The community physician as change agent

Public Health ◽  
1980 ◽  
Vol 94 (1) ◽  
pp. 44-51 ◽  
Author(s):  
F. Eskin
2021 ◽  
pp. 000841742199436
Author(s):  
Annie Carrier ◽  
Alexandra Éthier ◽  
Michaël Beaudoin ◽  
Anne Hudon ◽  
Denis Bédard ◽  
...  

Background. Change agents’ actions have been studied mainly from a theoretical perspective. Purpose. This study aimed to empirically identify occupational therapists’ actual change agent actions. Method. As part of a research partnership with the Canadian Association of Occupational Therapists-Québec chapter, we conducted this cross-sectional pilot study using an online survey. Findings. The change agent practices of our 103 participants involve many types of actions but show underinvestment in mass communication. Mass communication actions are more frequent when participants have greater experience, additional academic degrees, and training in change agency. Also, occupational therapists with additional academic degrees and change agency training tend to use a wider variety of actions. Finally, our participants’ actions principally target actors in the clinical context, rarely political actors. Implications. Our results suggest that occupational therapists can and will invest in the full range of change agent actions provided they can acquire the necessary knowledge and skills.


1978 ◽  
Vol 48 (3) ◽  
pp. 175-176 ◽  
Author(s):  
Elbert D. Glover
Keyword(s):  

BMJ ◽  
1970 ◽  
Vol 2 (5705) ◽  
pp. 368-368
Author(s):  
C. D. L. Lycett
Keyword(s):  

1974 ◽  
Vol 28 (1) ◽  
pp. 62-64
Author(s):  
Robert L. Treese
Keyword(s):  

2018 ◽  
Vol 30 (3) ◽  
pp. 110-115
Author(s):  
Kimberly Pelland ◽  
Emily Cooper ◽  
Alyssa DaCunha ◽  
Kathleen Calandra ◽  
Rebekah Gardner

Medicare requires that home health patients have a face-to-face visit with a physician when services are initiated and that physicians provide certification of this encounter before home health agencies (HHAs) can be reimbursed. We assessed an intervention to increase completion of face-to-face certification by hospital physicians at discharge using a retrospective chart review. We found a shift in the source and timeliness of certification among intervention hospitals. Pre-intervention, hospital physicians completed face-to-face certifications for 18.7% of patients and community physicians completed certifications for 47.2% ( p < .001), compared with 44.4% and 24.3% ( p < .001) post-intervention. Shifting the source of certification from community to hospital physicians helped HHAs by reducing the burden of tracking down certification from community physician offices and facilitating timely care for recently hospitalized patients.


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