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Biomedical subjects

J Wolfson

Publications and source records attributed to J Wolfson.

At least 19 recordsLinked to original sources
PubMed1997

The dangerous financial politics of AIDS "cocktail" therapies.

Political pressures by local AIDS activists are forcing some communities to redirect limited financial resources exclusively toward new drug therapies called protease inhibitors. These expensive and often reckless decisions threaten both the financial integrity of AIDS service organizations and the health of the public. The dangerous financial politics surrounding access to the new and complicated drug therapies for AIDS threaten to bankrupt local AIDS health service, create inescapable financial and legal liabilities, and may contribute to a worsening of the AIDS epidemic, causing the elimination of essential systems of prevention and care for the highest risk populations-adolescents and minority women.

Adolescent↗
PubMed1996

Overcoming challenges to tax-exempt status.

The tax-exempt status of not-for-profit healthcare organizations increasingly is being challenged by private, for-profit, investor-owned organizations. Often, the business practices of not-for-profit organizations are virtually indistinguishable from those of for-profit organizations, and not-for-profit organizations sometimes provide less charity and unfunded care than their for-profit competitors. Moreover, the tax subsidies not-for-profit organizations sometimes are used to support activities that compete with those of for-profit organizations. To withstand challenges to their tax status, financial managers in not-for-profit organizations should assume an active role in developing clearly articulated, empirically based information about the extent of community benefit their organizations provide and its value.

Charities↗
PubMed1994

What makes tax-exempt hospitals special?

As local, state, and federal policy makers seek additional sources of revenue to help finance health care and other services, the distinction between for-profit and not-for-profit healthcare organizations is receiving increased scrutiny. Healthcare financial managers and consultants should prepare to defend their organizations against those seeking to demonstrate that, at the very least, there is no substantive difference between not-for-profit and for-profit providers.

Community-Institutional Relations↗
PubMed1993

Freestanding ambulatory surgery: cost-containment winner?

In many states, freestanding, ambulatory surgery centers (ASCs) are being permitted to provide overnight, postoperative recovery and observation services. As a result, ASCs are now able to perform surgical procedures that were once the exclusive province of hospital-based outpatient surgery departments. As an analysis of data gathered in Florida and North Carolina illustrates, freestanding ASCs usually have lower charges than their hospital-based counterparts. This finding suggests that hospitals will have to take steps to control their ambulatory surgery costs if they want to compete successfully in the race for ambulatory surgery dollars.

Ambulatory Surgical Procedures↗
PubMed1992

Adjudicated pricing--when rates are challenged in court.

When the courts become involved in taking hospitals to task for their prices, hospital financial officers should prepare themselves for the unpleasant, potentially costly, and time-consuming legal dance that awaits them. The authors examine the pitfalls of judicial regulation of hospital charges and offer suggestions on how hospitals can avoid legal challenges or best prepare to meet them.

Cost Allocation↗
PubMed1990

Complementary use of Doppler sonography and delayed right lateral scintigraphy for the diagnosis of choledochal cysts.

Both sonography and hepatobiliary scintigraphy can help to demonstrate a choledochal cyst. Our case further demonstrates that Doppler sonography and right lateral or oblique scintigraphic views can be used to differentiate more completely this entity from other infantile cholestatic syndromes. These additional maneuvers may be particularly advantageous in the affected infant under a year old in whom a confusing clinical picture may obscure the correct diagnosis.

Choledochal Cyst↗
PubMed1989

Health care in the balance: Japanese eurythmy.

Japan's health care delivery system fits neatly into the island nation's well-ordered, carefully balanced infrastructure. The organization and operation of Japan's health system reflects the quest for harmony and balance, or eurythmy, of Japanese culture. While Japan's economic success has attracted considerable attention among management scientists, the health care system that fuels and nurtures the health status of its hyperproductive workforce has not been a topic of much interest. The organization and management of Japan's health services delivery system are analyzed in this article.

Cultural Characteristics↗
PubMed1988

Information processing in seven-month-old infants as a function of risk status.

7-month-old full-terms and high-risk preterms (less than 1,500 grams at birth) were compared on problems of visual recognition memory and tactual-to-visual cross-modal transfer. On the visual problems, preterm infants showed significantly less differential attentiveness to novelty than full-terms. They also required longer exposure times during visual familiarization, primarily because of longer pauses between fixations. Preterms and full-terms exhibited different patterns of looking, as indicated by the duration of fixation and the frequency in shifts of gaze. On the cross-modal problems, preterms and full-terms both exhibited similar and significant preferences for familiar rather than novel stimuli, a direction of preference which suggests that these problems were relatively difficult for both groups. For the preterms, novelty and exposure-time scores were found to be related to several medical risk factors. Novelty preferences were compromised in preterms who had suffered RDS postnatally, particularly those who had required prolonged mechanical ventilation. In general, high-risk preterms exhibited deficits in visual recognition memory and in the ability to recruit, sustain, and shift attention.

Attention↗
PubMed1987

The role of management in Japanese hospitals.

Americans are both envious and dismayed at Japanese managerial success. Surprisingly, health care management in Japan, particularly in hospitals, is very different from that in world-famous Japanese corporations. The majority of hospitals are owned by a physician, called the "incho," who is usually both chief executive officer and medical director and who also actively practices medicine. Medical and administrative management are completely intertwined. Hospitals are paid set fees by mandated insurance schemes, and the public is free to choose from whom they receive care. Hospitals try to relate well to their communities and serve their needs, but this is done with little of the organizational flair that has made Japanese industry so successful abroad.

Community-Institutional Relations↗