Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 20
Filter
1.
IEEE Comput Graph Appl ; 30(1): 30-9, 2010.
Article in English | MEDLINE | ID: mdl-24807091

ABSTRACT

A 3D visualization environment contains domain information about geologic features in seismic data and lets users interactively steer segmentations on the basis of visual sources of information and knowledge. A user study demonstrates this approach's ability to transfer domain knowledge to non experts.

2.
J Gen Intern Med ; 5(4): 342-6, 1990.
Article in English | MEDLINE | ID: mdl-2374044

ABSTRACT

OBJECTIVES: A quality improvement process that will significantly increase the rate of identification of psychosocial problems through routine use of case-finding instruments can be established in a general medicine practice. DESIGN: Two groups of patient examination reports written by physicians were retrospectively compared with the patients' responses on the case-finding database instrument. The samples were obtained by sequential selection in four time periods. SETTING AND PATIENTS: The study occurred in a university general internal medicine practice that utilizes the problem-oriented record. The patients studied were seen for first-time comprehensive examinations designed to identify all important health problems, including psychosocial problems. INTERVENTION: The authors compared performances of the physicians in identification of psychosocial problems before and after the intervention, which consisted of a pilot study audit of psychosocial problem identification, establishment of standards for interpretation of the case-finding instrument, design of a flow sheet to make case-finding data clearly available to the physician at each comprehensive examination, and feedback of physician performance according to practice-adopted standards for identification of psychosocial problems. MEASUREMENT: The result of the intervention was an increase in psychosocial problem identification from 67% to 90% of problems present, p less than 0.05 by chi-square distribution; or a decrease from 33% to 10% in psychosocial problems missed by the physicians. CONCLUSION: The quality improvement process for identification of psychosocial problems described in this report significantly increased the rate of identification of psychosocial problems by general internists.


Subject(s)
Behavior , Clinical Competence/standards , Family Health , Family , Life Change Events , Mood Disorders/diagnosis , Physicians, Family , Quality Assurance, Health Care , Sexual Dysfunction, Physiological/diagnosis , Adolescent , Adult , Aged , Aged, 80 and over , Algorithms , Chi-Square Distribution , Female , Humans , Male , Medical Audit/standards , Middle Aged , Pilot Projects , Predictive Value of Tests , Research Design , Retrospective Studies , Surveys and Questionnaires
3.
Med Care ; 24(4): 332-9, 1986 Apr.
Article in English | MEDLINE | ID: mdl-3515060

ABSTRACT

The effectiveness of sharing medical records in improving physician-older patient communication was evaluated in 203 ambulatory chronically ill older patients (mean age, 70.1 years) by a randomized controlled trial. Ninety-five experimental group patients received copies of their physicians' progress notes 1 week after their last office visit, and 108 control patients did not. After 1-2 weeks, knowledge of health problems, medication, and nonmedication treatments was assessed by interview. Experimental group patients knew 74.1% of their health problems, compared with 64.1% in the control groups (P less than 0.05). There was no difference in knowledge of medications or adherence to medication regimens. Experimental group patients displayed higher treatment knowledge scores than control group patients (P less than 0.01). Less-educated patients showed greater adherence to nonmedication treatments. Shared medical records can enhance physician-older patient communication about health problems and nonmedication treatments, but they do little to enhance medication knowledge or adherence to medication regimens.


Subject(s)
Aged , Ambulatory Care , Medical Records , Patient Education as Topic/methods , Ambulatory Care/education , Ambulatory Care/methods , Clinical Trials as Topic , Communication , Female , Geriatrics/education , Geriatrics/methods , Humans , Male , Patient Compliance , Physician-Patient Relations , Random Allocation , Vermont
4.
JAMA ; 253(8): 1146-50, 1985 Feb 22.
Article in English | MEDLINE | ID: mdl-3871488

ABSTRACT

The development of a quality assurance program as part of residency training in internal medicine is described. In addition to ensuring quality, the program allows both the faculty and the resident to assess individual performance more precisely than previously possible. The residents become increasingly thorough and improve problem-solving skills over the three-year program. They are provided the tools to manage quality in their own practice.


Subject(s)
Internal Medicine/education , Internship and Residency/standards , Medical Records, Problem-Oriented , Medical Records , Patient Care Planning/standards , Quality Assurance, Health Care , Goals , Hospital Bed Capacity, 500 and over , Information Systems , Internal Medicine/standards , Preceptorship , Vermont
6.
Patient Care ; 15(3): 199, 202, 206-9 passim, 1981 Feb 15.
Article in English | MEDLINE | ID: mdl-10295086
8.
JAMA ; 238(5): 414-7, 1977 Aug 01.
Article in English | MEDLINE | ID: mdl-406432

ABSTRACT

The problem-oriented system provides a unique management tool for medical practice. It follows basic management principles for any complex human endeavor (ie, define goals, set standards, audit performance to those standards, and assess results). The basic tool is the problem-oriented record, which demands that statements of medical action be explicit to permit audit. This concept can be extended to provide and assess care for an entire practice. Five years of cumulative data were assessed. The following changes were noted: (1) The ratio of patients to physicians doubled. (2) The total hospitalization rate fell by more than 20% and general medical portion by 60%. (3) Ambulatory use and cost decreased by approximately 20%. (4) Expenditures for services fell by 22%, while national expenditures for physician services increased by 28%.


Subject(s)
Health Expenditures , Medical Records, Problem-Oriented , Medical Records , Adult , Age Factors , Aged , Ambulatory Care , Evaluation Studies as Topic , Health Services/statistics & numerical data , Humans , Middle Aged , Primary Health Care , United States , Vermont
10.
J Med Educ ; 52(6): 508-13, 1977 Jun.
Article in English | MEDLINE | ID: mdl-301192

ABSTRACT

The audit of behaviors of health care providers is a valuable tool for learning the essentials of primary care and health care delivery. At the University of Vermont a dynamic curriculum has evolved from the student audits of the practice sites where the training takes place. Evaluation studies to date indicate a positive effect on career goals leading to primary care specialties and a desire to practice in rural settings in underserved areas. This approach to teaching primary care has proven to be effective and has gained high acceptance with the students. They learn that audit is a valuable means of self-education as well as method for providing quality assurance to the patient.


Subject(s)
Curriculum , Education, Medical, Undergraduate , Medical Records, Problem-Oriented , Medical Records , Primary Health Care , Career Choice , Costs and Cost Analysis , Maine , Preceptorship , Vermont
18.
N Engl J Med ; 282(12): 694, 1970 Mar 19.
Article in English | MEDLINE | ID: mdl-5437536
SELECTION OF CITATIONS
SEARCH DETAIL
...