AMOSIST Program Field Evaluation: Stability and Viability--A Re-Evaluation of Program Acceptance and Operational Characteristics.
Abstract
The US Army's AMOSIST Program employs physician supervised enlisted corpsmen who utilize a manual of medical algorithms to provide care to unappointed ambulatory outpatients. The present study describes a follow-up evaluation of the program's operational characteristics and acceptance. Although overall patient satisfaction increased slightly and overall staff satisfaction decreased between Phase I and the Phase II follow-up, the findings indicated that adequate levels of patient and staff satisfaction existed. Nonetheless, there existed pervasive evidence of a decrease in the perceived competence of the AMOSIST (the program's principal care provider) relative to Phase I on the part of not only the AMOSIST's physician supervisors, but also the remaider of the hospital staff. The decrease was ascribed to the withdrawal from the program of the more highly trained clinical specialist (vis-a-vis the remaining medical specialist). The evaluation evidenced continuing medico-legal vulnerability as the result of significant program deficiencies in the areas of physician staffing practices and AMOSIST supervision (due to the use of roster-assigned physicians), and auditing procedures (due to the lack of an efficient means of performing same--a consequence of inadequate data recording procedures, the permission to effect local changes to the logic, and the non-utilization of the manual of algorithms). (Author)
Document Details
- Document Type
- Technical Report
- Publication Date
- Feb 01, 1979
- Accession Number
- ADA072551
Entities
People
- Aaron W. Schopper
- Inez L. Scott
Organizations
- Academy of Health Sciences