| Physician extenders in walk-in clinics: a prospective evaluation of the AMOSIST program. | |
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MedLine Citation:
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PMID: 28706 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The Automated Military Outpatient System (AMOS) Project was developed to improve the ambulatory care of patients with episodic and chronic illnesses. During the development of its episodic care component, the relative frequency of problems treated by the walk-in clinic staff was analyzed and showed a high volume of acute minor illnesses. A simple, conservative triage system run by non-professionals was developed to screen patients to a clinic for benign, self-limited illnesses run by physician-extenders. This group, the equivalent of civilian licensed practical nurses and nurses' aides, was trained in a task-oriented fashion to treat 44 common minor illnesses. Clinical algorithms for these illnesses were developed and used as training tools, memory aids, and auditing instruments. This program is now operating in 26 US Army hospitals and caring for some 44,000 patients a month in the continetal United States. We report the results of a prospective audit of the corpsmen and a study of the patient attitude and acceptance of the program. |
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Authors:
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D M Vickery; M H Liang; P B Collis; K T Larsen; T W Morgan; E D Folland; J V Mummert |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of internal medicine Volume: 135 ISSN: 0003-9926 ISO Abbreviation: Arch. Intern. Med. Publication Date: 1975 May |
Date Detail:
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Created Date: 1978-10-18 Completed Date: 1978-10-18 Revised Date: 2009-10-27 |
Medline Journal Info:
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Nlm Unique ID: 0372440 Medline TA: Arch Intern Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 720-5 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Ambulatory Care Evaluation Studies as Topic Female Hospitals, Military / utilization* Hospitals, Public / utilization* Humans Male Outpatient Clinics, Hospital / manpower, utilization* Physician Assistants* / standards Prospective Studies Triage United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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