BACKGROUND From March 2009 through February 2011, the National Health Service Corps (NHSC) received a $300 million supplement through the American Recovery and Reinvestment Act to grant more loan repayment awards to clinicians who agree to work in underserved areas. This study assesses how this unprecedented funding increase affected the size, composition, and location of the NHSC's workforce. ...

PURPOSE Research demonstrates that people with Parkinson's disease (PD) benefit greatly from multidisciplinary medical care. Delaware does not have a Movement Disorder Center or a movement disorder specialist. To address this issue, the University of Delaware Nurse Managed Health Center (NMHC) developed a novel PD Telehealth Clinic serving individuals with PD and their caregivers throughout Del...

background: according to previous studies, variable percent of nurses suffering from psychological problems or disorders. identifying preventive factors of psychological disorders to be used more frequently and risk factors of these disorders to eliminate them are essential in improving mental health of staff. the present study aims to assess the relationship between motivational function of he...

IMPORTANCE Little is known about the use of diagnostic testing, such as medical imaging, by advanced practice clinicians (APCs), specifically, nurse practitioners and physician assistants. OBJECTIVE To examine the use of diagnostic imaging ordered by APCs relative to that of primary care physicians (PCPs) following office-based encounters. DESIGN, SETTING, AND PARTICIPANTS Using 2010-2011 M...

IMPORTANCE Surveyed physicians tend to place responsibility for high medical costs more on "demanding patients" than themselves. However, there are few data about the frequency of demanding patients, clinical appropriateness of their demands, and clinicians' compliance with them. OBJECTIVE To assess how frequently patients demand or request medical tests or treatments, what types they demand,...

Background Up to 30% of patients with inflammatory arthritis (IA) do not respond sufficiently or tolerate the pharmacological treatment. Consequently, they may experience a substantial impact their in everyday life. Even remission low disease activity state are at risk related symptoms and burden. These need coherent interdisciplinary self-management support manage life chronic condition increa...

background and objectives: job satisfaction is a critical factor in attracting and retaining nurses. although many studies have dealt with nurses’ job satisfaction, rapid transformation of the community and health systems can alter the factors influencing this issue, hence calling for continuous monitoring of job satisfaction as perceived by nurses. built on this necessity, the present study wa...