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Analysis of the information needs of primary care physicians in an electronic health record (EHR)
(University of Missouri--Columbia, 2012)
. An interdisciplinary team conceptualized nine interview questions over weekly group sessions and fictitious but typical acute and chronic physician's documentation (progress notes) was created by two family medicine physicians (JLB and RJK). An analysis of hour long...
An evaluation of an Electronic Medical Record (EMR) based system to characterize and correlate physician burnout and EMR use
(University of Missouri--Columbia, 2021)
suggests that Electronic Medical Record use (EMR) is one major contributor due to the increased clerical burden that decreases patient contact time and disrupts the provider clinical workflow. The challenge of improving the physician EMR experience...
AI-driven techniques for enhanced efficiency in psychiatry clinical scheduling
(University of Missouri--Columbia, 2023)
of tolerating early and late arrivals include disruption of the timetable and lengthier wait times for incoming patients, which may lead to patient dissatisfaction and physician fatigue. Considering these problems, psychiatric clinics strive to improve...
Designated hospice rooms in nursing homes : a new model of end-of-life care
(University of Missouri--Columbia, 2009)
An aging population, the prediction that approximately 40% of elderly Americans will die in a nursing home by the year 2020, and a paucity of nursing homes designed to meet the needs of dying residents is creating the perfect storm. In an effort...
A quantitative performace measurement framework for health care systems
(University of Missouri--Columbia, 2006)
of changing ten percent of the physician and nursing manpower, the clinic's expenses, patients' turnout to the operating margin of the clinic. The major accomplishments of this work included the incorporation of a system engineering tool to health care system...
Impact of Nurse Practitioner Practice Regulation on Access to Healthcare Services
(2014-09-26)
Nurse practitioner (NP) practice regulations vary from state to state across the United States. Despite strong evidence supporting the quality of care and satisfaction with care provided by NPs, restrictive regulations ...
From ‘Remedy Highly Esteemed’ to ‘Barbarous Practice’: The Rise and Fall of Acupuncture in Nineteenth-Century America
(2015-05-27)
considerable popularity in the United States as far back as the early part of the nineteenth century, with American physicians conducting similar experiments on patients in an effort to determine acupuncture’s underlying mechanism of action. In the second half...
Using impact asthma echo to influence physician self-efficacy and guideline adherence
(University of Missouri--Columbia, 2018)
The purpose of this study was to examine the influence on provider self-efficacy and guideline adherence as a result of participation in Impact Asthma ECHO. The researcher addressed the following research questions: How ...
Passive representation and the client-bureaucrat relationship: communication and demand inducement in the patient-provider relationship
(University of Missouri--Columbia, 2007)
The ways that passive representation could produce substantive benefits for the clients of a bureaucracy irrespective of active representation are an understudied aspect of the theory of representative bureaucracy. Further, ...
A medicare benefit expansion: inpatient clinical and economic outcomes in deep brain stimulation for Parkinson's Disease
(University of Missouri-Kansas City, 2011-07-08)
to March 30, 2004). Long-term, cross-sectional analysis examined the three years, three months prior to the the short term pre period (January 1, 1999 to March 31, 2002); and the three years, nine months after the short term post period (April 1 2004...
Hospital discharge destination decisions : exploring congruence in frail elders, their family members, and health care teams' decisions
(University of Missouri--Columbia, 2007)
This study used a mixed method design to explore congruence about the discharge destination decision of hospitalized frail older adults, their family members, and health care team members (HCTM). There was no common pattern of preferred level...
Insights for rural health care provider retention : a quantitative survey analysis
(University of Missouri--Columbia, 2021)
. In this thesis, I examine the role of provider background and familial characteristics, workplace characteristics, and community characteristics that may impact a provider's likelihood to consider leaving a rural community. I use data from a survey of over 900...
The Relationship between Social Support and Health Care Utilization among African-American Men Post-acute Myocardial Infarction
(2014-09-30)
African-American men have more health disparities in the form of higher rates of
chronic illness and shorter life expectancies when compared to their Caucasian
counterparts. A health disparity example is the higher ...
Investigating the Role of Clinical Rotation Payment in Clinical Education Quality and Student Self-Efficacy for Physician Assistant Education
(University of Missouri--Kansas City, 2018)
As the need for Physician Assistants (PAs) increases in the United States,
education programs have a responsibility to graduate competent providers to help fill the
nation’s healthcare workforce needs. To do this, PA ...
A study on the relationship of death anxiety and the completion of advance directives for oncology social workers
(University of Missouri--Columbia, 2008)
This study examined the extent to which the death anxiety of oncology social workers impacts the facilitation of the completion of their personal advance directives, and communication about advance directives with patients. ...
Developing a model of psychiatric visit non-adherence
(University of Missouri--Columbia, 2010)
Non-adherence to psychiatry visits costs the US mental health care system more than one hundred billion dollars annually. Non-adherent visits undermine improvements to patient care quality, erode patient well-being, and ...
Identifying risk patterns for suicide attempts in individuals with diabetes : a data-driven approach using LASSO regression
(University of Missouri--Columbia, 2023)
Diabetes is a major health concern in the United States, with 34.2 million Americans affected in 2020. Unfortunately, the risk of suicide is also elevated in individuals with diabetes, with around 90,000 people with diabetes committing suicide each...
An ecological systems approach to reduce children's encounters with obscenity on the internet
(University of Missouri--Columbia, 2007)
This dissertation explores how to reduce children's encounters with obscenity on the Internet. Congress has been trying to shield children from encountering online obscenity and some of Congress' attempts failed because ...
Two brief treatments based on dialectical behavior therapy for binge eating across diagnoses and thresholds : results from a preliminary randomized dismantling study
(University of Missouri--Columbia, 2009)
How can disordered eating be effectively treated? The answer is not yet clear. Although cognitive behavioral therap (CBT) is generally considered the treatment of choice, disordered eating has been show to persist and ...
Grief and mourning among African American elders after spousal bereavement
(University of Missouri--Columbia, 2009)
This grounded theory study explored grief and mourning processes of African American elders during the transition into widowhood. The participants were 9 African American women who had been widowed from 2-10 years. The age range of the widows was 67...