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Biomedical subjects

J G Anderson

Publications and source records attributed to J G Anderson.

At least 91 records · Page 5Linked to original sources
PubMed1976

A social systems model of hospital utilization.

A social systems model for the health services system serving the state of New Mexico is presented. Utilization of short-term general hospitals is viewed as a function of sociodemographic characteristics of the population and of the supply of health manpower and facilities available to that population. The model includes a network specifying the causal relationships hypothesized as existing among a set of social, demographic, and economic variables known to be related to the supply of health manpower and facilities and to their utilization. Inclusion of feedback into the model as well as lagged values of physician supply variables permits examination of the dynamic behavior of the social system over time. A method for deriving the reduced form of the structural model is presented along with the reduced-form equations. These equations provide valuable information for policy decisions regarding the likely consequences of changes in the structure of the population and in the supply of health manpower and facilities. The structural and reduced-form equations have been used to predict the consequences for one New Mexico county of state and federal policies that would affect the organization and delivery of health services.

Age Factors↗
PubMed1975

An adaptive social systems model of a prepaid group practice plan.

In the present study, an adaptive social systems model is developed and utilized to examine the dynamic properties of a health services delivery system. The model employs a Markov chain as a structure for analyzing the utilization of physician services both inside and outside of a prepaid plan. Four system states are defined, namely, no use, inside use, outside use, and both inside and outside use of physician services. Subscribers are considered to be in one of these states on each episode of illness. Transition probabilities are estimated from data collected from a sample of subscribers to a university health plan using a regression approach that permits a heterogeneous population to be examined within a Markovian framework. This framework is used to examine factors that account for differences in utilization patterns among individual subscribers and to examine overtime changes in the transition probabilities resulting from population shifts on specific demographic and health-related attributes. Based on the assumption that individual subscribers rather than the population as a whole follow a Markov process, the k-step transition matrix is constructed for the heterogeneous subscriber population and is used to examine the long-run effects of particular utilization patterns on the functioning of the prepaid plan.

Age Factors↗
PubMed1975

Pattern of physiologic effects of adrenalectomy in the dog.

Adrenalectomized dogs were observed in order to identify the patterns of physiologic changes occurring during development of adrenocortical insufficiency. Daily measurements included plasma concentrations of sodium and potassium, arterial blood pH, packed cell volume, heart rate, and selected components of the electrocardiogram (ECG). The pattern in which these measurements changed indicated that alterations in plasma concentrations of sodium and potassium, T-wave configuration, and QRS interval were more consistent, whereas alterations in P-wave configuration were not evident until approach of terminal stages.

Adrenal Glands↗