicians are held in malpractice actions. To investigate this general association, I explore whether treatment utilization rates in a state converge towards national utilization levels as states abandon the use of "locality rules" to adopt laws requiring physicians to comply with national standards of care. I focus the analysis on the case of cesarean delivery and find robust evidence of convergence in cesarean section utilization, whereby as much as 40 - 60% of the gap between state and national cesarean rates is closed upon the abandonment of a locality rule. In Chapter 2, I estimate the returns to regional cesarean intensities, drawing on an arguably exogenous source of variation in cesarean rates resulting from the adoption of national-standard laws. I first document robust evidence of triage in regional cesarean utilization, whereby physicians in high intensity regions begin to perform cesareans on mothers who are less in need of this intensive delivery alternative. Second, I find no evidence to suggest that an increase in regional cesarean rates otherwise leads to an increase in average neonatal outcomes.
(cont.) Third, I find evidence suggesting that increases in regional cesarean rates may be crowding out mothers otherwise in need of cesarean delivery. In Chapter 3, I consider another dimension to malpractice law and estimate the relationship between different levels of malpractice pressure, as identified by the adoption of non-economic damage caps and related malpractice laws, and certain decisions faced by obstetricians during the delivery of a child. Contrary to the conventional wisdom, I find no evidence to support the claim that malpractice pressure induces physicians to perform a substantially greater number of cesarean sections. However, I do find evidence of positive defensive behavior in the utilization of episiotomies during vaginal deliveries and in the durations of maternal lengths of stay.
by Michael D. Frakes.
Ph.D.

APA, Harvard, Vancouver, ISO, and other styles

41

Selvalingam, Melanie Ann Radhika. "Physician-assisted death in England and Wales." Thesis, University of Newcastle upon Tyne, 2014. http://hdl.handle.net/10443/2588.

Full text

Abstract:

The thesis examines if the recent legal developments on assisted death in England and Wales have addressed the needs of society and the concerns of those seeking an assisted death. Despite assisted suicide being a crime in England and Wales, many British citizens successfully obtain an assisted suicide by travelling abroad. With the help of loved ones, they patronise right-to-die organisations in jurisdictions with more permissive laws on suicide. Meanwhile, the prosecution of those who assist a suicide is subject to an uncertain discretion of the DPP, whose prosecuting policy effectively decriminalises ‘compassionate assisted suicides’. Inconsistencies in the law on assisted death between the legal prohibition of assisted suicide, and legally permitted end-of-life medical decisions will also be examined. Whilst assisted death is a crime, physicians are legally permitted to withhold or withdraw life-sustaining treatment from patients. The extent to which a patient’s ‘quality of life’ has been a factor in these inconsistent decisions will be analysed. The thesis will show that the present prohibition against assisted suicide in England and Wales is legally and morally indefensible. Whilst investigating whether assisted suicide should be legalised in England and Wales, the thesis undertakes a comparative analysis of six jurisdictions from around the world. It also evaluates the ‘slippery slope’ argument, i.e. whether a law permitting assisted death for a restricted group of people would inevitably lead to assisted death being practised beyond that group. The thesis will conclude that there is a strong case for providing the legal option of physician-assisted suicide to patients experiencing a poor and unacceptable quality of life due to unbearable pain and suffering brought about by terminal illness.

APA, Harvard, Vancouver, ISO, and other styles

42

Schwartz, Aaron. "Low-Value Service Variation and Physician Characteristics." Thesis, Harvard University, 2017. http://nrs.harvard.edu/urn-3:HUL.InstRepos:32676133.

Full text

Abstract:

Importance: Reducing spending on unnecessary medical procedures is a global priority. Understanding patterns of low-value service use across physicians can inform efforts to reduce wasteful care. Objective: To quantify the extent of physician-level variation within region and within provider organization in the rates of primary care related low-value health care services, and to assess for associations between low-value service rates and physician characteristics. Design, Setting, and Participants: Retrospective analysis of low-value service use in 2008‒2013 using Medicare fee-for-service claims and enrollment data for 4,797,293 beneficiaries served by 66,675 generalist physicians. We employed multilevel models to quantify the magnitude of service use across physicians, adjusted for patient clinical and sociodemographic characteristics, within region and within provider organizations. We examined associations between rates of low-value services and physician characteristics related to education, demography, academic status, pharmaceutical/device payment, and patient panel size. Main Outcomes and Measures Annual per beneficiary count of 17 primary care related services that provide minimal clinical benefit. Results: The average rate of low-value services among attributed beneficiaries was 35.6 services per 100 beneficiaries per year, with considerable variation across physicians (within region 90th/10th percentile ratio, 2.14; 95% CI, 2.12‒2.16; within organization 90th/10th percentile ratio, 1.57; 95% CI, 1.56‒1.58). Greater low-value service rates were associated with educational characteristics (DO credential, foreign medical graduate status), demographic characteristics (older age, female gender), academic status (lack of professorship), pharmaceutical/device company payment (both any payment and greater size of payment), and larger patient panel size. However, association magnitudes were generally minimal. Conclusions and Relevance: Although variation in low-value service use is substantial even within the same organization, physician characteristics are associated with only small differences in service use. Therefore, direct measurement of service use is likely to be superior to use of proxy measures in attempts to target physicians for waste-reduction interventions.

APA, Harvard, Vancouver, ISO, and other styles

43

Jian, Shen. "Influence of physician-patient communication skills training of resident physicians on physician-patient relationship." Doctoral thesis, 2016. http://hdl.handle.net/10071/13179.

Full text

Abstract:

An in-depth analysis of the recent medical disputes in China would reveal that their occurrences can be attributed to the following factors: first, the current medical system reform in China has weakened the trust between patients and doctors; second, a lack of effective communication between doctors and patients has caused the misunderstanding and conflicts which further deteriorate to become medical disputes. Because most medical disputes arise from the poor communication between doctors and patients, it is crucial for the doctors to improve their communication skills in order to enable patients actively cooperate in the clinical care process. This is a key step towards improving physician-patient relationships. In recent years, the health departments and hospitals at various levels in China have come to realize the importance of physician-patient communication ability, and have actively enhanced the physician-patient communication skills training for resident physicians in standardized training in an effort to harmonize the physician-patient relationship through improving physician residents’ medical skills and service attitudes. However, due to the lack of scientific and standard training system and assessment criteria, such training is often a mere formality and turns out to be ineffective. Therefore, the tension between doctors and patients has not been effectively alleviated and the patient trust has not been restored. Based on the current reality of frequent medical disputes in China and on the need to enhance formalized trainings for resident physicians, this study attempts to address the following research problems: (1) What are the key factors that influence the effectiveness of physician-patient communication training of resident physicians? (2) What effects does physician-patient communication training of resident physicians have on physician-patient relationship, physician satisfaction and patient satisfaction? In this study, both qualitative and quantitative analysis methods have been used. First, interviews with key stakeholders including resident physicians, training instructors as well as patients and their family members, are conducted; second, the measurement scales for the variables covered in the study, including a measurement instrument for resident physicians and one for patients, are developed; third, the questionnaire survey is administered among study participants to collect research data; finally, the study measures are validated and the relationships among the variables are tested SPSS based on reliability analysis, construct convergent and discriminant analyses, and regression analyses. The Kirkpatrick's 'four level' model is used to evaluate the effectiveness of physician-patient communication training. This study represents the first time that the Kirkpatrick Model is used to evaluate the physician-patient communication training in China. The four levels of the Kirkpatrick's evaluation model are as follows: reactive evaluation (assesses how the resident physicians respond to the training); learning evaluation (assesses if the resident physicians actually learned the knowledge); behavioral evaluation (considers if the resident physicians are using what they learned on the job); and outcome evaluation (evaluates if the training has positively impacted the physician-patient relationship, resident physician satisfaction, and patient satisfaction). The study has reached the conclusions that the physician-patient communication training can significantly improve physician-patient relationship, physician satisfaction, and patient satisfaction; the training contents, training methods and the incorporation of Kirkpatrick Model into this study can effectively improve the effectiveness of the training, increase the physician intention to use learned knowledge, promote effective physician-patient communication practices, enhance patient satisfaction and physician satisfaction, and improve physician-patient relationship. The research results and conclusions provide useful guidelines for improving the effectiveness of physician-patient communication training of resident physicians, and for enhancing physician-patient relationship in China. Limitations of the research and directions for future research are also discussed.
Uma análise mais profunda das recentes disputas médicas na China revelaria que as suas ocorrências são devidas aos fatores seguintes: 1) a recente reforma médica na China enfraqueceu a confiança entre os pacientes e os médicos, 2) uma falta de comunicação entre os médicos e os pacientes causou incompreensões e conflitos que culminaram em disputas médicas. Muitas disputas médicas provêm da comunicação pobre entre médicos e pacientes e por essa razão, torna-se crucial para os médicos a melhoria dos seus dotes comunicacionais no sentido de permitirem aos doentes participarem ativamente no processo clínico. Este é um passo importante para a melhoria do relacionamento médico-doente. Muito recentemente, os departamentos de saúde e os hospitais Chineses nos diferentes níveis compreenderam a importância da comunicação entre médicos e doentes e desenvolveram cursos standard sobre comunicação para os médicos residentes num esforço de harmonizar a relação médico-paciente através da melhoria das habilidades comunicacionais e atitude dos médicos. Contudo, devido à falta de um sistema científico de formação e de critérios de avaliação, a formação transformou-se numa mera formalidade e deste modo ineficaz. A tensão entre médicos e pacientes não foi aliviada e a confiança não foi reestabelecida. Tomando por base a existência das disputas frequentes na China e a necessidade de incentivar formação para os médicos residentes, este tese pretende estudar os seguintes problemas de pesquisa: (1) quais os fatores chave que influenciam a eficácia da formação em comunicação dos médicos residentes? (2) quais os efeitos que a formação em comunicação têm na relação entre médicos e pacientes e sobre a satisfação dos médicos e dos pacientes? Neste estudo, utilizamos métodos quantitativos e qualitativos. Primeiramente, realizamos entrevistas com stakeholders chave incluindo médicos residentes, formadores assim como a pacientes e seus familiares: em segundo lugar, as escalas de medida para as variáveis utilizadas neste estudo, incluindo o instrumento de medida para os médicos residentes e para os pacientes, foram desenvolvidas; em terceiro lugar, o questionário foi distribuído pelos participantes no estudo para a recolha de dados: finalmente, as medidas foram validadas e a relação entre as variáveis foram testadas utilizando o SPSS. O Modelo de quatro níveis de Kirkpatrick foi utilizado para avaliar a eficácia da formação em comunicação. Este é o primeiro estudo, na China, a aplicar o Modelo de Kirkpatrick na avaliação na formação em comunicação médico-paciente. Os quatro níveis do modelo de avaliação de Kirkpatrick são os seguintes: avaliação reativa (avalia como os médicos residentes reagem à formação); avaliação da aprendizagem (avalia se os médicos residentes aprenderam o conhecimento); avaliação comportamental ( considera se os médicos residentes estão a aplicar o que aprenderam no seu trabalho); e avaliação do resultado ( avalia se a formação teve um impacto positivo na relação médico-paciente, na satisfação do médico residente e na satisfação do paciente). Este estudo concluiu que: a formação em comunicação médico-paciente pode melhorar significativamente a relação médico-paciente, a satisfação dos médicos e a satisfação dos pacientes; o conteúdo da formação, os métodos de treino utilizados e a incorporação do modelo de Kirkpatrick pode melhorar a eficácia da formação. Os resultados da pesquisa contribuem para a formulação de orientações para a melhoria da eficácia da formação dos médicos.

APA, Harvard, Vancouver, ISO, and other styles

44

Lee, Shih-ying, and 李詩應. "Dynamic Physician-Patient Relationship and Physician’s Obligations." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/s4vrt2.

Full text

Abstract:

碩士
東吳大學
法律學系
96
The main object of this thesis are three:1. to pursuit the best of both patient’s and physician’s right considering dynamic physician-patient relationship over regulation principle of physician’s obligation; 2. to clarified the import role of physician-patient relationship, especially dynamical, in medical result and medical dispute, 3. to achieve balancing between harder and harder environment of medicine practice and law making and enforcing that will make principles and regulations which physician are easier and happier to follow. The methods used here are first, to establish fundamental bases including physician, disease, relationship, and physician-patient relationship; second, to describe complexity and multiple dimension of physician-patient relationship, the former are medical psychology, medical sociology, medical laws, medical ethics, and medical anthropology, the later are internally medical behavior, interaction, physician aspect, patient aspect, medical ethics, medicine system and externally law, policy, insurance, economy, social cultural and disease aspect; third, to discuss physician’s obligation written or unwritten by laws, the hierarchy and conflict of different obligations, and especially the getting more important informed consent; fourth, to clarified dynamic physician-patient relationship; fifth, to discuss physician-patient relationship and unsatisfied medical result; sixth, to discuss contract, obligations and rights by 5 main types of dynamic physician-patient relationship with cases. The author’s showed great efforts in two self established figures to explain multiple dimension of physician-patient relationship and time procedure dimension of physician-patient relationship and foci where medical dispute is more likely to happen. The results showed in terms of physicians obligation one must not forget physician-patient relationship, especially dynamic physician-patient relationship which mainly time procedure and interaction of physician and patient. Through this consideration, the law making, enforcing, and policy will not be single minded and form regulation and principle that make physician unacceptable because they are unable to follow even they try hard and the factor that medical dispute and punishment by law happened is only by chance and aggressive medical practice. Hopefully, to create a medical practice environment eventually that will consider both physician and patient wrights to the most.

APA, Harvard, Vancouver, ISO, and other styles

45

Tsai, Hui-Ching, and 蔡慧青. "Physician service volume and regressive physician payment." Thesis, 1995. http://ndltd.ncl.edu.tw/handle/92910595267529222890.

Full text

APA, Harvard, Vancouver, ISO, and other styles

46

陳亮妤. "The transition of physicians'' image-lay and physician perspectives." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/91063950821710210191.

Full text

Abstract:

碩士
國立臺灣大學
衛生政策與管理研究所
91
Abstract Physicians’ image means people’s perception toward physicians kept in mind. The role of physicians had been viewed as a professional assistance. Recently, a number of medical negligence and dispute conflict with the traditional image of physicians. Is physicians’ image undergoing changes? And then, most literatures emphasize only on theoretical points of view. Hence, the purpose of this study is to examine the transition of physicians’ image from the perspectives among physicians and the general public. A total of 19 laypersons and 10 physicians were interviewed. The major finding of the study is: 1. In the past, physicians’ role had been positioned in devoting himself to medicine. Nowadays, physicians concern about their benefit, business, and quality of life. Defensive medicine and their practicing medicine transfer from ambition to occupation. 2. The past physicians represented an authoritative image, but the elder public disagreed with it. According to the interviewed physicians’ perspective, nowadays patients are viewed as customers. But the interviewed public thought that the levels of physicians are various in different medical places. They perceived diverse interaction with physicians in hospital, however they were satisfied with physicians in clinic. 3. Physicians used more physical examinations and less technologic devices for diagnosis than does those in the present. 4. The participants were more likely to admire the past physicians, and they had negative views of present physicians. However, they also showed advantages of present physicians, taking the interaction with physicians in clinic for example. The interviewed physicians had negative views of present physicians and implied that times passed them by. The study shows that the transition of physicians’ image is caused by multiple factors. It is appropriate to explain this phenomenon by countervailing power. Key Words: physicians’ image、Transition、Role、Interaction、Diagnosis、Countervailing power

APA, Harvard, Vancouver, ISO, and other styles

47

Su, Chun-Chung, and 蘇俊忠. "Relationship of Physician Fee and Physician Behavior-A Study of Municipal Hospital''s Physician." Thesis, 1999. http://ndltd.ncl.edu.tw/handle/39175857292200873589.

Full text

Abstract:

碩士
中國醫藥學院
醫務管理研究所
87
Physicians play the major role in medical industry and they control over 80% expenses of health service. So human resource of physicians is the hospital management’s major work. One of this work is the salary design. Physician’s behavior and his performance are all relative to the content of his salary. Currently there are more than 90% private hospitals implementing “Physician Fee System”. And the reason why there is a better productivity and achievement in private hospital is the physician fee system or the pay for physician’s performance. This research is a case study of a public hospital. The goal is to survey the physician’s recognition, acceptance and satisfaction of the physician fee system. The behavior changes of these physicians are also included. Results of this study indicate that : 1. The acceptance of PF system of the municipal hospital studied is high. The satisfaction levels of physicians are directly related to their recognition of PF system. 2. According to the self-evaluation, physicians of the studied hospital have no changes of their usual medical behavior after the implementation of PF system. However, there are 20~30%of physicians still believe that the implementation of PF system will increase the numbers of the surgery visits and specified physical examination, etc. 3. After the implementation of PF system, the number of the outpatient visits in increased significantly. On the average, the number is maintained at thirty-two person per-physician each time.

APA, Harvard, Vancouver, ISO, and other styles

48

Hung, Fenghuang, and 黃鳳凰. "Physician Body Language, Trust and Patient-Physician Relationships." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/08760969925673641984.

Full text

Abstract:

碩士
義守大學
管理學院管理碩士在職專班
101
The main purpose of this study is to explore the correlations among physician body language, patient’s trust, and physician-patient relationships. Currently, the promotion of physician-patient relationships has become a very important issue. It has been proven by researchers that physician body language and patient’s trust were key factors that enhanced physician-patient relationships. Using the cross-sectional correlational design, structured questionnaires, and purposive samplings, data were collected. Questionnaires were given to physicians from hospitals in southern Taiwan and 211 samples obtained, resulting in a 84.4% response rates., were160 physicians, 6330 and valid patient questionnaires. Research results show that there were more male physicians than female physicians; most of them were in the 31-50 age groups, had bachelor’s degrees, belonged to regional hospitals, and worked in general surgery. Research on physician body language, physician satisfaction, patient’s trust, and physician-patient relationships showed that physicians with humor and responsibility, who provided more eye contacts and are friendlier, would resulted in greater trust and satisfaction from patients. Their kind greetings were one of the most important elements in physician-patient relationships. Our results showed that physicians with humor and responsibility, who provided more eye contacts and were friendlier, resulted in greater trust and satisfaction from patients. Their kind greetings to patients are also one of the most important elements in physician-patient relationships.

APA, Harvard, Vancouver, ISO, and other styles

49

Jennings, Paige Megginson. "The Paradox of Physician Privacy." Thesis, 2012. http://hdl.handle.net/2152/ETD-UT-2012-05-5608.

Full text

Abstract:

This Report examines the “paradox” of physician privacy: while physician privacy has been explicitly or implicitly invoked over the last century to defend physicians against greater transparency, proposals that might cause them economic harm, or interference by government or corporate entities, there has been little comprehensive work done to examine the substance and source of any privacy rights physicians may actually enjoy. This Report attempts to make three primary contributions with respect to physician privacy. First, the Report examines the current state of physician privacy and the legal framework that governs it. Second, the Report argues that physician “privacy” is not, and should not be considered, a unitary concept encompassing a singular meaning. Rather it is a broad umbrella term that encompasses not only a variety of legal protections for privacy, but guards against a variety of very different perceived harms. As a result, this Report argues that in evaluating policy initiatives, discussions about “privacy” implications can be counterproductive because the term obscures the real values, concerns, and policy judgments at play. To address this, the Report’s third aim is the proposal of an analytical framework that policymakers and others may use to consider the impact of various initiatives on the values and concerns that physician “privacy” actually protects: professional autonomy; economic considerations; personal dignity; and practical difficulties.
text

APA, Harvard, Vancouver, ISO, and other styles

50

Churchill, Brian E. "Perceptions of community hospital physicians on computerized physician order entry." Thesis, 2004. http://hdl.handle.net/1957/30961.

Full text

Abstract:

Objectives: To identify the perceptions of community hospital physicians on computerized physician order entry. Design: Multi-method approach consisting of a mail survey of 659 community hospital physicians with active admitting privileges at three PeaceHealth, Inc., along with follow-up personal interviews with stratified random selection from completed survey. Measurements: Perceptions were assessed by means of a mail survey that asked physicians to rank themselves on a scale that represented the five adopter categories contained in the Diffusion of Innovation (DOI) change theory, along with several questions regarding computer use and attitudes toward potential effects of computers and CPOE on medicine and healthcare. Physicians representing four of the five adopter categories were interviewed to assess general perceptions and perceived attributes of innovations, an another construct within the DOI theory. Results: The response rate was 41%. Medical specialty, years in practice, and gender were found not to influence attitudes toward use of computers or, more specifically CPOE in medicine and healthcare. However, more medical specialists favor CPOE implementation at PeaceHealth than expected. Self-ranking on the DOI five adopter categories appears to influence attitudes toward use of computers in medicine and healthcare with positive trends in improving quality, rapport, and patient satisfaction mainly in the Innovator, Early Adopter, and Early Majority categories. A positive trend was seen in the relationship between CPOE's potential effects on improving patient care, not interfering with communication, and improving patient satisfaction with negative relationships with impact on physician workflow and enjoyment of medical practice. A relationship is seen between the five adopter categories and favoring CPOE implementation at PeaceHealth. The perceived attributes of innovations of Ease of Use, Result Demonstrability, and Visibility were supported by interview responses. Relative Advantage seemed to be supported by other questions. The concept of Compatibility was also supported. No steps of the processes of change construct within the Transtheoretical Model were identified during the interviews. Conclusions: This study appears to refute the suggestion that there might be a difference between medical specialists and surgical specialists, age, or gender in their support of computers and specifically CPOE. These data appear to support the Diffusion of Innovation theory is appropriate to consider in investigating CPOE and its diffusion among community hospital physicians. Implementing CPOE according to adopter categories would provide the option for interested physicians to use CPOE, to use CPOE on certain hospital units or patients, and to expand its use before making mandatory. Communication should be targeted toward the adopter categories rather than mass media and emphasize the perceived attributes of innovation.
Graduation date: 2004

APA, Harvard, Vancouver, ISO, and other styles

Dissertations / Theses on the topic 'Physician'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles