American journal of health sciences最新文献_第2页

The Emergence Of Specialty Medical Homes In The U.S. Health Care System: Initial Financial Performance Data & The Financial Implications For Provider Organizations 美国医疗保健系统中专业医疗之家的出现:初始财务绩效数据及对提供者组织的财务影响

American journal of health sciences Pub Date : 2015-11-30 DOI: 10.19030/AJHS.V6I2.9498

J. J. Mackie, M. Oss

{"title":"The Emergence Of Specialty Medical Homes In The U.S. Health Care System: Initial Financial Performance Data & The Financial Implications For Provider Organizations","authors":"J. J. Mackie, M. Oss","doi":"10.19030/AJHS.V6I2.9498","DOIUrl":"https://doi.org/10.19030/AJHS.V6I2.9498","url":null,"abstract":"The U.S. health care system is in the midst of significant change in both service delivery model and financing. Rising costs are driving payers – public and private alike – to rethink the current financing and care management strategies. One significant shift in policy is around the structure of care coordination for insured individuals – particularly individuals with complex health service and social support needs. These individuals, while small in number, are responsible for a large proportion of health care spending. Traditionally, the care of individuals with complex conditions has been left to a wide range of medical specialists – and rarely been coordinated across all specialties. But in the past four years, health payers have moved toward ‘integrating’ care coordination with a health care team responsible for all services regardless of specialty. This integrated care coordination model – referred to as a medical home – has been rapidly adopted by many payers. And, a specialized version of the medical home model – referred to as a heatlh home or specialty medical home – has been developed for consumers with complex needs. The model has changed both the relationship of the insured individual to the payer and to their medical specialists. It is early in the adoption of specialty medical homes and two key financial questions are yet unanswered. The first, do specialty medical homes reduce health care spending for complex consumers. The second, what are the financial implications of a specialty medical home model for heatlh care provider organizations. This research examines the available research literature and other published data for preliminary answers to these questions of financial impact of this emerging heatlh care system model.","PeriodicalId":89884,"journal":{"name":"American journal of health sciences","volume":"49 1","pages":"91-100"},"PeriodicalIF":0.0,"publicationDate":"2015-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79370458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Impact Of Inter-Professional Education On Nursing Student Outcomes In The Online Environment 网络环境下跨专业教育对护理学生成果的影响

American journal of health sciences Pub Date : 2015-11-30 DOI: 10.19030/AJHS.V6I2.9499

Suzanne J. Crouch, Laura Fillmore, L. Fly, Eme Ukot

{"title":"Impact Of Inter-Professional Education On Nursing Student Outcomes In The Online Environment","authors":"Suzanne J. Crouch, Laura Fillmore, L. Fly, Eme Ukot","doi":"10.19030/AJHS.V6I2.9499","DOIUrl":"https://doi.org/10.19030/AJHS.V6I2.9499","url":null,"abstract":"The implementation and integration of inter-professional education (IPE) into a curriculum is supported by the National Council of State Boards of Nursing (NCSBN), the Inter-professional Education Collaborative (IPEC), and the Institute of Medicine’s (IOM) Future of Nursing report. While there is support for implementation, there is a lack of data and guidelines which to follow currently. The purpose of this nursing research study was to investigate the impact of inter-professional collaboration on nursing student outcomes in the online environment. A co-teaching model was implemented within an online environment to provide inter-professionally lead nursing sciences courses to nursing students in a baccalaureate program. In the four sessions following the implementation of interdisciplinary collaborative teaching, 605 students completed the courses with 179 submitting the end of course survey. Results indicated that the overall student satisfaction rating with the pathophysiology online course was significant at p < 0.05 following the implementation of inter-professional teaching methodology. Prior to implementation of collaborative teaching, the total enrollment in pathophysiology was 194. After the institution of collaborative teaching, the total student enrollment was 605. This reflected a significant increase in student enrollment of 311%. Today, the complex healthcare delivery system necessitates a shift from traditional education to an inter-professional collaborative teaching model that generates knowledge from interaction with a variety of educators from a variety of disciplines (Hean, Craddock, & Hammick, 2012). Nursing curricula is needed which fosters both an inter-professional learning of shared knowledge and the discipline-specific learning essential for professional practice.","PeriodicalId":89884,"journal":{"name":"American journal of health sciences","volume":"24 1","pages":"101-110"},"PeriodicalIF":0.0,"publicationDate":"2015-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82566678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Social Presence And Cultural Competence In The Online Learning Environment (OLE): A Review Of Literature 网络学习环境中的社会存在与文化能力:文献综述

American journal of health sciences Pub Date : 2015-07-26 DOI: 10.19030/AJHS.V7I1.9692

Tracey Soper, Eme Ukot

引用次数: 4

The Development Of The Electronic Nursing Record System (ENRS) In The Hospital Setting: An Integrative Literature Review 电子护理记录系统(ENRS)在医院的发展:综合文献综述

American journal of health sciences Pub Date : 2015-06-01 DOI: 10.19030/AJHS.V6I1.9263

Rini Rachmawaty

引用次数: 4

The Next Frontier: Corporate America Improving Employee Productivity By Implementing Programs To Reduce Sleep Deprivation 下一个前沿:美国公司通过实施减少睡眠剥夺的计划来提高员工的工作效率

American journal of health sciences Pub Date : 2015-06-01 DOI: 10.19030/AJHS.V6I1.9264

Martin S. Meyers

引用次数: 0

Pharmacy Students’ Attitudes Towards Learning Communication Skills: The Case Of The United Arab Emirates 药学专业学生对学习沟通技巧的态度:以阿联酋为例

American journal of health sciences Pub Date : 2015-06-01 DOI: 10.19030/AJHS.V6I1.9266

T. El-Sakran, Sawsan T. M. El-Sakran

{"title":"Pharmacy Students’ Attitudes Towards Learning Communication Skills: The Case Of The United Arab Emirates","authors":"T. El-Sakran, Sawsan T. M. El-Sakran","doi":"10.19030/AJHS.V6I1.9266","DOIUrl":"https://doi.org/10.19030/AJHS.V6I1.9266","url":null,"abstract":"Effective communication amongst pharmacists, especially clinical pharmacists, physicians, nurses, patients, patients’ families and relatives and health care personnel is essential. Poor communication does not only lead to frustration and lack of respect among professions but also may compromise patient care if important information is misunderstood, ineffectively conveyed, or left out. This research explores clinical pharm acy students’ and clinical pharmacy graduates’ attitudes towards the relevance and importance of learning communication skills in their pharmacy careers in the United Arab Emirates. For the purposes of this study, Rees, Sheard, and Davies’ (2002) Communica tion Skills Attitudes Scale (CSAS) is used to measure pharmacy students’ and pharmacy graduates’ attitudes towards communication skills learning. Although this measure was originally designed to measure medical students’ attitudes towards communication skills learning in a European country, the results obtained from our study are not dissimilar to those reported by Rees et al. (2002) in their study. The paper concludes with some practical suggestions for pharmacy experts in charge of pharmacy communication courses.","PeriodicalId":89884,"journal":{"name":"American journal of health sciences","volume":"1 1","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89448162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Medical Errors In U.S. Healthcare Organizations: Have We Made Any Progress? 美国医疗机构的医疗差错:我们取得了任何进展吗?

American journal of health sciences Pub Date : 2015-06-01 DOI: 10.19030/AJHS.V6I1.9269

Yvette Ghormley

引用次数: 3

Health At Risk: Exploring Geographical Differences In Health Risk Factors Among Canada’s Aboriginal Population 健康风险:探索加拿大土著人口健康风险因素的地理差异

American journal of health sciences Pub Date : 2015-06-01 DOI: 10.19030/AJHS.V6I1.9265

Kathryn M. Kimery, Samad Amirkhalkhali, Yasmine Amirkhalkhali

引用次数: 0

The Status Of Rural Women’s Health And Cassava Output In Nigeria 尼日利亚农村妇女的健康状况和木薯产量

American journal of health sciences Pub Date : 2015-06-01 DOI: 10.19030/AJHS.V6I1.9268

C. Angba, A. O. Angba

{"title":"The Status Of Rural Women’s Health And Cassava Output In Nigeria","authors":"C. Angba, A. O. Angba","doi":"10.19030/AJHS.V6I1.9268","DOIUrl":"https://doi.org/10.19030/AJHS.V6I1.9268","url":null,"abstract":"This study was carried out to analyze the influence of the health status of women farmers on their level of cassava production. The specific objectives are to; identify the socio-economic characteristics of the rural women in the area, ascertain common health problems they encounter and their health management techniques and the influence of the rural women’s health status on level of cassava production in the area. A multi-stage random sampling technique was employed to select 200 women farmers in Ikom Local Government Area in Nigeria. Data was collected and analyzed using descriptive and inferential statistics. The study revealed that, majority of the women were in the age range of 40-50 years, 71% were married, 78% traded alongside farming, 66.5% had some form of formal education, their family sizes range between 6-10 people and with a mean family size of 6. Annual income of the farmers range between #10,000 - #14,000. The predominant practice was mixed cropping. Body pains, fever, malaria, headache, were the common ailment. While painful menstruation (20.5%) was the most common reproductive disease. Results from the regression analysis shows that the household size, educational level and income are significantly related to the health status of the rural women while age and marital status are not significantly related. Health centers, patent medicine stores, family planning, leprosy centers were readily available in the villages surveyed clinic. As health status of the women improved, productivity was therefore expected to increase. On this basis, the policy of free health facilities for women was advocated if women cassava productivity is to increase. A policy of free medical facilities including good food to the rural women will boost their health status and productivity.","PeriodicalId":89884,"journal":{"name":"American journal of health sciences","volume":"61 1","pages":"37-44"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86009769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Nurses’ Deployment Risk And Resilience In Times Of War Conflicts: Checking The Status, Reporting The Future 护士在战争冲突时期的部署风险和弹性:检查现状，报告未来

American journal of health sciences Pub Date : 2015-06-01 DOI: 10.19030/AJHS.V6I1.9271

Minerva Cobus

{"title":"Nurses’ Deployment Risk And Resilience In Times Of War Conflicts: Checking The Status, Reporting The Future","authors":"Minerva Cobus","doi":"10.19030/AJHS.V6I1.9271","DOIUrl":"https://doi.org/10.19030/AJHS.V6I1.9271","url":null,"abstract":"To date, year August, 2014, as Benghazi, Libya is in a time of conflict depicting a war zone environment, the researcher conducted a study to capture the moment and experiences of foreign national nurses currently deployed in the country performing their duties as healthcare providers. Despite the raised Alert level 4 warning given by the government, meaning \"full evacuation mode\" from Libya, most nurses refused to be repatriated and stayed to continue serving in Libya. A selected group of sixty-three (63) nurses of different nationalities, working in three (3) different hospitals at the heart of Benghazi, described their present deployment risk level and resilience. Deployment risk level is measured by the Deployment Risk and Resilience Inventory (DRRI) utilizing two of its subscales (C and G) - Difficult Living and Working Environment Scale (Deployment Environment) and the Perceived Threat Scale (Deployment Concern). On the other hand, resilience is measured by the Connor-Davidson Scale. Findings revealed lower risk at exposure to events or circumstances representing repeated or day-to-day irritations and pressures related to life, revealed more perceived threat, but highly resilient during deployment at the war zone. Furthermore, no correlation was found between deployment risk (deployment concern) and resilience, negative low correlation between deployment risk (deployment environment) and resilience, and no significant difference in resilience was observed between genders. Checking the nurses’ current status of deployment risk and resilience in Libya, gave light to future implications on nursing profession.","PeriodicalId":89884,"journal":{"name":"American journal of health sciences","volume":"43 1","pages":"75-82"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90306716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0