Developing and evaluating CAM services.
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Biomedical subjects
Publications and source records attributed to J G Pickard.
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Actual reimbursement plays a key role in hospital rate restructuring. Moving away from a policy of rate setting "across-the-board" and toward modifying charges that positively affect a hospital's bottom line can more effectively generate net operating revenue, increase cash flow, and reduce increases in contractual allowances. A participatory approach between senior executives, managers, and physicians is working at several hospitals.
Three patients with cardiac tamponade secondary to disseminated breast carcinoma were treated by pericardiocentesis followed by systemic cytotoxic chemotherapy. This approach controlled pericardial effusion in all the patients and extended their survival.
The effect of megestrol acetate 160 mg daily was studied in 49 previously treated post-menopausal patients with advanced carcinoma of the breast. An overall response of 31% was obtained with 1 complete and 14 partial remissions, chiefly in soft tissue and bone. The median duration of response was in excess of 10 months. Toxicity was minimal and the only notable side effect was mild weight gain without fluid retention. Megestrol acetate is safe and well tolerated, with useful activity in the palliation of advanced breast cancer.