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Currently Skimming:

Conclusions and Directions for Further Research and Policy
Pages 57-61

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From page 57...
... CONCLUSIONS AND DIRECTIONS FOR FURTHER RESEARCH AND POLICY Limitations of This Research 57 There are limitations to all sampling strategies and to qualitative research, in particular. The strength of this method was that the sample selection used input from a pool of reognized experts in the organization, delivery, and improvement of health care.
From page 58...
... We couldn't get any primary care providers to that the only useful time is spent seeing patients. I work with us on this because working on improve- think that unless you spend time considering how to ment impacts their productivity, which impacts how deliver care better, much of that time seeing patients much they are paid.
From page 59...
... The ones that stay are good a adjusting therapy to within physiological parameters are cross trained so that they can take on nursing tasks, starting IVs when needed. When Filly trained and confident they may tell an admitting doe that a patient is not ready to have a ventilator tube removed." A second limitation of this study was that the interviews were not tape-recorcled to provide a raw data "gold standard" for later reference.
From page 60...
... However, current methods for organizing and delivering health care, preparing future health professionals, conducting health services research, and formulating policy have made it ctifficult to recognize the interclependence and function of the micro-system. Further analysis of the database would likely yield additional themes.
From page 61...
... They appear to be at a threshold of incorporating information technologies into daily practice. The potential created by the clevelopment of knowledge servers, decision support tools, consumer informatics32 continuous electronic patient-clinician communication, and computer-based electronic health records puts most of these micro-systems almost at "time zero" for what will likely be dramatic changes in the integration of information for real-time patient care and a strong baseline for fixture comparison.

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