In addition to teleradiological reporting as a nighthawking or a regular service, teleradiological communication can be used for interdisciplinary expert consultation. We intended to evaluate an interdisciplinary consultation system based on a teleradiology platform with regard to its impact on therapeutic decision-making, directed patient referrals to an academic ...

Brooke Army Medical Center (BAMC) is a 450-bed tertiary care hospital with a multi-fold mission to provide comprehensive patient care, medical education, and research. The implementation of managed care has caused BAMC's focus to shift from an academic ro...

The Canadian Hospice Palliative Care Association (2002) identifies spiritual care of the dying and their families as a core service for Hospice Palliative Care programs. Yet, until the Spiritual Care Development Initiative of the Canadian Pallium Project, there was no published literature indicating systematic ...

ObjectiveTo analyze the financial impact of three complex vascular surgical procedures to both an academic hospital and a department of surgery and to examine the potential impact of decreased reimbursements.Summary Background DataThe cost of providing tertiary care has been implicated as one potential cause of the financial ...

CSHCN present a challenge to the primary care provider. These children are medically complex, require services and supports well beyond those that typically developing children require, and command a considerable proportion of the pediatric health care budget. How clinics are organized can have a considerable impact on the delivery of ...

Known worldwide for its high-tech tertiary and quaternary specialties, UCLA Medical Center developed a two-pronged strategy for maintaining referral volume in the face of intensifying managed care cost/referral control. Its 1. Recruited primary care clinician educators, and built a network of affiliated PC physicians and small PC ...

Academic medicine, often entrenched in biomedical and clinical research, has largely ignored the development and application of quality metrics to ensure the delivery of high-quality health care. Nevertheless, academic medicine has substantial opportunities to lead the charge in building a quality infrastructure with the goal of ...

pharmacy subspecialties, such as oncology pharmacists in tertiary care centers, that interact as well with physicians as the end customers, ...

In 2005, medical educators at the University of California, San Francisco (UCSF), began developing the Parnassus Integrated Student Clinical Experiences (PISCES) program, a year-long longitudinal integrated clerkship at its academic medical center. The principles guiding this new clerkship were continuity with faculty preceptors, patients, and peers; a developmentally ...

In 2005, medical educators at the University of California, San Francisco (UCSF), began developing the Parnassus Integrated Student Clinical Experiences (PISCES) program, a year-long longitudinal integrated clerkship at its academic medical center. The principles guiding this new clerkship were continuity with faculty preceptors, patients, and peers; a developmentally ...

... guidelines. Each region is divided into Local Health Districts, each of which provides primary, secondary and tertiary health care. ...

Feb 12, 2008 ... to provide the appropriate medical care for the primary, secondary and tertiary care for the conditions in the Space Medicine Condition List ...

... surveys were administered to a convenience sample of nurses and adult nonpsychiatric inpatients at a federal tertiary care medical center ...

In 2006, hospitalist programs were formally introduced at both an academic and community hospital in the same city providing an opportunity to study the similarities and differences in workflows in these two settings. The data were collected using a time-flow methodology allowing the two workflows to be compared quantitatively. The results showed that the hospitalists in the ...

The Homan Square Project, a collaborative community development effort, exemplifies the World Health Organization's model for cities. This article describes the implementation of a health care component--a joint venture between the College of Nursing at Rush University and Rush Primary Care Institute of the Rush System for Health--in partnership with the ...

Radical changes have occurred in the health care system since the democratization of South Africa in 1994, with the emphasis on improving previously neglected community-based primary health care. Because of the resultant financial constraints, funding of tertiary academic centers has been drastically cut which has ...

Evidence Based Medicine (EBM) and Shared Medical Decision Making (SDM) are changing the nature of health care decisions. It is broadly accepted that health care decisions require the integration of research evidence and individual preferences. These approaches are justified on both efficacy grounds (that evidence based practice and Shared Decision Making ...

ObjectiveTo report a combined genital tract anomaly of septate uterus, unilateral fallopian tube hypoplasia, and ipsilateral ovarian agenesis.DesignCase report.SettingAcademic tertiary care center.PatientA 24-year-old female.Intervention(s)History and physical, pelvic sonogram, hysterosalpingogram, intravenous pyelogram, abdominal and ...

... Title : An Examination of Referral Physician Attitudes Toward Brooke Army Medical Center as a Tertiary Care Medical Center. ...

PURPOSE: The effects of regionalization of tertiary care were studied by analyzing cost and outcome for pancreaticoduodenectomies in a state in which the majority of these high-risk procedures were performed in one hospital. METHODS: Using Maryland inpatient discharge data via a retrospective study, the authors compared cost and outcome data for a hospital ...

The tertiary care nurse practitioner/clinical nurse specialist (NP/CNS) is an advanced practice nurse with a relatively new role within the health-care system. It is stated that care provided by the NP/CNS is cost-effective and of high quality but little research exists to document these outcomes in an ...

Academic Service Learning (ASL) had been in practice in the United States since the 1980s, but only recently introduced in the Philippines. In Vincentian institutions, the practice is known as Academic-Religious Education-Community Extension Services hyperlink (ARCH). This study aimed to discover the impact of Academic Service Learning ...

This paper provides a review of current literature to support the assertion that academic dishonesty is a contemporary problem in higher education that requires very urgent attention to curb. This endeavour is organized in four sections: The first section deals with an attempt to provide a definition of academic dishonesty by exploring the extent of the ...

A sample of 81 students between the ages of 18 and 22 years in a tertiary bridging program at a regional university completed a questionnaire examining how demographics, social context, academic engagement and the ability to cope with the curriculum complexity influenced academic success in high school and adversely affected their ...

... Accession Number : ADA372341. Title : Academic Medical Centers: A Prescription for Success in an Era of Managed Care and Capitation. ...

Colombia, along with other Latin American countries, has many problems in the health care sector. Health care services range from poor quality primary care attention to scarce but highly sophisticated tertiary care in hospitals and private clinics. The es...

Few studies had compared health care providers' and patients' perceptions of the importance of various factors on patient satisfaction. Subjects of this study were 292 health care providers and 137 inpatients in a tertiary-care military hospital. Physicia...

Within the changing tertiary environment, research activity and performance are coming under greater pressure and scrutiny. External policy and funding directives are resulting in revised institutional objectives, requiring variations to organisational structures and processes. These changes have an impact on the relationship between the institution and the individual. ...

Objective: To describe the delayed airway obstruction that can result from anterior cervical burns and report a case of successful decannulation following incisional release and full-thickness skin grafting (FTSG). Methods: Case report from a tertiary care academic children's hospital. Results: Direct laryngoscopy demonstrates a ...

ABSTRACT The primary aims of our study were to compare pregabalin and duloxetine in a neuromuscular clinic for diabetic neuropathic pain (DPN) and to study the effect of these medications in cryptogenic sensory polyneuropathy. We performed a retrospective chart review of 143 patients who were started on pregabalin or duloxetine during a 10-month period in a tertiary ...

A comprehensive program for the prevention of fetal alcohol syndrome (FAS) and alcohol-related birth defects (ARBD) must consider multiple approaches and utilize knowledge from a variety of academic disciplines. Issues related to culture, society, behavior, belief systems, and medicine must all be considered for both etiology and solutions. A broad paradigm such as a public ...

... Title : Can An Academic Health Care System Overcome Barriers to Clinical ... beta-blocker therapy for surgical patients at intermediate to high risk of ...

Academic work is becoming increasingly restrictive and controlled as tertiary institutions move towards a more corporate managerialistic mode of operating. This paper uses a narrative lens to explore the ways in which academic staff make sense of this new environment. In particular, it compares academic staff's ...

Academic dishonesty is a fundamental issue for the academic integrity of higher education institutions, and one that has lately been gaining increasing media attention. This study reports on a survey of 1206 students and 190 academic staff across four major Queensland universities in relation to student academic ...

Research investigating the efficacy of infant massage has largely focused on premature and low birth weight infants. The majority of investigations have neglected highly acute patients in academic neonatal intensive care units (NICUs). The current study was developed with two aims: (Phase 1) to develop, implement and demonstrate the feasibility and safety ...

Research investigating the efficacy of infant massage has largely focused on premature and low birth weight infants. The majority of investigations have neglected highly acute patients in academic neonatal intensive care units (NICUs). The current study was developed with two aims: (Phase 1) to develop, implement and demonstrate the feasibility and safety ...

Maimonides Medical Center (MMC), a 705-bed tertiary hospital located in Brooklyn, New York, is a not-for-profit, voluntary hospital and the third largest independent teaching hospital in the United States. Its strategic plan includes research and academic initiatives, specifically, physician and nursing leadership development and a nursing scholarship ...