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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...
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...
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...
Impact of Nurse Practitioner Practice Regulation on Access to Healthcare Services
(2014-09-26)
representative of the “always enrolled” Medicare beneficiary population (N = 15,027, weighted sample = 45,205,096). Descriptive statistics are given to describe the population of interest. Covariates used in the regression analysis were: urbanicity, nursing home...
A Quack on Trial: Advertising and Education in Missouri's Medical Marketplace, 1850--1890
(2014-09-30)
physicians like Galen Bishop struggled with their organizational minded counterparts, like George Catlett, over the ethical soul of American medicine. Should medicine be an exclusive, well-regulated, morally certified gentlemen's practice? Or, should...
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 ...
A socioecological perspective : the "ups and downs" of living with type 2 diabetes among working adults in the rural south
(University of Missouri--Columbia, 2019)
Persons with higher patient activation levels are more likely to engage in preventive health behaviors. This qualitative study addressed a population that may be particularly vulnerable to poor diabetes outcomes: rural, working adults with type 2...
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...
Developmental programming by xenoestrogens
(University of Missouri--Columbia, 2011)
[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT REQUEST OF AUTHOR.] Xenoestrogens (XE) are chemicals in the environment that mimic the body's natural steroidal estrogens. Developmental exposure to XE may interfere with ...
Primary care provider prep prescribing practices : southern United States
(University of Missouri--Columbia, 2021)
The Southern United States (U.S.) accounts for more than half of new HIV cases annually and African Americans make up the majority of new HIV diagnoses in this region. Pre-Exposure Prophylaxis (PrEP) is an effective biomedical HIV prevention...
End-tidal carbon dioxide in the diagnosis of acute pulmonary embolism in hospitalized adult patients
(University of Missouri--Columbia, 2018)
records were reviewed to determine BPA adherence. A total of 111 patients had definitive CT results. Mean ([plus or minus]SD) EtCO[2] was higher for PE+ (28[plus or minus]7.8) versus PE- (33[plus or minus] 8.1) patients (p =.01). For PE exclusion, an Et...
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 ...
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...
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 ...
Health costs of sickle cell disease patients from the Medical Expenditure Panel Survey, 1996-1997, 2002-2003, 2007-2008
(University of Missouri--Kansas City, 2012)
Chronic conditions affect a person physically, mentally, emotion, socially, and financially. With the increase in technology and advancements in medicine, those with chronic conditions are living longer and spending more ...
Religiosity and Engagement in HIV Care Among African American People Living with HIV
(University of Missouri--Kansas City, 2016)
OBJECTIVE: This study explored the acceptability and feasibility of adopting and
implementing religious determinants, including prayer and referral to religious leaders, into
engagement in HIV care [EIHC] for African ...
An arc of death : suicide, alcoholism, murder, accidents, and other early deaths in St. Louis, Missouri, 1875 to 1885
(University of Missouri--Columbia, 2018)
and interpreting deaths. These factors were whether the deceased had family members who testified on their behalf, whether the coroner believed that it was possible that another person may have caused or contributed to the death that he was investigating...
Pharmacogenetic Testing to Reduce Depression and Anxiety in Adults Treated with Low-Dose Lithium
(University of Missouri -- Kansas City, 2023)
Mental illnesses, including major depressive disorder, bipolar disorder, and generalized anxiety disorder, are leading causes of disability in the United States, affecting about one-third of Americans and one-fifth of Kansas City residents. A...
Cost analysis of the Miles of Smiles Program, a school-based preventive oral health program
(University of Missouri--Kansas City, 2012-01-25)
The purpose of this study was to provide a cost analysis of the Miles of Smiles
Program, a collaboration between the University of Missouri-Kansas City (UMKC) School of
Dentistry and the Olathe School District. This ...
Communication at the end-of-life among advanced cancer patients in Ghana: what patients have to say
(University of Missouri--Columbia, 2021)
Individuals with life-limiting illnesses require information and good communication throughout their illness. Effective end-of-life communication (EOLC) improves patients' understanding of their condition, care, and treatment ...