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Professional communications between physicians and dietitians as reported by dietitiansHood, Julie Ford 30 June 1983 (has links)
Data regarding professional communications between physicians
and dietitians in hospitals were obtained from results of 84
responses to a survey of all hospital dietitians (135) listed in the
1982 Oregon Dietetic Associations' Membership and Employment Directory.
The data were gathered utilizing an initial mail-out questionnaire
and a follow-up log booklet of communications with physicians
kept during five working days. The population studied was characterized
as being all women between the ages of 24 and 63, with more than
50 percent under the age of 32 years. Seventy-two percent of the
dietitians worked full time and seventy percent were in the clinical
division of practice in The American Dietetic Association. All of
the dietitians were active members of The American Dietetic Association.
A data analysis indicated that 38% of the dietitians communicated
with physicians less than every other day, and most frequently
these communications were reported to be through patient charts in reference to dietary prescriptions. Seventy-six percent of the dietitians indicated that 30% or less of the physicians on the medical
staff consistently made referrals for nutrition counseling. The most
frequently referring specialists included those in internal medicine,
general practice and surgery. There appeared to be no specific age
group of physicians referring more frequently than others. Sixty-five
percent of the dietitians indicated that they felt that their
communications with physicians were inadequate. Sixty percent of the
dietitians felt that their nutrition expertise was utilized by physicians
only "fairly well". Less than half of the dietitians participated
in interdisciplinary medical team efforts. Significant correlations
(p < .05) were found among various factors involving communications
between dietitians and physicians when tested using chi
square. In general, dietitians in hospitals with more than 200 beds
more often considered their communications with physicians to be adequate
than dietitians in smaller hospitals. A larger percentage of
physicians (> 50%) in hospitals with more than 200 beds had a positive
attitude about nutrition. More dietitians in larger hospitals
participated in interdisciplinary medical team efforts than those in
smaller hospitals. Of the dietitians indicating that their communications
with physicians were adequate 61% felt their nutrition
expertise was utilized "very well" and 50% had verbal contact with
physicians from one to three times daily. When the physician was the
initiator of communications, none of the dietitians felt that their
nutrition expertise was utilized "very well". When the physician was the initiator of communications, less than 10% of these were in reference to general nutrition information.
Recommendations from the study to improve communications between
physicians and dietitians include required assertiveness training
courses for dietitians, nutrition courses for physicians and a study
of dietitians' utilization of time and their perceived priorities. / Graduation date: 1984
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Rebuilding theories of technology acceptance : a qualitative case study of physicians' acceptance of technology /Blue, Jon T., January 2006 (has links)
Thesis (Ph. D.)--Virginia Commonwealth University, 2006. / Prepared for: Dept. of Information Systems. Bibliography: leaves 151-163 .
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A case study of physician performance in relation to participation in a continuing medical education program /Crandall, Sonia J. S., January 1989 (has links)
Thesis (Ph. D.)--University of Oklahoma, 1989. / Includes bibliographical references (leaves 150-157).
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Practicing clinical medicine in a post-socialist state : an empirical study on professional autonomy of Chinese urban doctors姚泽麟, Yao, Zelin January 2012 (has links)
The relationship between the state and its professions has long been overlooked in the sociology of professions. Based on empirical data collected by in-depth interviews and through participant observation in Beijing, this thesis analyzed the dynamic relationship between Chinese urban medical professionals and the post-socialist state of the People’s Republic of China.
The study reveals that the post-socialist state continues to wield large influence in the social, economic and technical areas of this profession and retain tight controls despite being in an era of market transition. This control is principally realized through the current healthcare system. Public hospitals have monopolized healthcare delivery, which gives medical professionals little alternative but to become state employees. Practicing in public healthcare organizations and lacking “exit” opportunities, they are left with little to negotiate their working conditions with the state and thus have little corporate autonomy.
The lack of corporate autonomy immediately leads to the erosion of their clinical autonomy. Because of the pressure of self-financing imposed by the state, clinical practitioners consequently induce patients to accept unnecessary and excessive medical care. When they make decisions in practice, revenue generation is often recognized as more important than serving patients. This is a major source of clinical autonomy erosion. In prioritizing profit-making, Chinese urban medical professionals are perceived by the public as an “unethical profession.”The mutual distrust and conflict between professionals and patients have increased significantly in recent years. To protect themselves from growing medical disputes and, sometimes, even violence, Chinese doctors have developed “defensive medicine” strategies in their practices and in their interaction with patients. This is yet another source of clinical autonomy erosion as self-protection becomes an important calculation in balance with their own medical competence and patients’ interests.
The case of medical professionals in urban China challenges Freidson’s endogenous view of professional autonomy and his distinction between corporate and technical autonomy. It also questions the simple construction of conflicting relationships between the state and professionals. Rather, this dissertation finds that there is an exchange-like relationship between professionals and the state. Professionals are not simply losers in their interaction with the state, they do profit as well as they retain job security in market transition, earn considerable economic benefits through their practice, and are shielded by public hospitals in medical disputes even if they are punished by those hospitals. Doctors receive all these gains at the large cost however as they rarely enjoy professional autonomy, suffer from a negative public image, and become scapegoats for the problematic healthcare system and the state.
At the end of this thesis, I provide suggestions for the ongoing reform of China’s healthcare system. These suggestions include liberating doctors through the development of private practice and strengthening supervision over doctors’ behavior while increasing financial support for public hospitals. / published_or_final_version / Sociology / Doctoral / Doctor of Philosophy
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John Snow 1813-1858 : the emergence of the medical professionSnow, Stephanie J. January 1995 (has links)
No description available.
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Factors that influence physicians' selection of continuing medical education activitiesStueland-Adamski, Nancy M. January 2007 (has links) (PDF)
Thesis PlanB (M.S.)--University of Wisconsin--Stout, 2007. / Includes bibliographical references.
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The role of knowledge building in medical education /Punja, Zahra January 2007 (has links)
Thesis (Ph. D.)--University of Toronto, 2007. / Source: Dissertation Abstracts International, Volume: 68-06, Section: A, page: 2418. Includes bibliographical references (leaves 225-233).
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Die strafrechtliche Bedeutung der Einwilligung für die Fahrlässigkeit des Arztes /Werner, Hans, January 1933 (has links)
Thesis (doctoral)--Friedrich-Alexander Universität zu Erlangen.
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General practitioners' use of computers : a Hong Kong study /Wong, Pik-wah, Angela. January 2002 (has links)
Thesis (M. Med. Sc.)--University of Hong Kong, 2002. / Includes bibliographical references (leaves 56-65).
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General practitioners' use of computers a Hong Kong study /Wong, Pik-wah, Angela. January 2002 (has links)
Thesis (M.Med.Sc.)--University of Hong Kong, 2002. / Includes bibliographical references (leaves 56-65). Also available in print.
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