Analysis of morbidity and mortality statistics (male). Treatment Service Department of Veterans Affairs April 1, 1958 - March 31, 1959.
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This article discusses problems addressed in developing an efficient way of identifying levels of inappropriate professional practice in delivery of Medicare services, using statistical sampling within a legislative peer-review scheme. An efficient alternative to the current sampling methodology is proposed.
This article reports research testing an alternative methodology for patient origin studies that uses hospital deaths as a proxy measure for all discharges from a selected group of urban tertiary hospitals. Results indicated that mortality data from vital statistics records provide a reasonable approximation of patient travel patterns to acute care hospitals. Hospital service area indexes constructed from mortality statistics accurately predicted, on an aggregate regional basis, the results of a conventional patient origin study based on all hospital discharges. Hospital service areas, an important element of locational analysis in health planning, can be identified with the suggested methodology for states and areas lacking statewide uniform hospital discharge systems. A number of caveats are suggested for applying this methodology and interpreting its results.
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A statistical interaction model explaining 27 per cent of the variation in physicians' attitudes toward clinical pharmacy among 180 Alabama physicians is presented. Young primary care physicians who prescribe drugs with a low risk of adverse reactions are the most favorable toward pharmacists practicing clinical tasks. Older solo-practice physicians who lack exposure to clinical pharmacy are the least favorable. The implications for the wider acceptance of clinical pharmacy are discussed in terms of its resources of professional power. (Am J Public Health 1983; 73:96-101.)
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In most industrialized countries mortality data are the only medically relevant complete statistics for the description of health and disease in a population. Although mortality data reflect just the opposite of the state of health of a population, specific age and sex mortality rates are important indicators of the health status of a population and beyond that for the social system, e.g. for the effectiveness of the subsystem of health services. Validation studies show that the diagnoses on death certificates are much more reliable than generally thought. Scientists must have access to information from the original death certificates because otherwise the increasingly desirable studies on the threat of environmental noxae to the population cannot be carried out.
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