BACKGROUND Recently, a revised telehealth legislation that allows direct doctor to patient teleconsultation was proposed in Korea. However, there have been some debates. This study aimed to examine the attitude of primary care physicians towards telehealth. METHODS A questionnaire asking attitude towards telehealth and revised telehealth legislation was self-administered to 1,988 registered m...

THE RELIABILITY AND VALIDITY OF THE THIN SLICE TECHNIQUE:OBSERVATIONAL RESEARCH ON VIDEO RECORDED MEDICAL INTERACTIONS byTANINA S. FOSTERMay 2014Advisor: Dr. Shlomo SawilowskyMajor: Evaluation and ResearchDegree: Doctor of PhilosophyIntroduction: Observational research using the thin slice technique has beenroutinely incorporated in observational research methods...

PURPOSE To describe the coding and documentation practices of nurse practitioners (NPs) when using evaluation and management (E & M) codes in an academic primary care center. DATA SOURCES A randomized retrospective review of ten charts from a nurse-managed primary care clinic affiliated with a midwestern research-intensive university. CONCLUSION The findings demonstrate that the documentati...

A subsidized primary care clinic in Singapore wanted to evaluate the impact of different patient appointment apportionment and patient-doctor allocation strategies on the cycle time that their patients need to spend during their clinic visits. To the best of the authors’ knowledge, there is limited literature on such studies. This paper aims to fill this research gap via scientific evaluation o...

OBJECTIVE To identify characteristics of early arthritis units, that may be associated with better referral eficiency. METHODS A national survey of the 36 early arthritis units (EAU) in Spanish Rheumatology Units in 2004 (SERAP project). Survey collected information about general practitioners (GP) educational program to improve knowledge and practical skills of early arthritis, networking an...

BACKGROUND Incorporating shared medical appointments (SMAs) or group visits into clinical practice to improve care and increase efficiency has become a popular intervention, but the processes to implement and sustain them have not been well described. The purpose of this study was to describe the process of implementation of SMAs in the local context of a primary care clinic over time. METHOD...

BACKGROUND The elderly population consumes a large share of medical resources in the western world. A significant portion of the expense is related to hospitalizations. OBJECTIVES To evaluate an intervention program designed to reduce the number of hospitalization of elderly patients by a more optimal allocation of resources in primary care. METHODS A multidimensional intervention program w...

Witnessing violence can have an adverse effect on children and adults. To determine the prevalence and selected correlates of witnessing violence among young children and their mothers, we consecutively recruited 143 parents (88% of those eligible) with children 1 to 5 years of age from the pediatric primary care clinic at Boston City Hospital. The final sample of 115 mothers were English-speak...

OBJECTIVE To measure exposure to different types of violence among school-aged children in a primary care setting. DESIGN Child interviews using an instrument measuring 4 types of exposure (direct victimization, witnessing, hearing reports, media). Violent acts measured include being beaten up, chased/threatened, robbed/mugged, stabbed/shot, killed. SETTING Pediatric primary care clinic of ...

Simple questions are the most commonly used measures of antiretroviral treatment (ART) adherence in sub-Saharan Africa (SSA), but rarely validated. We administered five adherence questions in a public-sector primary care clinic in rural South Africa: 7-day recall of missed doses, 7-day recall of late doses, a six-level Likert item, a 30-day visual analogue scale of the proportion of doses misse...