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Biomedical subjects

M Stewart

Publications and source records attributed to M Stewart.

At least 541 records · Page 30Linked to original sources
PubMedDate not supplied

Projecting future medical care costs using four scenarios of lifestyle risk rates.

PURPOSE: This study predicts medical care expenditures over 10 years for Union Pacific Railroad (UPRR) under alternative health risk factor scenarios for the UPRR workforce. DESIGN: This paper describes the development of an economic forecasting model to predict medical care expenditures assuming four different scenarios of population risk. The variables used to predict medical care expenditures are employee demographics and health risk profiles. SETTING: UPRR is a transportation company with more than 56,000 employees in 25 states west and south of the Mississippi River. SUBJECTS: Employees of UPRR. MEASURES: Intermediate outcomes included health risk measures related to exercise patterns, body weight, eating habits, smoking, alcohol consumption, total cholesterol, blood glucose, blood pressure, stress, and depression. Major outcome measures included projected total annual payments by UPRR for medical care services for the decade following 1998. RESULTS: The UPRR work force is projected to grow by 500 employees per year over the 10-year study period. The average age is expected to increase from 44 to 48 years. Without further health promotion intervention, 7 of the 11 risk factors assessed would likely worsen among UPRR's workforce. Medical care cost increases are projected to range from $22.2 million to $99.6 million in constant 1998 dollars over the next decade, depending on the effectiveness of risk factor modification programs. With an expected health promotion budget averaging $1.9 million annually over 10 years, health risks must decline at least 0.09% per year for the program to pay for itself. CONCLUSIONS: Estimating various risk and cost scenarios can facilitate program planning and produce an economic justification for worksite health programs.

Adult↗
PubMedDate not supplied

Pick and Pack: a just-in-time forms order and delivery system.

Since the University of Alabama Hospital at Birmingham (UAB) had an in-plant print shop, the idea of purchasing forms from an outside supplier on a JIT order and delivery system didn't occur to them. But after establishing a successful medical/surgical JIT system at University of Alabama Hospital at Birmingham (UAB), the Director of Support Services and the Director of Purchasing looked at and developed a program to have a JIT forms inventory system by using their own print shop in conjunction with an outside supplier. The system, called Pick and Pack, basically works like this: An outside supplier buys flat-bed forms printed by the UAB Print Shop for resale back to UAB, and also produces their own custom, continuous forms to sell to UAB. The supplier warehouses, then picks and packs per individual UAB patient care unit order and delivers the forms to the UAB Material Management loading dock. Requisitioning is on-line for each patient care unit, Materiel Management and the supplier. Success was achieved in a step-by-step manner, reducing a time-consuming, labor-intensive receiving process to a one-person process. Inventory of forms is estimated to have been reduced by $90,000 and approximately 2,160 cubic feet of space freed for other uses.

Alabama↗
PubMedDate not supplied

Cold/flu knowledge, attitudes and health care practices: results of a two-city telephone survey.

The purpose of this paper is to describe knowledge, attitudes and practices of cold and flu self-care and health care utilization, and to identify the predictors of health care utilization for the cold and flu among residents of London and Windsor. Using a random digit dialing survey method, 417 residents were interviewed between November-December, 1993 and February-March, 1994. This survey revealed good knowledge about colds and flu and understanding of appropriate physician visits. Only seven percent reported a doctor visit for their last cold. Socio-demographic, health status, attitude and knowledge level variables were subjected to a logistic regression analysis to identify which variables predicted self-reported physician visits. Only attitudes and health status showed statistically significant log odds (3.6 and 1.5, respectively). In summary, consistent with other studies, attitude and health status, not knowledge, appear to be significant predictors of physician visits for colds/flu.

Adolescent↗
PubMedDate not supplied

Mission possible: getting a BSN.

In the past several issues of The American Nurse, the editorial pages have carried discussions on educational preparation in the nursing profession. Specifically, many letter-writers shared concerns about the difficulty in obtaining a bachelor of science in nursing (BSN) degree and the lack of credit afforded by many universities to nurses for their diplomas and, often, years of experience. Here, five nurses share why they earned a BSN and what they've gained from it, and offer tips on how to overcome hurdles to obtain the degree.

Attitude of Health Personnel↗