An essential aspect of integrated care is the coordination of medical and behavioral health needs concurrently. This has sparked renewed emphasis on interprofessional (IP) education and practice. The impetus for IP efforts was crystalized in large part because of health care reforms, and federal funding to expand the behavioral health work force.…

This study retrospectively estimated costs for a convenience sample of school-located vaccination (SLV) clinics conducted in Maine during the 2009-2010 influenza season. Surveys were developed to capture the cost of labor including unpaid volunteers as well as supplies and materials used in SLV clinics. Six nurses from different school districts…

Physicians are the influential force in the complex field of patient care delivery. Physicians determine when and where patient healthcare is delivered and affect 80% of the money spent on it. Computerized systems used in the delivery of healthcare information have become an integral part that physicians use to provide patient care. This study…

It has been shown that the use of Health Information Technology (HIT) is associated with reduced cost and increased quality of care. This dissertation examined the use of registries in Patient Centered Medical Home (PCMH) practices. A survey questionnaire was sent to a nationwide group of clinics certified for being a PCMH. They were asked to…

As rural communities undergo substantial demographic and economic changes, understanding the migration intentions and their antecedents of rural elderly persons becomes increasingly important. Using data drawn from a survey of adults from 24 rural Utah communities conducted in 2008, we examine whether rural residents 60 years of age or older plan…

We assessed the extent to which parents of children with autism spectrum disorder report that they are engaged in shared decision making. We measured the association between shared decision making and (a) satisfaction with care, (b) perceived guidance regarding controversial issues in autism spectrum disorder, and (c) perceived assistance…

The most effective ways to promote learning and inspire careers related to science, technology, engineering, and mathematics (STEM) remain elusive. To address this gap, we reviewed the literature and designed and implemented a high-fidelity, medical simulation-based Harvard Medical School MEDscience course, which was integrated into high school…

A survey was administered to 400 breast cancer survivors at hospitals and support group meetings in Peninsular Malaysia to explore their level of Internet use and factors related to the Internet use by breast cancer survivors. Findings of this study indicated that about 22.5% of breast cancer survivors used Internet to get information about breast…

Purpose: The purpose of this study was to determine the level of crisis leadership preparedness facility administrators report frontline healthcare leaders are trained to perform during an exploding crisis in Los Angeles County healthcare facilities, providing emergency services. Methodology: This was a mixed method descriptive study. The…

Context: Scope of practice is an important factor in both training and recruiting rural family physicians. Purpose: To assess rural Idaho family physicians' scope of practice and to examine variations in scope of practice across variables such as gender, age and employment status. Methods: A survey instrument was developed based on a literature…

This dissertation studies two specific topics on information technologies in health care industry. (1) The status and change of integrated health care delivery system level IT spending and hospital level IT adoption between 1999 and 2006. (2) The potential link between hospital level IT adoptions and quality as quantified by procedural performance…

Clinicians are often asked to evaluate older individuals for their capacity to make decisions regarding their medical care, often referred to as "medical decision-making capacity" (MDMC). However, the degree to which clinicians have the necessary knowledge to properly evaluate MDMC is uncertain. To assess the level of training and knowledge that…

This survey reports on 13 free clinics in Ann Arbor, Minneapolis, Baltimore, Washington, D. C., Somerville (Mass.), New Orleans, and Metropolitan Los Angeles. It defines free clinics and notes various types, such as street clinics, neighborhood free clinics, women's free clinics, youth clinics and sponsored clinics. A short history and philosophy…

Medically treated unintentional injuries of children and adolescents were studied for one year in the clinic and the emergency room of a health maintenance organization. The highest rates of injury resulted from falls, recreational activities, and competitive sports. Restricted activity was needed for 55.9 per cent of the injuries. (VM)

In January through April 2007, the Children's Trust sponsored a population-based survey of parents of children ages birth through 17 in Miami-Dade County to provide a baseline of data on child health and well-being, and to discern unmet needs for services in the Trust's primary impact areas and strategic investments. The survey was conducted by…