Search PubMed⌕ Search

Biomedical subjects

D Neuhauser

Publications and source records attributed to D Neuhauser.

At least 73 records · Page 4Linked to original sources
PubMed1991

Economics of health planning--Costa Rica as an example.

Costa Rica has been unusually successful in providing high levels of health for its people given its economic resources. It is proposed that there are two reasons for its success. Having no military, Costa Rica has had resources to invest in health care. Having a relatively equal income and education distribution and a democratic government, it has been able to provide health care widely rather than just to the elites. This paper examines production functions for health and possible directions for appropriate management of health as Costa Rica confronts the chronic disease pattern of the developed world.

Costa Rica↗
PubMed1990

Ernest Amory Codman, M.D., and end results of medical care.

Ernest Amory Codman, M.D., was one of the most important figures in the history of outcomes research in medicine. While his contemporaries scorned his efforts to create systematic procedures to evaluate the end results of medical care, his work foreshadowed many of today's most pressing issues in technology assessment. This article traces Codman's career as an innovator and political gadfly at the Massachusetts General Hospital during the first three decades of this century, and examines the development and demise of his end-result system.

Boston↗
PubMed1990

Hemostatic protein-polymer sheath: new method to enhance hemostasis at percutaneous biopsy.

Serious hemorrhagic complications have been reported with percutaneous biopsy, albeit infrequently. A hemostatic protein-polymer sheath (PPS) designed to limit the risk of bleeding was evaluated by performing liver biopsies on pigs given anticoagulants. After administration of anesthesia and laparotomy, biopsies were performed under direct vision with a cutting biopsy needle (a) alone, (b) fitted with the PPS, or (c) fitted with a thrombin-coated PPS. Dry sponges were applied and subsequently weighted to quantitate blood loss. At all levels of anticoagulation, use of the PPS enhanced hemostasis; the thrombin coating supplemented effectiveness. The PPS appears to be a simple and effective method of achieving hemostasis at high-risk percutaneous biopsy.

Animals↗
PubMed1989

Moving forward on quality of care: role of decision modeling.

Quality care reemerges as an issue amid the primary concern for cost. Primary problems revolve around whether treatments are efficacious and appropriate for the individual patient and whether the practice of medicine is being performed competently. A model is suggested for how these questions might be addressed.

Clinical Trials as Topic↗
PubMed1987

Stimulating cost effective behavior in hospitals.

Types of influence on the delivery of medical care are divided into monetary and other. These incentives effect care at the system, hospital, care team, physician and patient levels. Selected examples, primarily from the USA, are discussed.

Cost-Benefit Analysis↗