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Biomedical subjects

H S Zuckerman

Publications and source records attributed to H S Zuckerman.

45 records · Page 3Linked to original sources
PubMed1981

Measuring community hospital service in Michigan.

Using discharge abstracts from Michigan hospitals, we divided the state into hospital use communities with measured populations. We constructed population-based rates measuring use, cost, and some aspects of quality. The results cover 54 communities comprising 90 percent of the Michigan population and ranging in size from Detroit (population 600,000) to very small (population less than 25,000) communities. Age-adjusted patient days per 1,000 population, length of stay, cost per person per year, hospitalization rates for surgery, trauma and vascular disease, and childbirth problems show large variations, generally ranging from 2 to 1. High values usually are positively associated with each other and with population size. Patient days per 1,000 (mean 1,114, range 600-1,700) and cost per person(mean +223, range +110-+290) are distributed such that almost 75 percent of communities are below the mean. We believe this information will be useful to community hospital trustees, physicians, and administrators.

Cardiovascular Diseases↗
PubMed1980

Effectiveness of patient care in a primary care clinic.

Using Brook and Stevenson's "trajectory" method of assessment of quality, both the process and outcome of medical care for 72 patients in a primary care clinic was evaluated. In terms of technical quality, evidence was found of failure to order required tests or examinations and inadequate diagnostic work-ups. The most positive findings were in the high number of x-ray examinations of adequate quality and the high proportion of adequate treatment received by patients within four diagnostic categories for which criteria had been established. Overall, more than 50 per cent of the patients were deemed to have received effective medical care. Interview data revealed some indication of patient dissatisfaction with the medical care received, as well as communication problems between physicians and patients.

Gastrointestinal Diseases↗
PubMed1978

Structural factors as determinants of career patterns in medicine.

This study was concerned with the role of structural factors in influencing medical career outcomes. These factors were viewed as an interrelated network of institutions, linked in particular patterns, leading to alternative career outcomes. A conceptual model was developed to represent the expected, predominant routes to different career outcomes. Analysis of data gleaned from the Association of American Medical College's Longitudinal Study revealed neither the expected patterns nor distinctive, alternative patterns. Thus, the notion that medical education is a rigidly structured system, consisting of a few, relatively fixed patterns leading to different career outcomes, was not supported. However, further analysis indicated evidence of stratification among structural factors in the medical education system which serves to influence access to career pathways.

Achievement↗