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Biomedical subjects

J H Jameson

Publications and source records attributed to J H Jameson.

10 recordsLinked to original sources
PubMed1983

Similarities of a general medicine clinic in a teaching hospital to internal medicine practice. Clinic compared with private practice.

The authors undertook this study to determine whether a general medicine clinic in a teaching hospital provided an experience similar in content to that in the office of a general internist. Data on all patient visits to the university clinic during 1979 were collected. Analyses of 4856 visits revealed significant differences (p less than 0.001) in duration of visit, admission rate, and referral rates between the clinic and internists studied by the National Ambulatory Medical Care Survey (NAMCS). However, the 12 most common problems seen in the clinic were among the 15 most common problems seen by NAMCS physicians despite some differences in the prevalence of certain diagnoses. Knowing the relative prevalence of specific diagnoses in this setting helps teach cost--benefit principles of ordering diagnostic studies designed to detect uncommon problems. This study supports the value of a teaching hospital ambulatory care experience as preparation for the practice of general internal medicine.

Adolescent↗
PubMed1983

A program of evaluation and research for hospital based home care.

A program of evaluation and research has been developed and initiated in a large Hospital Based Home Care Program which principally serves chronically-ill, elderly veterans. Program evaluation is based on data from an automated home care information system developed for this purpose. The information system is based on the Long-Term Health Care Minimum Data Set, a nationally-recommended data set which describes patient demographics and physical and mental health status, and health services provided. Home care and related costs per visit and per patient day have been identified. A proposed, experimental research protocol identifies health status outcomes and health care costs of home care and alternative modes of long-term health care.

Arkansas↗
PubMed1981

Similarities and differences between an urban and a rural hospital based home care program.

Over a 3 month period, 116 patients assigned on the basis of geographical proximity to an urban or rural Hospital Based Home Care Program were examined to determine whether services provided by an urban-based HBHC team could be extended by a rural-based team to a similar but rural, chronically ill patient population. Variables reflecting medical and socio-economic patient characteristics and level of services provided were gathered to test for significant differences between the two programs. Two-tailed difference of group means t-tests of the data revealed that only number of medications and supplies dispensed attained significance; patients in the urban program received more than their rural counterparts, a result probably due to the greater proximity of the program physician to the urban-based team. The results appear to indicate that it is possible to maintain severely disabled patients in their own homes in rural as well as urban settings.

Analysis of Variance↗