AMOSIST Program Field Evaluation: Executive Summary.
Abstract
A multiphase, large scale evaluation of the Army's AMOSIST Program (an algorithm based health care delivery system employing physician supervised enlisted corpsmen, AMOSISTs, as direct care providers) found that, in comparison with patients treated for similar categories of illness in general outpatient clinics, the average patient treated in AMOSIST-staffed clinics: (a) reported greater satisfaction with care received, (b) required less physician time, (c) involved less care-provider-related cost, and (d) received equally effective care. The program acceptance by the non-program-related hospital staff was judged to be only moderate. A principal concern of both non-AMOSIST staff and the AMOSIST's physican supervisors was the AMOSIST's competence, a concern which was heightened by the withdrawal of the better qualified Clinical Specialist (MOS 91C) from the program. Due to factors associated with the program's manual of algorithms (inefficient) and data recording procedures (logic employed not readily apparent, extent and nature if consultation-related logic overrules not determinable), the manual was not being utilized as required and treatment-related audits were not being performed satisfactorily--a combination which resulted in unacceptably high error rates. Consequently, the program was judged to be medico-legally 'at risk'. Recommendations were made to modify progam materials and effect greater monitorship. (Author)
Document Details
- Document Type
- Technical Report
- Publication Date
- Feb 01, 1979
- Accession Number
- ADA075160
Entities
People
- Aaron W. Schopper
Organizations
- Academy of Health Sciences