Michael Chapko

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Evidence-based practice in medicine promotes the performance of medicine based upon proven and validated practice. The CARE-PARTNER system presented here is a computerized knowledge-support system for stem-cell post-transplant long-term follow-up (LTFU) care on the WWW, which means that it monitors the quality of the knowledge both of its own knowledge-base(More)
BACKGROUND To compare VA inpatient and outpatient utilization and expenditures of veterans seeking primary care in community-based outpatient clinics (CBOCs) and VA medical centers (VAMCs) in fiscal years 2000 (FY00) and 2001. METHODS The sample included 25,092 patients who obtained primary care exclusively from 108 CBOCs in FY00, 26,936 patients who(More)
Purpose The purpose of this study was to assess the feasibility of using a multimedia program to instruct caregivers in providing massage as supportive care for Veterans with cancer. Methods Dyads received a training program including DVD and manual, and were instructed to watch and practice at least 20 minutes/day over 8 weeks. The training program was(More)
Purpose: The number of residents in assisted living has rapidly increased, although these facilities still primarily serve people who can pay out of pocket. The U.S. Department of Veterans Affairs was authorized to provide this level of care for the first time in the Assisted Living Pilot Program (ALPP). We describe the residents and providers, comparing(More)
The security system presented here has been developed for the Care-Partner system, which is a knowledge-based computerized decision-support system on the WorldWide Web (WWW). The health information protection system for Care-Partner encompasses both organizational and technical dimensions. We summarize here only the technical aspects of it. We found that,(More)
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