Nominations of Ginger Ehn Lew to be General Counsel ... Lauri Fitz-Pegado to be Assistant Secretary and Director-General of the U.S. and Foreign Commercial Service of the Department of Commerce : hearing before the Committee on Commerce, Science, and Transportation, United States Senate, One Hundred Third Congress, second session, February 10, 1994.

Shipping list no.: 95-0098-P.

Hearings before a special committee on survey of land and water policies of the United States. United States Senate, seventy-fourth congress, second session, pursuant to S.Res.58. A resolution authorizing a survey of all land and water policies and projects of the various executive agencies and establishments of the government.

Mode of access: Internet.

Characteristics of primary care office visits to nurse practitioners, physician assistants and physicians in United States Veterans Health Administration facilities, 2005 to 2010: a retrospective cross-sectional analysis.

UNLABELLED: BACKGROUND: Primary care, an essential determinant of health system equity, efficiency, and effectiveness, is threatened by inadequate supply and distribution of the provider workforce. The Veterans Health Administration (VHA) has been a frontrunner in the use of nurse practitioners (NPs) and physician assistants (PAs). Evaluation of the roles and impact of NPs and PAs in the VHA is critical to ensuring optimal care for veterans and may inform best practices for use of PAs and NPs in other settings around the world. The purpose of this study was to characterize the use of NPs and PAs in VHA primary care and to examine whether their patients and patient care activities were, on average, less medically complex than those of physicians. METHODS: This is a retrospective cross-sectional analysis of administrative data from VHA primary care encounters between 2005 and 2010. Patient and patient encounter characteristics were compared across provider types (PA, NP, and physician). RESULTS: NPs and PAs attend about 30% of all VHA primary care encounters. NPs, PAs, and physicians fill similar roles in VHA primary care, but patients of PAs and NPs are slightly less complex than those of physicians, and PAs attend a higher proportion of visits for the purpose of determining eligibility for benefits. CONCLUSIONS: This study demonstrates that a highly successful nationwide primary care system relies on NPs and PAs to provide over one quarter of primary care visits, and that these visits are similar to those of physicians with regard to patient and encounter characteristics. These findings can inform health workforce solutions to physician shortages in the USA and around the world. Future research should compare the quality and costs associated with various combinations of providers and allocations of patient care work, and should elucidate the approaches that maximize quality and efficiency.

Problems of the aging : hearings before the Subcommittee on Federal and State Activities of the Special Committee on Aging, United States Senate, Eighty-seventh Congress, first session on problems of the aging. August 23 and 24 1961.

Hearings held Aug. 23, 1961- December 6, 1961.

Procurement irregularities associated with the Department of Defense's airborne self-protection jammer program : hearing before the Subcommittee on Federal Services, Post Office, and Civil Service of the Committee on Governmental Affairs, United States Senate, One Hundred Second Congress, second session, March 25, 1992.

Shipping list no.: 93-0170-P.

Cooperation of prevocational programs for handicapped young adults; rehabilitation-special education. Proceedings of a conference at Highland Park, Illinois. Sponsored by the U.S. Office of Vocational Rehabilitation and Illinois State Normal University, Oct. 30-31 and Nov. 1, 1961.

Mode of access: Internet.

16th census of the United States: 1940. Census of business: 1939. Retail trade. Commodity sales: book stores; news dealers; stationery stores; gift, novelty, souvenir shops; office, store appliance and equipment dealers; office, store, school supply dealers; scientific, medical instrument and supply dealers.

At head of title: U.S. Dept. of Commerce. Jesse H. Jones, Secretary. Bureau of the Census. J.C. Capt, Director ..

Translation of documents presented by William R. Hearst before the Special Committee appointed pursuant to S. Res. 7, a resolution relative to the alleged payment of large sums of money by the government of Mexico to influence the official action of certain United States Senators.

David A. Reed, Chairman.

Arbitration between the United States and Sweden under special agreement of December 17, 1930.

Parts 3 and 4, "Photographic reprint".

Index digest of the published decisions of the Comptroller General of the United States /

Latest issue consulted: Vols. 66-70 (Oct. 1, 1986 to Sept. 30, 1991).

Digests of decisions of the Comptroller General of the United States /

Title from cover.

Decisions of the Comptroller General of the United States /

Contains a selection of major decisions of the GAO. A digest of all decisions has been issued since Oct. 1989 as: United States. General Accounting Office. Digests of decisions of the Comptroller General of the United States. Before Oct. 1989, digests of unpublished decisions were issued with various titles.

Investigation of organized crime in interstate commerce. Hearings before a Special Committee to Investigate Organized Crime in Interstate Commerce, United States Senate, Eighty-first Cingress, second session, pursuant to S. Res. 202 ...

pt.1.Florida.--pt.1A.Florida.--pt.2.Federal communications, etc.--pt.3.Black market operations.--pt.4.Missouri.--pt.4A.Missouri.--pt.5.Illinois.--pt.6.Ohio-Kentucky.--pt.7.New York-New Jersey.--pt.8.Louisiana.--pt.9.Michigan.--pt.10.Nevada-California.--pt.11.Pennsylvania.--pt.12.U.S.Treasury dept.,etc.--pt.13.Miscellaneous witnesses.--pt.14.Narcotics.--pt.15.Kentucky.--pt.16.Florida.--pt.17.Maryland and District of Columbia.--pt.18.New York and New Jersey.--pt.19.Pennsylvania.

Impact of federal budget proposals on older Americans [microform] : hearing before the Special Committee on Aging, United States Senate, Ninety-seventh Congress, first session ....

Hearings held in Washington, D.C., and other cities, March 20, 1981-

Hunger, nutrition, older Americans [microform] : the impact of the fiscal year 1983 budget : hearing before the Special Committee on Aging, United States Senate, Ninety-seventh Congress, second session, Washington, D.C., February 25, 1982.

G.P.O. sales statement incorrect in publication.