Search PubMed⌕ Search

PubMed · 7030711

[Documentation in developing countries and related technological issues].

Abstract

While bibliographical referencing and indexing services have risen to a high level of efficiency-thanks to computers and other technical innovations-the same cannot be said for documentation in the form of texts and charts. However early an order is placed, it can take weeks for the final stage of the process to be completed. If even in developed countries the process can be slow and costly, in developing countries it is affected by the same socioeconomic conditions that impede the provision of health services. In the latter countries wide variations are apparent in the numbers of libraries, collections and lending library systems, and in the accessibility of books and journals on health. For physicians and nurses at some remote locations the only source of information on discoveries and new ideas may be the advertising supplied to them by traveling medical salesmen. There are grounds for optimism, however. In these countries more and more important books and journals are being published in the health field. In Latin America a number of areas of national interaction have come into view which promise to grow into a true network of biomedical and health information.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

G Ember. 1981. [Documentation in developing countries and related technological issues].. https://pubmed.ncbi.nlm.nih.gov/7030711/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

The validity of death certificates: routine validation of death certification and its effects on mortality statistics.

The 3478 death certificates (7.1% of all annual death certificates) of this study comprise those national death certificates in 1995 submitted for validation to the panel representing both medical and nosological expertise. As such, it is highly selected and represents, from the nosological point of view, the most inconsistently filled-in portion of Finnish death certificates. The routine validation procedure is essentially based on exploitation of the extra medical information, i.e. the case history, on the Finnish death certificate form. Altogether, 2813 (80.9%) out of 3478 certificates could be adjusted at the primary panel session; the rest required further clarification. The re-assignment of cause of death by the panel and the impact of panel adjustments on the national mortality statistics is assessed here by comparing the initial death certification and the finally registered underlying cause of death grouped into ICD-9 major categories with special reference to the subcategories of neoplasm, cardiovascular disease (HVD) and unnatural death. A statistically significant decline (p<0.0001) in deaths, both in the category of symptoms, signs and ill-defined conditions and in the pulmonary circulation disease subcategory of HVD with 37.6 and 35.1%, respectively, was observed. The decrease of 11.1% in the benign or NUD neoplasm subcategory and the increase of 8.6 and 7.0% in the categories of endocrine disease, and musculo-skeletal and connective tissue disease, respectively, are essential observations as to the quality of the cause of death register. The effect on the HVD major category was practically nil. At the HVD-subcategorial level, a decrease of 14.0% for diseases of the veins and lymphatics and other circulatory diseases and an increase of 3.5% for hypertensive diseases (HYP) were the two next most obvious alterations to the diseases of the pulmonary circulation, but were without statistical significance. For ischaemic heart disease and other subcategories, the effects were minor. The unnatural deaths as a whole increased in the final statistics with only 0.9%. In the study data, categorial changes ranged from the decrease of 75.2% for symptoms, signs and ill-defined conditions to the increase of 77.3% for endocrine diseases. In conclusion, the Finnish death certificate form, death certification practices and cause of death validation procedure seem to serve the coding of causes of death for mortality statistics appropriately. The results of the study form a relevant reference background to evaluation of epidemiological studies on mortality.

Abstracting and Indexing↗

Reconsideration of discharge data to measure competition in the hospital industry.

Economists have long used state-collected discharge data to construct Hirschman-Herfindahl (HH) indices measuring hospital competition. Since data are collected to determine the facility providing the service rather than ownership, the difference between the number of reporting facilities and the number of competitors has grown over time due to mergers and networking activities. Consequently, the validity of the discharge HH methodology, as currently employed, is in doubt. Comparing the annual census of New York state acute-care hospitals by the State and the American Hospital Association (AHA), we find that it is increasingly important to account for changes in ownership when constructing such indices.

Abstracting and Indexing↗