A perspective on popular management theory.
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Biomedical subjects
Publications and source records attributed to S Levey.
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To make ethical decisions, people must be able to assign priorities to competing values. Although health professionals are expected to assign the highest priority to the value of a healthy citizenry, in this period of economic constraint, creating and reinforcing that value is problematic for many health care managers. Their dominant premise--financial survival--conflicts with the basic premise of most physicians and nurses--service to the client. Despite this problem, leaders, now more than ever, must take responsibility for a reexamination of the purpose of health care. If they do not, a new round of government regulation will be initiated to protect patient groups that may be neglected, particularly the indigent, the elderly, and the chronically ill. Training for this responsibility may be accomplished through a humanities component in undergraduate and graduate foundation courses, continuing education workshops and conferences, and leadership task forces that address short-term institutional goals and long-term national objectives.
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A case of herniation of the catheter of a peritoneal shunt into the scrotum is reported. Infection of the catheter caused scrotal inflammation simulating torsion of the testicle.
Testicular tumors are found in approximately 2 per 100,000 population. An extremely rare occurrence of synchronous testicular tumor in identical twins is presented. A complete review of the world literature with regard to testes tumors in brothers and twins is also given.
This study analyzes the institutional, economic, and regulatory deficiencies of the long-term care sector of the health industry and develops an incentive reimbursement model as a means for correcting or ameliorating some of the stated deficiencies. The reimbursement model presents a schema which attempts to match patients to facilities, needs to services, and services to cost. A capital expansion coupon program is proposed, both as a suitable vehicle for channeling incentive rewards accruing to nonprofit institutions, and as a mechanism for subsidizing the approved expansion and/or renovation plans of "efficient" providers of care.
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