The Experts below are selected from a list of 175941 Experts worldwide ranked by ideXlab platform
Elizabeth Pendo - One of the best experts on this subject based on the ideXlab platform.
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accessibility of Medical Diagnostic equipment implications for people with disability
Social Science Research Network, 2018Co-Authors: Lisa I. Iezzoni, Elizabeth PendoAbstract:Under Attorney General Jeff Sessions, the U.S. Department of Justice (DOJ) has inactivated or rescinded numerous rules and guidelines issued by prior administrations, sometimes attracting considerable public attention in the process. Little noticed, however, was a decision by the DOJ on December 26, 2017, to formally withdraw four Advance Notices of Proposed Rulemaking related to Titles II and III of the Americans with Disabilities Act (ADA), including rulemaking that addressed making Medical Diagnostic equipment accessible to people with disability. For now, this step halts efforts on a national level to ensure accessibility of such equipment, which includes exam tables, weight scales, mammography equipment, and other Diagnostic imaging technologies. It also forestalls explicit guidance for providers on what constitutes accessible Medical Diagnostic equipment and perpetuates existing confusion about this issue at many health care facilities. As we approach 30 years since the passage of the ADA in 1990, the absence of a clear federal rule in this area raises questions about how to improve access to Medical Diagnostic equipment for millions of Americans with disability, many of whom face considerable difficulty getting care because of inaccessible equipment in public and private health care settings.
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accessibility of Medical Diagnostic equipment implications for people with disability
The New England Journal of Medicine, 2018Co-Authors: Lisa I. Iezzoni, Elizabeth PendoAbstract:Accessibility of Medical Diagnostic Equipment In December, the U.S. Department of Justice halted efforts on a national level to make Medical Diagnostic equipment accessible to people with disabilit...
Lisa I. Iezzoni - One of the best experts on this subject based on the ideXlab platform.
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Accessibility of Medical Diagnostic Equipment for Patients With Disability: Observations From Physicians
Archives of physical medicine and rehabilitation, 2019Co-Authors: Nicole D. Agaronnik, Eric G. Campbell, Julie Ressalam, Lisa I. IezzoniAbstract:Abstract Objective To explore attitudes and practices of physicians relating to accessible Medical Diagnostic equipment in serving patients with mobility disability. Design Open-ended individual telephone interviews, which reached data saturation. Interview recordings were transcribed verbatim for qualitative conventional content analysis. Setting Massachusetts, the United States, October 2017-January 2018. Participants Practicing physicians from 5 clinical specialties (N=20). Interventions Not applicable. Main Outcome Measures Common themes concerning physical accessibility. Results Mean ± SD time in practice was 27.5±12.5 years; 14 practices had height-adjustable examination tables; and 7 had wheelchair-accessible weight scales. The analysis identified 6 broad themes: height-adjustable examination tables have advantages; height-adjustable examination tables have drawbacks; transferring patients onto examination tables is challenging; rationale for examining patients in their wheelchairs; perceptions of wheelchair-accessible weight scales; and barriers and facilitators to improving physical accessibility. Major barriers identified by participants included costs of equipment, limited space, and inadequate payment for extra time required to care for persons with disability. Even physicians with accessible examination tables sometimes examined patients seated in their wheelchairs. Conclusions Even if physicians have accessible equipment, they do not always use it in examining patients with disability. Future efforts will need to consider ways to eliminate these access barriers in clinical practice. Given small sample size, results are not generalizable to physicians nationwide and globally.
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accessibility of Medical Diagnostic equipment implications for people with disability
Social Science Research Network, 2018Co-Authors: Lisa I. Iezzoni, Elizabeth PendoAbstract:Under Attorney General Jeff Sessions, the U.S. Department of Justice (DOJ) has inactivated or rescinded numerous rules and guidelines issued by prior administrations, sometimes attracting considerable public attention in the process. Little noticed, however, was a decision by the DOJ on December 26, 2017, to formally withdraw four Advance Notices of Proposed Rulemaking related to Titles II and III of the Americans with Disabilities Act (ADA), including rulemaking that addressed making Medical Diagnostic equipment accessible to people with disability. For now, this step halts efforts on a national level to ensure accessibility of such equipment, which includes exam tables, weight scales, mammography equipment, and other Diagnostic imaging technologies. It also forestalls explicit guidance for providers on what constitutes accessible Medical Diagnostic equipment and perpetuates existing confusion about this issue at many health care facilities. As we approach 30 years since the passage of the ADA in 1990, the absence of a clear federal rule in this area raises questions about how to improve access to Medical Diagnostic equipment for millions of Americans with disability, many of whom face considerable difficulty getting care because of inaccessible equipment in public and private health care settings.
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accessibility of Medical Diagnostic equipment implications for people with disability
The New England Journal of Medicine, 2018Co-Authors: Lisa I. Iezzoni, Elizabeth PendoAbstract:Accessibility of Medical Diagnostic Equipment In December, the U.S. Department of Justice halted efforts on a national level to make Medical Diagnostic equipment accessible to people with disabilit...
Randolph A Miller - One of the best experts on this subject based on the ideXlab platform.
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Medical Diagnostic decision support systems past present and future a threaded bibliography and brief commentary
Journal of the American Medical Informatics Association, 1994Co-Authors: Randolph A MillerAbstract:Articles about Medical Diagnostic decision support (MDDS) systems often begin with a disclaimer such as, “despite many years of research and millions of dollars of expenditures on Medical Diagnostic systems, none is in widespread use at the present time.” While this statement remains true in the sense that no single Diagnostic system is in widespread use, it is misleading with regard to the state of the art of these systems. Diagnostic systems, many simple and some complex, are now ubiquitous, and research on MDDS systems is growing. The nature of MDDS systems has diversified overtime. The prospects for adoption of large-scale Diagnostic systems are better now than ever before, due to enthusiasm for implementation of the electronic Medical record in academic, commercial, and primary care settings. Diagnostic decision support systems have become an established component of Medical technology. This paper provides a review and a threaded bibliography for some of the important work on MDDS systems over the years from 1954 to 1993.
Ashok Deshpande - One of the best experts on this subject based on the ideXlab platform.
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modeling paradigms for Medical Diagnostic decision support a survey and future directions
Journal of Medical Systems, 2012Co-Authors: Kavishwar B Wagholikar, Vijayraghavan Sundararajan, Ashok DeshpandeAbstract:Use of computer based decision tools to aid clinical decision making, has been a primary goal of research in bioMedical informatics. Research in the last five decades has led to the development of Medical Decision Support (MDS) applications using a variety of modeling techniques, for a diverse range of Medical decision problems. This paper surveys literature on modeling techniques for Diagnostic decision support, with a focus on decision accuracy. Trends and shortcomings of research in this area are discussed and future directions are provided. The authors suggest that--(i) Improvement in the accuracy of MDS application may be possible by modeling of vague and temporal data, research on inference algorithms, integration of patient information from diverse sources and improvement in gene profiling algorithms; (ii) MDS research would be facilitated by public release of de-identified Medical datasets, and development of opensource data-mining tool kits; (iii) Comparative evaluations of different modeling techniques are required to understand characteristics of the techniques, which can guide developers in choice of technique for a particular Medical decision problem; and (iv) Evaluations of MDS applications in clinical setting are necessary to foster physicians' utilization of these decision aids.
Henny P A Boshuizen - One of the best experts on this subject based on the ideXlab platform.
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scripts and Medical Diagnostic knowledge theory and applications for clinical reasoning instruction and research
Academic Medicine, 2000Co-Authors: Bernard Charlin, Jacques Tardif, Henny P A BoshuizenAbstract:Medical diagnosis is a categorization task that allows physicians to make predictions about features of clinical situations and to determine appropriate course of action. The script concept, which first arose in cognitive psychology, provides a theoretical framework to explain how Medical Diagnostic knowledge can be structured for Diagnostic problem solving. The main characteristics of the script concept are pre-stored knowledge, values acceptable or not acceptable for each illness attribute, and default values. Scripts are networks of knowledge adapted to goals of clinical tasks. The authors describe how scripts are used in Diagnostic tasks, how the script concept fits within the clinical reasoning literature, how it contrasts with competing theories of clinical reasoning, how educators can help students build and refine scripts, and how scripts can be used to assess clinical competence. Acad. Med. 2000;75:182‐190.
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the role of illness scripts in the development of Medical Diagnostic expertise results from an interview study
Cognition and Instruction, 1998Co-Authors: Eugene J F M Custers, Henny P A Boshuizen, Henk G SchmidtAbstract:In this article, we describe a study in which some current ideas about illness scripts are tested. Participants at 4 levels of Medical expertise were asked to describe either a prototypical patient or the clinical picture associated with a number of different diseases. It was found that participants at intermediate levels of expertise mentioned, both absolutely and relatively, many enabling conditions (patient contextual factors such as sex, age, Medical history, and occupation) when asked to describe a prototypical patient with a disease, whereas the instruction to describe the clinical picture of a disease revealed a monotonic relation with expertise level. The amount of bioMedical information in the descriptions decreased with increasing expertise level for both types of instruction. In addition, a positive relation was found between number of actual patients seen with a particular disease and number of enabling conditions mentioned. These results were interpreted as supportive of the present conceptua...
