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Biomedical subjects

H L Smith

Publications and source records attributed to H L Smith.

At least 145 records · Page 8Linked to original sources
PubMed1984

Japanese management. Implications for nursing administration.

Does Japanese management possess sufficient practical validity to warrant retraining of nursing administrators and their staffs? Can Japanese management really address the complexities of contemporary nursing administration? Before espousing the benefits of Theory Z and implementing quality circles in your hospital, read this analysis of the advantages and disadvantages of Japanese management--the benefits can be substantial but so can the costs!

Administrative Personnel↗
PubMed1983

Infinite subharmonic bifurcation in an SEIR epidemic model.

The existence of both periodic and aperiodic behavior in recurrent epidemics is now well-documented. In this paper, it is proven that for epidemic models that incur permanent immunity with seasonal variations in the contact rate, there exists an infinite number of stable subharmonic solutions. Random effects in the environment could perturb the state of the dynamics from the domain of attraction from one subharmonic to another, thus producing aperiodic levels of incidence.

Disease Outbreaks↗
PubMed1983

Subharmonic bifurcation in an S-I-R epidemic model.

An S leads to I leads to R epidemic model with annual oscillation in the contact rate is analyzed for the existence of subharmonic solutions of period two years. We prove that a stable period two solution bifurcates from a period one solution as the amplitude of oscillation in the contact rate exceeds a threshold value. This makes rigorous earlier formal arguments of Z. Grossman, I. Gumowski, and K. Dietz [4].

Disease Outbreaks↗
PubMed1983

Contingent fees in medical malpractice litigation - a qualitative assessment.

The medical profession has experienced high liability insurance premiums accompanied by widespread use of contingent fees in medical malpractice litigation. It is worthwhile, therefore, to assess qualitatively the merits of contingent fees, the evidence suggesting that they are associated with unjustified litigation and their implications for the medical and legal professions.

Fees and Charges↗
PubMed1982

Collaborative practice in obstetrics/gynecology: implications for cost, quality, and productivity.

Rising costs, concern over quality of care, and low worker productivity are some of the factors suggesting a need for revision in the organization of the health care delivery system. Reorganization of the nurse-physician working relationship through the establishment of collaborative practice can serve as the mechanism for improving cost, quality, and productivity outcomes. This analysis evaluates collaborative practice within the disciplines of obstetrics and gynecology.

Cost-Benefit Analysis↗
PubMed1982

Rural health care: opportunities for established group practices.

Many rural areas of the United States are considered medically underserved. At the core of this underservice is a lack of physicians. Physicians are not attracted to rural areas for a variety of personal and professional reasons. We explore the role of established group practices (EGPs) in dealing with these barriers, by using a model of small associated group practices (AGPs) created in rural communities in association with a larger EGP located elsewhere. We also describe the use of this model by the Lovelace Medical Foundation in New Mexico in creating three rural group practices and planning a fourth.

Attitude↗
PubMed1982

Serological comparison of two collections of Vibrio cholerae non O1.

Two large, independently obtained collections of vibrio cholerae non O1, containing 59 and 67 reference strains, respectively, were compared serologically in four laboratories. Twenty strains in each collection were considered identical, and an additional 16 strains in each collection were probably identical. Twenty-eight unique strains were identified, and inconclusive results were obtained with 25 strains. Nine strains were not considered V. cholerae in at least one testing laboratory. Of these, five showed insufficient correspondence to V. cholerae O1 by DNA hybridization to be considered V. cholerae.

Agglutination Tests↗
PubMed1982

Evaluating the effectiveness of nursing home administrations.

There has been little previous research on the determinants of the effectiveness of health care administrators. This research gap pertains to virtually all health care areas but is especially germane to the long-term care field, which has only recently witnessed professional growth in nursing home associations and administrator licensing, education, and ethical behavior. The present study examines the effectiveness of nursing home administrators according to economic criteria (costs and profits per patient per day). Multiple regression analysis was used to determine structure and process variables related to those effectiveness measures. Results indicate that process variable which are controllable by administrators themselves account for the bulk of the variability in nursing home administrator effectiveness.

California↗