976 resultados para United States. Small Business Administration


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Shipping list no.: 92-609-P.

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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.

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First report covers period June 28, 1942-Dec. 31, 1944

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At head of title, 1958- : Small Business Administration publications.

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Shipping list no.: 90-474-P.

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Mode of access: Internet.

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The profile is divided into two sections: one geared towards those hoping to establish a day care home, and the other for those establishing a larger scale day care center.

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"This publication has been made available through a partnership of the Illinois Department of Commerce and Economic Opportunity's Illinois Entrepreneurship Network Business Information Center, the Small Business Development Center Network and the U.S. Small Business Administration."--p. [4] of cover.

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"This publication has been made available through a partnership of the Illinois Department of Commerce and Economic Opportunity's Illinois Entrepreneurship Network Business Information Center, the Small Business Development Center Network and the U.S. Small Business Administration."--p. [4] of cover.

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"Developed in cooperation with the U.S. Small Business Administration, the Illinois Department of Commerce and Community Affairs, and the First Stop Business Information Center of Illinois as a service to Illinois small businesses ... "

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The Illinois Entrepreneurship Network was established throughout the state to provide business management, counseling and training, assistance in entering international markets, information on competing for the state and federal contracts, developing technology related products and providing a supportive environment for new, startup businesses. This network consists of Small Business Development Centers, Procurement Technical Assistance Centers, International Trade/NAFTA Centers, Small Business Incubators and of course Entrepreneurship Centers. Assistance is provided in the areas of preparing business and marketing plans, securing capital, improving business skills, accessing international trade opportunities and addressing other business management needs. DCEO also has programs targeted to assist minority and women-owned business concerns. The Illinois Entrepreneurship Network is a collaborative arrangement among DCEO, the US Small Business Administration, the US Department of Defense, colleges and universities and private business organizations. Pursuant to the Business Assistance and Regulatory Reform Act, the Illinois Department of Commerce and Economic Opportunity (DCEO) created the IEN Business Information Center of Illinois (the Center). The goal of the Center is to enhance the state's business climate by making it easier for businesses to comply with government requirements and gain access to the information they need to be competitive. Whether a startup or existing business, this handbook will inform you of various legal requirements and guide you to additional resources.

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"First stop business information center."

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S/N 045-000-00143-1.

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"84WBO4ow."