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McDonald, Kathryn Mack. "Ambulatory Care Organizations| Improving Diagnosis". Thesis, University of California, Berkeley, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10278324.
Pełny tekst źródłaAmbulatory care comprises a major and increasingly important part of the U.S. and other countries’ health care sectors. Every year in the U.S., about 80% of the population seeks care at a doctor’s office, amounting to one billion visits. These visits divide almost equally between primary care and specialty clinic organizations. Diagnostic work is part of most ambulatory care, and central to over 40% of patient visits that originate due to a new problem or a flare-up of an ongoing chronic problem. Yet, the risks associated with diagnostic failures have not garnered much attention from health care leaders and policy makers until a recent National Academy of Medicine (NAM 2015) report synthesized research data with the statement that “most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences.” This dissertation first reviews organizational theories and measurement challenges relevant to diagnostic safety and quality in the context of ambulatory care, and then presents three papers analyzing specific organizational factors hypothesized to enable or thwart an accurate and timely diagnosis. The first paper targets delayed diagnosis from missed evidence-based monitoring in high-risk conditions (e.g., cancer) within five specialty clinics in an urban publicly funded health system. The second paper analyzes staff-reported office problems that could lead to diagnostic error (e.g., not having test results when needed) in over 900 primary and specialty clinics across the nation. The third paper examines the associations between two types of time pressure (i.e., encounter-level and practice-level), organizational factors, and patient effects including perceptions of missed diagnostic opportunities. The three primary conclusions from this work are 1) organizational vulnerabilities for missed monitoring common to the different clinics included challenges with data systems, communications handoffs, population-level tracking, and patient activities, leading to the development of ‘design seeds’ for context-flexible solutions to improve diagnostic quality; 2) two organizational factors—stage of health information technology (HIT) deployment and patient safety culture are associated with diagnostic-related office problems, and 3) encounter and practice-level time stressors in primary care clinics are associated with perceptions of greater adverse effects on diagnosis and treatment, and worse patients’ experiences of chronic care from the clinic team, respectively, as well as associated with several organizational factors including HIT, patient-centered culture, relational coordination for interdependent teamwork, and leadership facilitation of changes to address frontline practice challenges. Taken together, the dissertation papers also demonstrate the applicability of the NAM Improving Diagnosis Conceptual Framework for research on ambulatory care organizations.
Dixon, Jennifer. "Hospital admissions for ambulatory care conditions". Thesis, London School of Hygiene and Tropical Medicine (University of London), 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.397231.
Pełny tekst źródłaCalhoun, McKenzie L. "Ambulatory Care Pharmacy in the United States". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6879.
Pełny tekst źródłaGovers, Margaret Joyce. "Workplace empowerment and job performance in ambulatory care nursing". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ28576.pdf.
Pełny tekst źródłaJohnston, Janice Mary. "Ambulatory care: a comparison of event and episode utilisation patterns". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31237125.
Pełny tekst źródłaVallabh, Tina, Hanna Phan i Amy Kennedy. "Assessment of Ambulatory Care Practice in Adult and Pediatric Patients". The University of Arizona, 2014. http://hdl.handle.net/10150/614175.
Pełny tekst źródłaSpecific Aims: The purpose of this study is to compare frequency of pharmacy services available in ambulatory care practice between adult and pediatric populations and to identify factors that affect the availability of such practice settings between the two populations in the United States. Methods: This study was a descriptive survey study that was distributed nationally. Participants were recruited using two electronic listservs registered with the American College of Clinical Pharmacy (ACCP), the Pediatric PRN listserv and Ambulatory Care PRN listserv. A total of 126 participants completed and submitted the electronic questionnaire. This descriptive survey study collected data through an online questionnaire distributed to adult and pediatric ambulatory care pharmacists. Descriptive variables, demographic variables, categorical variables, and ordinal data were analyzed by calculating frequencies, percentages, and averages. Main Results: The majority of participants specialize in diabetes (n = 51, 40.5%), anticoagulation (n=42, 33.3%), hypertension (n=42, 33.3%), hyperlipidemia (n=40, 31.8%), and asthma (n=32, 25.4%). Adult care was greater than pediatric care in diabetes (Adult: n=54, 42.83%; Ped: n=14, 9.53%), anticoagulation (Adult: n=46, 43.66%; Ped: n=6, 4.76%), hypertension (Adult: n=44, 34.94%; Ped: n=8, 6.34%), hyperlipidemia (Adult: n=42, 33.34%; Ped: n=3, 2.39%), and asthma (Adult: n=35, 27.78%; Ped: n=28, 22.23%). Averages of 4.88 hours of hours per week and 5.21 years of experience were obtained for provision of pediatric care in the ambulatory care setting. Conclusion: In conclusion, availability of ambulatory care services for pediatric patients is dramatically less than those available for adults. Generalized structure for location of clinics, billing for services, and funding for positions may increase the opportunity for provision of adult and pediatric ambulatory care services.
Aharonson-Daniel, Limor. "Application of operations research in studies of ambulatory care services". Thesis, Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B17054928.
Pełny tekst źródłaIngster, Lillian May. "Long term trends in hospitalizations for ambulatory care sensitive conditions". Available to US Hopkins community, 2003. http://wwwlib.umi.com/dissertations/dlnow/3080685.
Pełny tekst źródłaShennan, Andrew Hoseason. "Ambulatory blood pressure measurement in pregnancy and pre-eclampsia". Thesis, Imperial College London, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286663.
Pełny tekst źródłaPaukert, Judy Lynn. "Faculty use of teaching strategies in ambulatory pediatric primary care settings /". Digital version accessible at:, 1999. http://wwwlib.umi.com/cr/utexas/main.
Pełny tekst źródłaKeeping, Lisa M. "Living with continuous ambulatory peritoneal dialysis (CAPD) /". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq25856.pdf.
Pełny tekst źródłaGrant, Cindy Lynn. "Ambulatory care physician barriers contributing to the low advance directive education rate". CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1696.
Pełny tekst źródłaBeales, Stephen. "Understanding the potential (and limitations) for avoiding secondary care through management of ambulatory care sensitive conditions". Thesis, Imperial College London, 2015. http://hdl.handle.net/10044/1/28901.
Pełny tekst źródłaReifferscheid, Gerd. "Soziales Geschlecht und ambulante Versorgung Medizinerinnen in der primärärztlichen Versorgung /". Köln : Universität zu Köln, 1997. http://catalog.hathitrust.org/api/volumes/oclc/39009369.html.
Pełny tekst źródłaGilmer, Todd Patrick. "Mixed payments to providers and the use of ambulatory ADM services /". Thesis, Connect to this title online; UW restricted, 1997. http://hdl.handle.net/1773/7388.
Pełny tekst źródłaTHELIN, CARL, i PETER WALLANDER. "Production Planning and Control in an Ambulatory Care Service Provider in Sweden". Thesis, KTH, Industriell Management, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-189463.
Pełny tekst źródłaThe healthcare sector in Sweden faces several challenges today: a growing and ageing population increases demand in terms of both volume and complexity whereas monetary resources available do not follow suit, forcing care givers to become more efficient in their operation. The healthcare sector has for this reason in recent years become more and more inclined to implement management theories developed in other industries, primarily the automotive industry. Ambulatory care service units, who provide care services on an outpatient basis, are vital in productivity improvements in the system they are acting in but have been somewhat neglected by both policy makers and academia. This study has therefore investigated how production planning and control theories, principles and methods can be utilised in an ambulatory care service unit in a major emergency hospital in Sweden. This thesis is based on a case study conducted at the radiology department at Danderyds sjukhus, an emergency hospital located in Stockholm County Council. The case study mainly consisted of qualitative data gathering using semi-structured interviews with aid from quantitative data on department performance. The empirical contributions of the case study included a process mapping of a generic process flow prevalent in all subunits of the department in the radiology department. The main process could be divided into three main phases: 1. Preparation, 2. Examination, and 3. Diagnosing and documentation. Using the mapped out process and a thorough literature review on production planning and control three main conclusions could be drawn: (1) an implementation of production planning and control should begin with a deep understanding of process flows in the unit and aim to promote both operational and medical objectives, (2) production planning and control activities should be adapted to the environment the unit is acting in, and (3) continuous feedback from performance measurements is vital to successful production planning and control initiatives. This study will help ambulatory care service units to meet the challenge of increased demand they currently face in Sweden by utilising the potential in production planning and control.
Farus-Brown, Susan Janette. "Prevention, Recognition, and Treatment of Pediatric Obesity in the Ambulatory Care Setting". Otterbein University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1399452773.
Pełny tekst źródłaLee, Amy, i Nisha Patel. "A Consumer Assessment of Pharmaceutical Care Services in a Diabetes Ambulatory Clinic". The University of Arizona, 2009. http://hdl.handle.net/10150/623965.
Pełny tekst źródłaOBJECTIVES: To assess patients’ satisfaction with pharmaceutical care services provided in a community health center diabetes management clinic. METHODS: Patients who received diabetes-related pharmaceutical services from the clinical pharmacist at El Rio Health Center in Tucson, Arizona from November 2008 to January 2009 were contacted during a visit to the diabetes clinic and asked to complete the consumer assessment of pharmaceutical services questionnaire. The questionnaire included 14 likert-type items with response options ranging from “Never” to “Always” or “Disagree” to “Agree.” In addition, the patient’s most recent hemoglobin A1C (HgbA1C) was obtained from the electronic medical record. The survey instrument was also translated from English to Spanish to serve the Hispanic participants who could not communicate fluently in English. A descriptive cross-sectional analysis was completed in order to assess patient satisfaction. Dependent variables extracted from the survey were analyzed by Mann-Whitney U test. Interval and ratio data were analyzed by calculating means, standard deviations, and an independent t-test. Nominal data were analyzed using the Chi-Square test. RESULTS: A total of 46 patients completed the questionnaires, including 17 men and 29 women (mean age = 56, SD = 11.3, 80% Hispanic). All patients had seen the clinical pharmacist at least 3 times. Overall, this study showed that majority of the patients were satisfied with the service provided in the clinic. There was no statistically significant difference between English and Spanish patient populations in terms of satisfaction with pharmaceutical services provided about their disease management. CONCLUSIONS: Patients in this clinic were highly satisfied with the pharmaceutical care services provided by the clinical pharmacist.
Harper, Jeanine M. "A comparison of preadmission preparation programmes for children undergoing Day Care Surgery". Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/31107.
Pełny tekst źródłaEducation, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
Elo, Jyrki A. I. "The impact of surgical day care on hospital inpatient utilization in a paediatric population". Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/27876.
Pełny tekst źródłaMedicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
Laditka, James Nicholas. "Health outcome disparities associated with access to primary care for vulnerable groups: Hospitalization for ambulatory care sensitive conditions". Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2002. http://wwwlib.umi.com/cr/syr/main.
Pełny tekst źródłaSaleh, Doha Mahmoud Ismail. "The utilisation of ambulatory health care services in Saudi Arabia : a quantitative analysis". Thesis, London School of Economics and Political Science (University of London), 2004. http://etheses.lse.ac.uk/1862/.
Pełny tekst źródłaDavidson, Angela R. "Computerized physician order entry| An outlook on successful implementation among ambulatory care settings". Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527367.
Pełny tekst źródłaThe purpose of this study is to investigate the relationship and pattern of Computerized Physician Order Entry (CPOE) implementation among various ambulatory care settings. With the increasing focus on cost reduction and improved efficiency of the healthcare industry, successful CPOE implementation would benefit many providers. The research entails an analysis of practice setting characteristics that may provide insight to the future of CPOE full adoption. Through secondary data analysis on the responses collected from the Electronic Medical Records Supplemental Survey (within the 2009 National Ambulatory Medical Care Survey), four hypotheses are tested in this study: (a) use of CPOE will be greater in primary practices as opposed to specialists, (b) use of CPOE will be greater amongst group practices and less in solo practices, (c) private practice setting types will have greater implementation patterns of CPOE compared to other setting types, and (d) practices with greater private insurance reimbursements will have greater CPOE utilization. All four hypotheses were tested using a chi-square analysis in order to better examine the relationship between utilization patterns of CPOE and medical care practice characteristics. Although results showed that there are significant associations between CPOE use and practice specialty, type, setting, and type of major payer, there is still a strong lack of adoption in the ambulatory care setting as a whole. The study provides some insight into what types of practices may have lucrative qualities in the future, however the data is reflective of a time when many changes are expected to effect the industry. Not every medical practice has adopted or successfully implemented the first stages of CPOE, however the benefits and the future of healthcare show that many practices will soon be on their way in order to stay profitable.
Bade, Sameer A. 1969. "A wireless wide area network PDA application for on-call ambulatory care physicians". Thesis, Massachusetts Institute of Technology, 2004. http://hdl.handle.net/1721.1/28581.
Pełny tekst źródła"June 2004."
Includes bibliographical references (leaves 152-156).
Current implementations of patient information review on Personal Digital Assistants (PDAs) are gaining traction in the in-patient hospital setting. There are tremendous patient safety and satisfaction, workflow improvement and physician satisfaction improvements possible if similar technology is optimized and used in the ambulatory care setting. We have performed a study of Partners HealthCare System (PHS) physicians to determine user requirements, implemented a formal method (not previously used within the PHS Information Systems division) to create a Software Requirements Specification (SRS), and developed a prototype user interface for a future LMR2go application (a mobile adjunct for the ambulatory care Longitudinal Medical Record system in use at PHS). The results of the study provided a core set of functions for the LMR2go application which physicians would like to use while on-call and substantiated the potential adoption of such an application. After an analysis of current software and hardware technologies, review of the study results and components of the actual SRS, a sample run through of a typical on-call physician workflow on the LMR2go User Interface is provided.
by Sameer A. Bade.
S.M.
Phillips, Chelsea E., Alea S. Moore, Caralyn I. Snyder, Whitney P. Varney i Nicholas E. Hagemeier. "Pharmacy-Related Ambulatory Care Sensitive Conditions: An Analysis of Tennessee’s County-Level Characteristics". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/1459.
Pełny tekst źródłaHansen, Thomas Harold. "Utilization of Ambulatory Services by the Health Maintenance Organization of Florida". Master's thesis, University of Central Florida, 1988. http://digital.library.ucf.edu/cdm/ref/collection/RTD/id/16172.
Pełny tekst źródłaThe utilization of ambulatory services by the health maintenance oranization of Florida (HMO), independent practice association (IPA) model, was compared to a fee-for-service population. Each randomly selected froup consisted of 250 patients being cared for by the same providers, at the same clinic, during the calendar year 1986. Demographic and clinical data was gathered from the office charts. Frequencies were evaluated by the Statistical Package for the Social Sciences and t-tests were run to substantiate variance at the 0.05 level of confidence. The HMO group is a younger population (t=0.017), and the males are responsible for the increased utilization of ambulatory services (t-0.001). Trends of increased utilization are noted across the age groups and the variables. The rate of hospitalization is insignificantly higher for the HMO population and covers a broader range of age groups. Consequently, this HMO IPA model increases the rate of ambulatory service utilization in a younger population without reducing the rate of hospitalization. Cost effectiveness studies and organizational management evalutions are needed.
M.S.;
Health
Health Sciences
51 p.
iii, 51 leaves, bound : ill. ; 28 cm.
Brom, Heather. "The Changing Landscape of Ambulatory Care: Provision and Utilization as Influenced by the Patient Protection and Affordable Care Act". The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1491814890562107.
Pełny tekst źródłaDavis, Cynthia Kathleen. "Evaluation of a pre-cardiac surgery educational program offered in an ambulatory care unit". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0022/MQ50442.pdf.
Pełny tekst źródłaWiesehuegel, Wendy Denise. "Predictors of UTI Antibiotic Resistance for Female Medicaid Recipients in U.S. Ambulatory Care Settings". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4262.
Pełny tekst źródłaAxelrad, Mary, Laurie Webb, Kimberly Mann i Amanda Stoltz. "Improving the Referral Process for Behavioral Health Using a Patient-Centered Approach". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/213.
Pełny tekst źródłaKarve, Sudeep. "Evaluation of Ischemic Stroke-Related Healthcare Utilization Trends Using Recent National Data: 2000 – 2005". The Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1242827395.
Pełny tekst źródłaDeangelis, Julie Ann. "To treat or not to treat : the role of antibiotics in the management of community-acquired respiratory tract infections in an ambulatory setting /". View online ; access limited to URI, 2008. http://0-digitalcommons.uri.edu.helin.uri.edu/dissertations/AAI3314453.
Pełny tekst źródłaTse, Kar-yee. "Hong Kong nurses' perception and values on preoperative teaching for ambulatory surgical patients /". View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36396746.
Pełny tekst źródłaMalkin, Lisa Sohl. "Patients' and significant others' satisfaction with nursing activities in oncology ambulatory settings". Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/558093.
Pełny tekst źródłaQin, Hong Prybutok Victor Ronald. "Links among perceived service quality, patient satisfaction and behavioral intentions in the urgent care industry empirical evidence from college students /". [Denton, Tex.] : University of North Texas, 2009. http://digital.library.unt.edu/permalink/meta-dc-11014.
Pełny tekst źródłaAlfaiz, Abdullah. "Urgent Care Center Location: an Empirical Analysis of their Locations in Relation to Demographic, Socioeconomic, and Land Use Factors: a Case Study of Portland, Oregon". PDXScholar, 1996. https://pdxscholar.library.pdx.edu/open_access_etds/1328.
Pełny tekst źródłaWest, Christopher E. "Technical limitations of electronic health records in community health centers: Implications on ambulatory care quality". Diss., Search in ProQuest Dissertations & Theses. UC Only, 2010. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3398890.
Pełny tekst źródłaHiggins, Niamh. "Description of factors associated with medication errors in an HIV ambulatory care setting (DEFEAT Study)". Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=106617.
Pełny tekst źródłaObjectif: L'objectif de l'étude DEFEAT est de mieux définir les erreurs de médication chez les patients infectés par le VIH, et d'identifier les facteurs de risque associés à ces erreurs. Méthode: Des pharmaciens ont fait des entrevues avec les patients pour obtenir la meilleure histoire médicamenteuse possible. Deux pharmaciens ont indépendamment évalué les profils médicamenteux de chaque patient pour vérifier leur conformité aux indications thérapeutiques. Les erreurs médicamenteuses ont été classées par ordre de sévérité en utilisant l'index de catégorisation des erreurs médicamenteuses du « Conseil National pour le signalement et la prévention des erreurs médicamenteuses » (Le NCC MERP). Les facteurs de risque pour le nombre d'erreurs par patient ont été identifiés en utilisant la régression Poisson. Les facteurs de risque pour la sévérité des erreurs ont été identifiés en utilisant un modèle chance proportionné. Résultats: Les pharmaciens ont interrogé 151 patients, et identifié un total de 1699 erreurs; 224 erreurs s'étendaient aux patients, dont 133 ont nécessité une intervention. Les facteurs de risque possibles incluaient certaines classes de médicaments, tels ceux utilisés en chimiothérapie, pour les dysfonctions érectiles, les inhalateurs et anti-infectieux, le nombre de médicaments concomitants, le nombre de produit vente libre, le nombre d'années écoulées depuis le diagnostic de VIH, histoire de maladie cardio-vasculaire, et le fait d'avoir des prescriptions dans plus d'une pharmacie. Conclusions: Dans cet échantillon de patients infectés par le VIH, les pharmaciens ont identifié un nombre élevé d'erreurs médicamenteuses atteignant les patients. Des recherches plus poussées se concentreront sur le développement d'approches basées par système pour améliorer les pratiques de médications sécuritaires.
Taylor, Helen. "Multimethod Analysis of NHS Policy for the development of New Services for Ambulatory Cancer Care". Thesis, University College London (University of London), 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.509313.
Pełny tekst źródłaSolis, Edgar. "Ethnicity, race, and insurance type disparities in congestive heart failure diagnosis in the ambulatory care setting". Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1526956.
Pełny tekst źródłaHealth care disparities have been well document to exist in various demographics. Specifically, there are differences in the access to and quality of healthcare between ethnic and racial groups. Congestive Heart Failure (CHF) is a debilitating chronic condition that affects the underinsured population more often than the insured. The present study sought to identify associations with the diagnosis of CHF between race, ethnicity, and insurance type.
Data sets retrieved from the 2010 National Ambulatory Medical Care Survey were utilized to run statistical analysis and identify correlations between the dependent variable and independent variables. A chi-square test was performed to determine the significance of the results. The sample population selected was cross tabulated to identify associations between the variables. The findings suggest that significant differences exist in the diagnosis of CHF between race, ethnicity, and insurance type. The results support past research, which found that racial, ethnic, and socioeconomic disparities exist in health care.
Sneha, Sweta. "Patient monitoring via mobile ad hoc network maximizing reliability while minimizing power usage and delays /". unrestricted, 2008. http://etd.gsu.edu/theses/available/etd-06132008-153317/.
Pełny tekst źródłaTitle from file title page. Upkar Varshney, committee chair; Peter Meso, Yi Pan, Anu Bourgeois, committee members. Electronic text (192 p. : ill. (some col.)) : digital, PDF file. Description based on contents viewed Sept. 23, 2008. Includes bibliographical references (p. 184-192).
Bolhuis, Rebecca. "A Description of a Pharmacist-Based Treatment Adherence Program at Special Immunology Associates, an HIV Ambulatory Care Clinic". The University of Arizona, 2008. http://hdl.handle.net/10150/624307.
Pełny tekst źródłaObjectives: To describe a pharmacist-based treatment adherence program at an HIV ambulatory care clinic setting; to describe the patient population that the pharmacist provided services to from 2005 to 2007; and to describe the clinical outcomes of the program. Methods: A retrospective chart review of 381 patients enrolled in the pharmacist-based treatment adherence program from 2/01/05 to 03/01/2007. Inclusion criteria: HIV positive; greater than or equal to 18 years of age; a medical record; and enrollment in the treatment adherence program. The program provided support, education, and clinical management. Results: Patients were predominately male (86%), ages 45-64 (58%) or 25-44 (38%), identifying as Caucasian (57%) or Hispanic (31%), with psychiatric (50%) or substance abuse (39%) comorbidities (with 25% reporting both comorbidities). Baseline HIV viral loads were compared at four different follow-up periods: 90-180 days, 181-365 days, greater than 365 days, and the entire period of follow-up through the pharmacist-based HIV treatment adherence program. At baseline 34% of the patients had an undetectable HIV viral load (< copies/mL) and a mean CD4 count of 340. All follow-up periods reported significant improvements. At follow-up >365 days, 76% of the patients had undetectable virus (p<0.001) and a mean CD4 count of 442 (p<0.001). There were no significant results when viral load and mean CD4 counts were examined within the context of number of pharmacist visits and SA and/or psychiatric comorbidities. Conclusions: Patients in the pharmacist-based treatment adherence program showed significant improvements in CD4 count and percent of patients with undetectable virus from baseline to all follow-up periods. The magnitude of the improvement increased during each follow-up period suggesting an additive effect of continued enrollment in the program.
Tse, Kar-yee, i 謝嘉誼. "Hong Kong nurses' perception and values on preoperative teaching for ambulatory surgical patients". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45011916.
Pełny tekst źródłaEl-Atem, Nathan Abraham. "An investigation of ambulatory tertiary hospital resource utilisation by people with liver disease". Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/180900/1/Nathan_El-Atem_Thesis.pdf.
Pełny tekst źródłaLahrman, Rebecca M. "Improving Bidirectional Communication: The Effect of a Warm-Handoff Transfer Between Ambulatory Pharmacists and Community Pharmacists for High-Risk Patients". University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1562923386274222.
Pełny tekst źródłaNet, Ny Santhat Sermsri. "Patient satisfaction with health services at the Out-patient department clinic of Wangnumyen Community Hospital, Sakaeo province, Thailand /". Abstract, 2007. http://mulinet3.li.mahidol.ac.th/thesis/2550/cd399/4937988.pdf.
Pełny tekst źródłaZhou, Haiyun, i 周海韵. "Risk factors driving ambulatory care sensitive conditions hospitalisation among elderly with chronic obstructive pulmonarydisease or heart disease". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B47055819.
Pełny tekst źródłaLAGO, EDITH LUCIA MENDES. "SERODISCORDANCE AND PROFESSIONAL STAFF: QUALITATIVE STUDY OF AMBULATORY CARE IN HIV / AIDS IN THE CITY OF NITEROI". PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2011. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=18858@1.
Pełny tekst źródłaEste estudo examina as representações sociais de profissionais de saúde sobre a questão da sorodiscordância para o HIV/AIDS. O estudo foi realizado com profissionais inseridos em uma equipe multidisciplinar de um ambulatório especializado em HIV/AIDS no município de Niterói, no estado do Rio de Janeiro. Para tal estudo, foram realizadas com esses profissionais 11 entrevistas semiestruturadas a partir de três eixos: (1) dados sóciodemográficos, com o objetivo de apreender questões relativas ao pertencimento social dos entrevistados; (2) dados sobre a instituição, com o intuito de compreender como as relações institucionais influenciam a visão da sorodiscordância e (3) dados sobre a sorodiscordância, com objetivo de apreender as representações que os profissionais têm acerca desse fenômeno. A partir da articulação desses dados, esta investigação pretende analisar entendimentos dos entrevistados sobre os seus cotidianos profissionais, e repercussões acerca das recentes recomendações do Ministério da Saúde no que concerne à sorodiscordância – as denominadas Estratégias Posithivas. Portanto, este estudo evidencia e analisa as principais dificuldades encontradas pela equipe para a absorção dessa nova rotina de trabalho e apresenta como fatores interferentes aspectos ligados à cultura institucional e à educação permanente dos profissionais da saúde dentro do ambiente institucional. Por fim, esta dissertação pretende contribuir para a adequação de rotinas que contemplem, da melhor forma, o fenômeno da sorodiscordância, possibilitando uma assistência mais adequada às dinâmicas sociais vivenciadas pelos usuários.
This thesis examines the social representations that a multidisciplinary team of professionals which works in an ambulatory specialized in HIV / AIDS in the Azevedo Lima State Hospital have on the issue of the serodiscordance. The study presents the new recommendations from the Ministry of Health for the matters that involve serodiscordance named Positive Strategies and analyzes its answers in the daily services. The interviews with professionals in the clinic were semistructured, combining three elements: social-demographic data, in order to learn issues that affect the interviewed people social status, institution data, to understand how relationships influence the institutional vision of the serodiscordance, and data on serodiscordance whose objective is to understand the professional representations on the subject. The study highlights and analyzes the main difficulties found by the team for taking up this new routine of work and presents interfering factors aspects of institutional culture and permanent education. This thesis contributes to the possibility of change and adaptation of routines that look at the phenomenon of serodiscordance better.
Bhattacharjee, Sandipan, Lisa Goldstone, Queeny Ip i Terri Warholak. "Depression Treatment among Adults with Multiple Sclerosis and Depression in Ambulatory Care Settings in the United States". HINDAWI LTD, 2017. http://hdl.handle.net/10150/624085.
Pełny tekst źródłaHixson, Eric D. "Ambulatory Heart Failure Treatment: Process and Outcomes Effects of Provider Practice and Patient Adherence". Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1232736856.
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