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Biomedical subjects

C Kinnis

Publications and source records attributed to C Kinnis.

16 recordsLinked to original sources
PubMed1987

Congenital ocular blindness in children, 1945 to 1984.

A total of 676 children born in British Columbia with congenital ocular blindness during the years 1945 through 1984 were studied. The birth prevalence rate of congenital blindness has decreased from eight per 10,000 live births in the late 1940s to three per 10,000 live births. Retinopathy of prematurity was replaced by genetic ocular disorders as the leading cause of congenital blindness, although the former is reemerging. The rate of congenital rubella infection also declined. There has been a significant increase in the rate of births with optic nerve lesions during the past 15 years, while the rate of births with lesions of the lens fell, reflecting the decline in the rate of maternal rubella infection. There are fewer children with congenital ocular legal blindness who have no light perception today, and they also have fewer associated handicaps.

Blindness↗
PubMed1984

Manpower planning, fiscal restraint, and the "demand" for health care personnel.

During 1979 and 1980, widely circulated newspaper stories in British Columbia reported nurse shortages in the province and warned of dire consequences from what was perceived to be a worsening situation. Because the reports were unsupported by empirical evidence, we undertook to directly monitor net requirements for health care personnel in the province. Focusing on difficult-to-fill positions, we found that geographic location and size of facility figured prominently in the distribution of vacancies, but that public-sector cost containment policies had a dominant impact in reducing vacancies in the health care sector. Health manpower planning may thus depend as much on predicting the size and disposition of the revenue base as on quantifying the perceived need for health care services.

Allied Health Personnel↗
PubMed1974

Perinatal care in British Columbia: Diagnosis and management of hemolytic disease of the newborn.

We undertook to measure standards of perinatal care in British Columbia by studying the management of hemolytic disease of the newborn as the sample situation.Our data show that many isoimmunized pregnant women are delivered in hospitals that have infrequent experience with this problem, and by physicians who have little experience with this disease.The physician referral pattern, in regard to maternal isoimmunization, indicated that the more severely affected patients were managed by specialists, particularly those attached to teaching hospitals. However, 25% of the infants treated by exchange transfusion were managed by nonspecialists in nonteaching hospitals.Hospital record search, used as a method of medical audit and as a source of data for comparison with physician reports, did not result in dependable or complete information. Rates of disagreement between items from two data sources, physician report and hospital record, were frequently very high. Our experience suggests that comparison of these two data sources is not an ideal method of assessment of quality of care.A smaller caseload of isoimmunized pregnant women will result from the present prevention program. Nevertheless, cases will continue to occur. Our work supports the conclusion that a program of continuing education covering the diagnosis and management of hemolytic disease of the newborn is still necessary.

ABO Blood-Group System↗
PubMed1969

Use of a hospital emergency service by children and adolescents for primary care.

This study was planned to determine the extent to which the emergency service of a large general hospital in Vancouver was providing a primary medical care function for children and adolescents. The data were collected during 14-day study periods in each season of the year. Medical data and physician urgency rating were obtained on all patients. Demographic and socioeconomic data and data pertaining to patterns of medical care were obtained by interview of a one-third sample.The study identified a group of patients receiving primary medical care for non-urgent and non-traumatic conditions. This group resided close to the hospital and had lower socioeconomic indices than the remainder of the patients.The trend to utilize the emergency department for reasons other than the accident and emergency function was confirmed. These findings will be incorporated in the planning of the New Children's Hospital in Vancouver with the provision of separate facilities for the care of non-urgent attenders.

Adolescent↗