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Pesquisa : F02.784.692.351 [Categoria DeCS]
Referências encontradas : 12300 [refinar]
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[PMID]:29428031
[Au] Autor:Rosati CM; Gaudino M; Vardas PN; Weber DJ; Blitzer D; Hameedi F; Koniaris LG; Girardi LN
[Ti] Título:Academic Clinical Productivity of Cardiac Surgeons in the State of New York: Who Publishes More and Who Operates More.
[So] Source:Am Surg;84(1):71-79, 2018 Jan 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We investigated whether/how cardiac surgeons can be productive both academically and clinically. Using online resources (New York State Adult Cardiac Surgery database, SCOPUS), we collected individual clinical volumes (operations performed/year), academic metrics (ongoing publications, role as author), practice setting, and seniority for all cardiac surgeons in the State of New York from 1994 to 2011. Over time, individual clinical volumes decreased (median operations/year: 193 in 1995 vs 126 in 2010; P < 0.001), whereas academic productivity remained unchanged (median publications/year: 0.7 vs 0.3; P = 0.55). There was no correlation (Spearman's correlation coefficient: -0.061; P = 0.08) between the number of new publications and operations/year for the whole population. More operations/year (median: 155 vs 144; P = 0.03) were performed by surgeons without versus with publications during that same year. Who published more worked at hospitals with higher clinical volumes (Spearman's correlation coefficient: 0.16; P < 0.001) and was more likely affiliated with thoracic surgery fellowship programs (median publications/year: 1.7 for affiliated vs 0 for nonaffiliated surgeons; P < 0.001). Cardiac surgeons could be classified into four categories: ∼40 per cent clinically busy, but not publishing at all; ∼45 per cent operating less, but publishing a little; ∼15 per cent clinically very productive (operating as much as the nonpublishers) and publishing a lot; and ∼1 per cent operating the least, but publishing the most.
[Mh] Termos MeSH primário: Academias e Institutos
Eficiência
Transplante de Coração/estatística & dados numéricos
Hospitais Universitários/estatística & dados numéricos
Editoração/estatística & dados numéricos
Cirurgia Torácica/recursos humanos
Cirurgia Torácica/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Procedimentos Cirúrgicos Cardíacos/estatística & dados numéricos
Bases de Dados Factuais
Hospitais/estatística & dados numéricos
Seres Humanos
New York
Procedimentos Cirúrgicos Torácicos/estatística & dados numéricos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180212
[St] Status:MEDLINE


  2 / 12300 MEDLINE  
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[PMID]:29425014
[Au] Autor:Watzlaf V; Nemchik S; Hoerner M; Sheridan P
[Ti] Título:ICD-10 Coding Productivity Study Highlights Emerging Standards.
[So] Source:J AHIMA;87(8):44-7, 2016 08.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Codificação Clínica/normas
Eficiência
Classificação Internacional de Doenças
Controle de Qualidade
[Mh] Termos MeSH secundário: Grupos Diagnósticos Relacionados
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


  3 / 12300 MEDLINE  
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[PMID]:29424519
[Au] Autor:Primeau D; Hernandez VM
[Ti] Título:ICD-10 Coding Audits Reveal Error Trends to Avoid.
[So] Source:J AHIMA;88(6):26-9, 2017 06.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Codificação Clínica/normas
Classificação Internacional de Doenças
Controle de Qualidade
[Mh] Termos MeSH secundário: Auditoria Clínica
Documentação
Eficiência
Registros Eletrônicos de Saúde
Fidelidade a Diretrizes
Guias como Assunto
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


  4 / 12300 MEDLINE  
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[PMID]:29424515
[Au] Autor:Butler M
[Ti] Título:Coding Checkup: Determining the New Normal For Coding Accuracy in a Post-ICD-10 World.
[So] Source:J AHIMA;88(6):17-21, 2017 06.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Codificação Clínica
Classificação Internacional de Doenças
[Mh] Termos MeSH secundário: Eficiência
Registros Eletrônicos de Saúde
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


  5 / 12300 MEDLINE  
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[PMID]:29412544
[Au] Autor:Alakrawi Z; Watzlaf V; Nemchik S; Sheridan P
[Ti] Título:New Study Illuminates the Ongoing Road to ICD-10 Productivity and Optimization.
[So] Source:J AHIMA;88(3):40-5, 2017 03.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Codificação Clínica
Eficiência
Classificação Internacional de Doenças
[Mh] Termos MeSH secundário: Pesquisa sobre Serviços de Saúde
Seres Humanos
Pennsylvania
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180208
[St] Status:MEDLINE


  6 / 12300 MEDLINE  
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[PMID]:29389095
[Au] Autor:Lee D; Sikula A; Lee T; Dodds AA; Na Y
[Ti] Título:Effect of Physician IT Use on Practice Performance.
[So] Source:J Health Hum Serv Adm;39(3):357-82, 2016.
[Is] ISSN:1079-3739
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The role of information technology (IT) remains important within the medical community. However, little is known about the extent to which practicing physicians improve practice performance by having and utilizing IT at the national level. The present study, analyzing a national physician survey (n = 4,720), seeks to explore associations of IT availability and utilization with practice performance at the national level. The multivariate regression analysis results suggest that patient information IT functionality upholds physician advantages in annual income but prescription drug IT functionality was reversely linked to annual income. We also found a negative association of patient information IT functionality with patient visit volume. Our study results revealed mixed findings. Not all IT functionalities would offer benefits to practicing physicians. Our data suggest that patient information IT functionality can moderate cost concerns related to IT investment among providers.
[Mh] Termos MeSH primário: Renda/estatística & dados numéricos
Informática Médica
Padrões de Prática Médica
[Mh] Termos MeSH secundário: Eficiência
Feminino
Seres Humanos
Masculino
Meia-Idade
Melhoria de Qualidade
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180202
[St] Status:MEDLINE


  7 / 12300 MEDLINE  
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[PMID]:29365301
[Au] Autor:Wright AA; Katz IT
[Ad] Endereço:Drs. Wright and Katz are national correspondents for the Journal.
[Ti] Título:Beyond Burnout - Redesigning Care to Restore Meaning and Sanity for Physicians.
[So] Source:N Engl J Med;378(4):309-311, 2018 Jan 25.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Pessoal Técnico de Saúde
Esgotamento Profissional
Assistência à Saúde/organização & administração
Médicos/psicologia
Carga de Trabalho
[Mh] Termos MeSH secundário: Colorado
Eficiência
Eficiência Organizacional
Registros Eletrônicos de Saúde
Docentes de Medicina
Feminino
Administração de Serviços de Saúde
Seres Humanos
Satisfação no Emprego
Liderança
Masculino
Equipe de Assistência ao Paciente
Fatores Sexuais
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMp1716845


  8 / 12300 MEDLINE  
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[PMID]:29241229
[Au] Autor:Smart D
[Ad] Endereço:Department of Diving and Hyperbaric Medicine, Royal Hobart Hospital, PO Box 1061, Hobart, TAS 7001, Australia, david.smart@ths.tas.gov.au.
[Ti] Título:Back to the future: occupational diver training in Australia.
[So] Source:Diving Hyperb Med;47(4):214-215, 2017 12.
[Is] ISSN:1833-3516
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:The Australian Diver Accreditation Scheme (ADAS) had its genesis in the 1990s in response to a need to produce occupational divers who were trained to international standards with the necessary skills to safely undertake complex work in high-risk environments. Well-trained dive teams who are 'fit-for-purpose' can be regarded as the highest level of risk control in preventing accidents and workplace morbidity. Without such training, work site risks are not detected, with potentially disastrous consequences. In September 2017, the only civilian ADAS level 3 and 4 training facility in Australia, The Underwater Centre Tasmania (TUCT), closed its doors. The reasons for TUCT closure were multifactorial. However, the loss of higher level training capability in this country and its benefits to industry will have a future adverse impact. As industry pushes for more complex diving to improve productivity, Australian occupational diver training processes are becoming 'streamlined' and are losing parity with international benchmarks. This is a potentially fatal combination.
[Mh] Termos MeSH primário: Acidentes de Trabalho/prevenção & controle
Acreditação
Benchmarking
Mergulho/educação
Mergulho/normas
[Mh] Termos MeSH secundário: Austrália
Eficiência
Seres Humanos
Internacionalidade
Local de Trabalho
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE
[do] DOI:10.28920/dhm47.4.214-215


  9 / 12300 MEDLINE  
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[PMID]:29320509
[Au] Autor:Parish AJ; Boyack KW; Ioannidis JPA
[Ad] Endereço:Meta-Research Innovation Center at Stanford (METRICS), Stanford University, Stanford, California, United States of America.
[Ti] Título:Dynamics of co-authorship and productivity across different fields of scientific research.
[So] Source:PLoS One;13(1):e0189742, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We aimed to assess which factors correlate with collaborative behavior and whether such behavior associates with scientific impact (citations and becoming a principal investigator). We used the R index which is defined for each author as log(Np)/log(I1), where I1 is the number of co-authors who appear in at least I1 papers written by that author and Np are his/her total papers. Higher R means lower collaborative behavior, i.e. not working much with others, or not collaborating repeatedly with the same co-authors. Across 249,054 researchers who had published ≥30 papers in 2000-2015 but had not published anything before 2000, R varied across scientific fields. Lower values of R (more collaboration) were seen in physics, medicine, infectious disease and brain sciences and higher values of R were seen for social science, computer science and engineering. Among the 9,314 most productive researchers already reaching Np ≥ 30 and I1 ≥ 4 by the end of 2006, R mostly remained stable for most fields from 2006 to 2015 with small increases seen in physics, chemistry, and medicine. Both US-based authorship and male gender were associated with higher values of R (lower collaboration), although the effect was small. Lower values of R (more collaboration) were associated with higher citation impact (h-index), and the effect was stronger in certain fields (physics, medicine, engineering, health sciences) than in others (brain sciences, computer science, infectious disease, chemistry). Finally, for a subset of 400 U.S. researchers in medicine, infectious disease and brain sciences, higher R (lower collaboration) was associated with a higher chance of being a principal investigator by 2016. Our analysis maps the patterns and evolution of collaborative behavior across scientific disciplines.
[Mh] Termos MeSH primário: Autoria
Eficiência
Pesquisa
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180111
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189742


  10 / 12300 MEDLINE  
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[PMID]:27773346
[Au] Autor:Xue Y; Tuttle J
[Ad] Endereço:University of Rochester School of Nursing, Rochester, NY. Electronic address: ying_xue@urmc.rochester.edu.
[Ti] Título:Clinical productivity of primary care nurse practitioners in ambulatory settings.
[So] Source:Nurs Outlook;65(2):162-171, 2017 Mar - Apr.
[Is] ISSN:1528-3968
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Nurse practitioners are increasingly being integrated into primary care delivery to help meet the growing demand for primary care. It is therefore important to understand nurse practitioners' productivity in primary care practice. PURPOSE: We examined nurse practitioners' clinical productivity in regard to number of patients seen per week, whether they had a patient panel, and patient panel size. We further investigated practice characteristics associated with their clinical productivity. METHODS: We conducted cross-sectional analysis of the 2012 National Sample Survey of Nurse Practitioners. The sample included full-time primary care nurse practitioners in ambulatory settings. Multivariable survey regression analyses were performed to examine the relationship between practice characteristics and nurse practitioners' clinical productivity. RESULTS: Primary care nurse practitioners in ambulatory settings saw an average of 80 patients per week (95% confidence interval [CI]: 79-82), and 64% of them had their own patient panel. The average patient panel size was 567 (95% CI: 522-612). Nurse practitioners who had their own patient panel spent a similar percent of time on patient care and documentation as those who did not. However, those with a patient panel were more likely to provide a range of clinical services to most patients. Nurse practitioners' clinical productivity was associated with several modifiable practice characteristics such as practice autonomy and billing and payment policies. DISCUSSIONS: The estimated number of patients seen in a typical week by nurse practitioners is comparable to that by primary care physicians reported in the literature. However, they had a significantly smaller patient panel. Nurse practitioners' clinical productivity can be further improved.
[Mh] Termos MeSH primário: Assistência Ambulatorial/estatística & dados numéricos
Competência Clínica
Eficiência
Profissionais de Enfermagem/estatística & dados numéricos
Atenção Primária à Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1705
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE



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