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Biomedical subjects

R A Reid

Publications and source records attributed to R A Reid.

At least 37 records · Page 2Linked to original sources
PubMed1987

Integrating hospice and home health services: analysis of strategic factors.

Two types of strategic factors promote the development of hospice-home health care alliances. Enabling factors include favorable reimbursement policies, acceptance of innovative and noninstitutional modes of health care delivery, and existing supportive infrastructures. Factors supporting alliances include similar types of patient needs, potential for sharing provider and administrative staff, joint referral networks, and common cost containment methodologies. A study of a multi-institutional arrangement between a hospice and a home health care program provided data on patient demographics, staff utilization, and programmatic costs. An analysis of these data showed surprising similarities between the programs. These findings support the continued efforts for service consolidation and integration.

Home Care Services↗
PubMed1986

Managing medical supply logistics among health workers in Ecuador.

Operations research techniques are being used to solve business and government problems throughout the world. This paper discusses the use of an analytical technique--the location set covering algorithm--to determine placement of medical supply centers in Ecuador. By establishing the optimum location of supply centers it is possible to effectively utilize scarce health care resources in a developing country and to help community level health workers be better prepared to deliver primary health care services.

Community Health Services↗
PubMed1986

Hospital diversification into home health care: examination of strategic issues.

With the trend toward expansion of services and diversification, hospital executives are increasingly considering entering the business of home health care. To be successful, however, home health care must be both feasible and appropriate for the institution. Examined here are the factors that should be considered before entering this growing market.

Decision Making↗
PubMed1984

Japanese management. Implications for nursing administration.

Does Japanese management possess sufficient practical validity to warrant retraining of nursing administrators and their staffs? Can Japanese management really address the complexities of contemporary nursing administration? Before espousing the benefits of Theory Z and implementing quality circles in your hospital, read this analysis of the advantages and disadvantages of Japanese management--the benefits can be substantial but so can the costs!

Administrative Personnel↗
PubMed1983

Ligand-induced variations in subunit associations in bovine heart F1 ATPase.

Bovine heart soluble F1 ATPase shows ligand dependent changes in subunit accessibility to the protein labelling reagents acetic anhydride and diazonium benzenesulphonic acid. These correlate with changes in the ATPase activity of the enzyme induced by the same ligands. In particular, NAD+ and NADH show concentration dependent effects, the effect of the reduced nucleotide being opposite to that of the oxidised form.

Adenine Nucleotides↗
PubMed1983

Inhibition of nicotinamide nucleotide transhydrogenase in rat liver submitochondrial particles by dicyclohexylcarbodi-imide and butanedione.

Nicotinamide nucleotide transhydrogenase in rat liver submitochondrial particles is inhibited by treatment with NN'-dicyclohexylcarbodi-imide or butane-2,3-dione. Both inhibitions are pseudo-first-order with respect to enzyme activity. The reaction order with respect to inhibitor is close to unity for butanedione, but is significantly lower than unity for dicyclohexylcarbodi-imide.

Animals↗
PubMed1982

The checkerboard area health system: delivering comprehensive care in a remote region of New Mexico.

A comprehensive health center is defined as the synergistic coupling of a medical and administrative structure designed to provide inpatient, outpatient, and public health services. While health centers have been widely established in other countries, only limited implementation has occurred in rural areas of the United States. The successful implementation of the health center concept in a sparsely populated area of northwestern New Mexico, which is predominately inhabited by Navajo Indians and Spanish Americans, is descriptively analyzed. The physical environment and the socioeconomic characteristics of the catchment area residents are related to dominant conditions in underdeveloped countries. The evolution of the delivery system with its network of satellite clinics staffed by mid-level primary care providers is documented. The funding and provision of a wide range of preventive and curative health services supported by communication, transportation, outreach, education, public health, and administration components are described. Several problems thought to impede the application of the health center concept to other regions in the United States are identified and discussed relative to this New Mexican experience. Innovative and persevering systems designers who are strongly committed to delivering a balance between preventive and curative services are considered to be absolutely necessary for successful implementation of the health center concept in the United States.

Catchment Area, Health↗
PubMed1981

Implementation of the health center concept in a rural community: a case study.

A comprehensive health center integrates inpatient, outpatient, and public health services within the same medical and administrative structure. While health centers have been widely developed in other countries, only limited implementation has occurred in the United States. This case study documents the successful implementation of the health center concept in a sparsely populated area of northwestern New Mexico. This remote geographic setting and the socioeconomic characteristics of the area's tricultural population are described. The evolution of the delivery system with its network of satellite clinics predominantly staffed by mid-level primary care providers is presented. Program development and funding for the provision of a wide range of preventive and curative health services supported by communication, transportation, outreach, education, public health, and administration components are analyzed. Problems purported to hinder the implementation of comprehensive health centers in the United States are discussed from an experimental perspective.

Catchment Area, Health↗
PubMed1981

Resistance among fecal flora of patients taking sulfamethoxazole-trimethoprim or trimethoprim alone.

Because of the widespread occurrence of resistance to sulfonamides among Enterobacteriaceae, some researchers have suggested using trimethoprim (TMP) alone instead of the combination sulfamethoxazole-trimethoprim (SMX-TMP) in treating infections with TMP-susceptible organisms. To answer whether SMX-TMP suppresses the emergence of resistant organisms compared with TMP alone, quantitative fecal cultures were made for total and TMP-resistant organisms before, during, and after SMX-TMP (800/160 mg twice a day) or TMP (200 or 100 mg twice a day) was given to 48 patients for 4 weeks in a prospective, randomized study. All three regimens left anaerobes intact and reduced the total aerobic coliform fecal flora by approximately 4 logs throughout the 4-week treatment period. In 11 of 19 (58%) patients taking TMP 200 mg twice daily, TMP-resistant organisms emerged or increased during therapy (P less than 0.01, compared with none of the 12 controls), whereas in only 4 of 18 (22%) patients on SMX-TMP did TMP-resistant organisms increase. These TMP-resistant organisms increased by less than 1 log and were predominantly Pseudomonas and Acinetobacter species. In only one instance did an SMX-TMP-resistant Escherichia coli strain emerge after 4 weeks of SMX-TMP therapy. The slight increase in Pseudomonas and Acinetobacter species seen with TMP alone in this study raises a potential risk of giving TMP alone in settings where these organisms may cause serious infections, as in immunosuppressed patients.

Adult↗