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Biomedical subjects

V W Sidel

Publications and source records attributed to V W Sidel.

At least 55 records · Page 3Linked to original sources
PubMed1981

A controlled clinical trial of "family care" compared with "child-only care" in the comprehensive primary care of children.

We performed a randomized controlled clinical trial in a health center serving a poor population to attempt to find the differences, if any, between the effectiveness of primary care provided to children by two patterns of comprehensive medical care practiced by a pediatrician-internist-allied health team--one pattern offering care exclusively to children and the other offering care to both children and their parents. The study demonstrated few measurable differences between the two groups of children in either utilization or outcome. Where there were differences, most tended to favor slightly the family pattern of care: older children maintained their use of the center, immunization was somewhat more timely and children over time appeared to make fewer visits to sources of ambulatory care other than the health center. The absence of more or greater measurable differences may be due to the relatively short period of study, to the extremely disadvantaged population served, to the special model of family care used or to the comprehensive, team-based care provided to both groups of children.

Adult↗
PubMed1981

Quality assessment by process and outcome methods: evaluation of emergency room care of asthmatic adults.

Weighted process criteria based on chart review and weighted outcome criteria based on telephone interview were used to assess the quality of care for adult patients with asthma in the emergency rooms of a municipal and a voluntary hospital which share medical personnel. Process scores were highly correlated with 24-hour outcome scores at both hospitals but not with 7-day outcome scores. Our findings suggest that appropriate weighted process and outcome criteria are valid and useful methods for quality assessment, and underline the importance of choice of an appropriate "time window" for assessment of outcome. In addition, these assessment methods provide important "feedback" information for those providing care in the emergency room. (Am J Public Health 1981;71:687-693)

Adult↗
PubMed1980

Evaluation of utilization of laboratory tests in a hospital emergency room.

Visits to a metropolitan teaching hospital emergency room were evaluated for laboratory test utilizaion and quality of care of chart review. Of 630 tests, 197 (32 per cent), clustered in 44 out of 476 (9 per cent) patient visits, were considered unnecessary. The number of tests per visit showed a strong negative correlation with the necessity of tests and with the quality of care. Results suggest the usefulness of identifying a subgroup of patients with excessive tests and implementing measures to alter testing behavior for this subgroup.

Clinical Laboratory Techniques↗
PubMed1977

Quality-of-care assessment by process and outcome scoring. Use of weighted algorithmic assessment criteria for evaluation of emergency room care of women with symptoms of urinary tract infection.

Weighted process criteria based on chart review using an algorithmic method, and weighted outcome criteria based on a telephone interview with the patient, were used to assess the quality of emergency room care of women with symptoms of acute urinary tract infection. Outcomes at a municipal hospital were significantly better than those at an affiliated voluntary hospital. Process and outcome scores were positively correlated at both hospitals; the data suggest, but do not themselves adequately test, the hypothesis that the correlation is curvilinear and that there is a threshold process score below which a poor outcome is extremely likely. Our findings suggest that weighted algorithmic assessment criteria are a useful method for quality assessment and are consistent with the testable hypothesis that the greatest improvements in outcome may result from raising the quality of care from a poor to an adequate level rather than from an adequate to an optimal level.

Adult↗