Penelope Ann Shaw

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PROBLEM BEING ADDRESSED With the increasing emphasis on quality improvement, we need programs for improving office practice. OBJECTIVE OF PROGRAM To demonstrate a simple and inexpensive program that resulted in improvement in the quality of Papanicolaou smears in a family practice teaching clinic. The performance measure was the proportion of smears(More)
The view of nursing homes in the public press all too often highlights the quality of services that are poor. The latest in a series of government reports, this one by the Office of the Inspector General (February 2014),1 details serious care violations, harm, and even death. A New York Times Opinion piece (March 2014)2 written by a family member describes(More)
OBJECTIVES We compared the effectiveness of diabetes-focused messaging strategies at increasing enrolment in a healthy food programme among adults with diabetes. METHODS Vitality is a multifaceted wellness benefit available to members of Discovery Health, a South Africa-based health insurer. One of the largest Vitality programmes is HealthyFood (HF), an(More)
The author, a former university faculty member who taught English to speakers of other languages and now a nursing home resident, shares her observations about how English language proficiency, culture, and religious differences affect her care. She provides examples of communication challenges that can be annoying or cause harm, her coping strategies, and(More)
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