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At least 289 records · Page 16Linked to original sources
PubMed1975

Evaluation of a multidisciplinary care program for stroke patients in a day care center.

With funds received by the Rehabilitation Center at Martin Place Hospital East from the Michigan Association of Regional Medical Programs, a Rehabilitation Day Care Center was established. Initially it was called the Stroke Day Care Center (SDCC). Its purpose was to provide comprehensive care to patients with disabilities due to stroke and related diseases according to the "day at the hospital, night at home" concept. A complex of medical and allied services was furnished, based upon the patient's attendance at the SDCC from one to five days a week. The goal was to promote for the patient an earlier return of functional vocational, social and home activities by effectively providing him and his family with multidisciplinary care. In this SDCC program the main emphasis was on testing the feasibility of lowering the cost of stroke-patient care by: a) shortening the hospital stay; b) reducing the need for in-patient care in facilities for non-acute illness; c) shortening the stay in extended care facilities; d) returning younger stroke victims earlier to the labor force; e) identifying the number of stroke patients who could live at home if provided with a modified day care program; and f) assessing the need for purely recreational and social activities in future programs. The evaluation was based on a comprehensive study of 108 patients during the period February 1972 to June 1973. This project is offered as a model for the development and expansion of rehabilitation-recreation day care centers for the handicapped of all ages.

Activities of Daily Living↗
PubMed1976

TALON--the first five years.

The South Central Regional Medical Library Program, Region IX in the national network of medical libraries, was one of the last to be organized and funded. The particular makeup of this organization has permitted a good deal of flexibility in the identification and implementation of various types of network services and activities. The following is a brief account of some of these network functions during the first five years relating the successes and failures in network strategies and describing the further evolution of programs and refinement of a regional plan which will advance network services.

Audiovisual Aids↗
PubMed1970

NERMLS and the community hospital: service, education, and advice.

Figures relating to the document delivery service of NERMLS are given. NERMLS has collaborated with the Postgraduate. Medical Institute in Boston to improve standards in community hospital libraries by creating a core library of books and journals and training library supervisors to work in these libraries. Institutes have taken place in the Countway Library, and guidelines for library development in community hospitals have been drawn up. Activities of Regional Medical Programs in New England are discussed, and further plans of NERMLS described.

Boston↗
PubMed1976

Federal health planning, part 1: legislative background.

U.S. federal health planning legislation is discussed. The Hill-Burton, Comprehensive Health Planning and Regional Medical programs--early legislative initiatives in health planning--are described, and their effectiveness is discussed.

Financing, Government↗
PubMed1977

Observations on a rural health manpower project.

The Rural Externship Program was developed by the Lakes Area Regional Medical Program in conjunction with the State University of New York at Buffalo and the health professionals of western New York and northwestern Pennsylvania. It was designed to encourage health science students to practice in a rural area following graduation. This interdisciplinary program provides health science students with an eight-week summer living-working experience in a rural environment, supervised by practitioner-preceptors. The intent is to develop their appreciation of rural health care and life-styles. Since the summer of 1970, 240 students have participated. This paper describes and discusses the project and presents measures of the externs' changes in attitudes toward rural practice which occurred after they participated in the program. A survey of externs who have graduated shows the effect of the program on their decision to locate. Of the 61 externs contacted, 55 percent indicated that they were in rural practice, and 53 percent of the latter indicated that their experience in the Rural Externship Program was an important factor in their decision to practice in a rural area.

Attitude of Health Personnel↗
PubMed1972

An experimental cancer information service using AIM-TWX.

The Pacific Northwest Regional Health Sciences Library and the Washington/Alaska Regional Medical Program jointly conducted a service to provide photocopies of articles on cancer topics within twenty-four hours after receiving telephone requests for information from Central Washington physicians. AIM-TWX was utilized as the initial source of references whenever possible, and its benefit as such was evaluated. In the three-month experimental period, twenty-seven requesters made fifty-six requests and received photocopies of 185 articles; the estimated total cost was $1,000, less than $18 per request.A sample of requests showed AIM-TWX to have reduced the total work time per search; moreover, when it was used, AIM-TWX retrieved more than 70% of the articles selected to be sent. Physician response indicated that the service was both needed and appreciated. Further investigation by a similar information service is suggested.

Abstracting and Indexing↗
PubMed1973

The view behind and ahead: implications of certification.

The Medical Library Association's certification plan, never of real significance in employment and promotion practices in health sciences librarianship, does not reflect the many changes which have occurred in swift progression since adoption of the code in 1949. Solutions to the problems which have accumulated since then are sought in a brief examination of trends in credentialing and certification in the health professions and in the library field, both general and special. Emphasis is given to the historical development of provisions in the MLA Code for the Training and Certification of Medical Librarians, the limited opportunity for practical implementation of most of the provisions, the importance of the code in stimulating the Association's educational programs, the impact of the Medical Library Assistance Act, Regional Medical Programs, and increases in demand for health information on manpower requirements for health science libraries, the specific dissatisfactions MLA members have expressed over certification, and the role of the Ad Hoc Committee to Develop a New Certification Code.

Accreditation↗
PubMed1968

The Regional Medical Library Grant Program of the National Library of Medicine.

Recognizing the utility of a regional medical library system in improving the availability of existing and future medical library resources in the country, the Congress included provisions for the support of such a system in the Medical Library Assistance Act. Grants will be made to major medical libraries which have the potential to provide supportive services to other libraries within a geographic area encompassing a major fraction of the nation's health professional manpower. Approximately ten of these regional libraries will receive these grants. Support for the system and consequently the extension of the services of the system will of necessity by implemented in a stepwise fashion. The central function of a regional medical library is to provide back-stopping interlibrary loan service and also to provide access to MEDLARS services for the region. Additional services for the region will include traditional reference service, training, surveillance of regional needs, announcement services, support for programs of continuing education for the health professions, and certain central technical processing for the region.

Financing, Government↗
PubMed1976

Rentran. An on-line computer-based regional kidney transplant matching system.

An interactive on-line computerized renal transplant matching system called RENTRAN which serves the Southwest Kidney Transplant Region is described. The region consists of one transplant center in Arkansas, two in Oklahoma, and six in Texas. The computer used is the DECsystem-10 located in the Medical Computing Resources Center at Dallas. RENTRAN participants have remotely located standard interactive computer terminals and gain access to the computer by dialing over normal telephone lines. Functions provided by RENTRAN include obtaining instructions, performing a donor-recipient match, obtaining a list of potential recipients, making a user comment or adding, updating or deleting a potential recipient record. Either long or short formats for dialog with the computer system are available for inexperienced and experienced and users, respectively. In the time period from August 1,1973, when the system went into production on February 1, 1976, there have been in excess of 232 matches attempted and approximately 142 kidneys have been transplanted according to RENTRAN results. There are about 361 recipients currently on the data base. The system was developed with funds provided by the Texas Regional Medical Program. Expenses of maintaining the system as well as occasional programmed improvements as deemed appropriate by the Southwest Kidney Transplant Region Registry Committee on the basis of user comments are provided through a $25 per year charge to patients for being listed on the data base.

ABO Blood-Group System↗
PubMed1992

[The epidemiological characteristics of the health of the population in Ukraine].

The following results are summarized: 1. Integral approach to assessment of population health based on the concept of standard intensive values according to regional signs allows to realize differentially the cause and effect relations between disease and factors forming this disease. 2. Establishing leading aggressive factors that form disease in the regional aspect may become the essence of complex and regional medical programs and scientific approach during their formation. 3. Financing health programs should not include only per capita principles but should consider regional peculiarities of health. 4. Epidemiological aspects of population health is an important problem which requires further detailed investigation.

Adult↗
PubMed1978

Health planning--an overview.

The movement toward systematic, national health planning in the United States began approximately a century ago (particularly in regard to the control of epidemics, and sanitation problems in general). However the decades following World War II have seen a proliferation of legislation in this area--including the Hill-Burton Legislation, Regional Medical Programs, and Comprehensive Health Planning. The National Health Planning and Resources Development Act of 1974 represents the federal government's most ambitious effort, to date, to implement regional planning--within the context of a national health planning policy, and may one day prove to have been the harbinger of a national health service in the United States. Health planning efforts have been particularly hampered due to difficulties in obtaining valid and reliable data upon which to base decisions. While some movement has been made in this area, with commonly-accepted techniques being developed, there is much room for further development and refinement of health planning methodology. Health planning, therefore, remains a rather imperfect "art", raising as many questions as it attempts to answer, at this point in time.

Financing, Government↗
PubMedDate not supplied

Home care for life-supported persons: the French system of quality control, technology assessment, and cost containment.

Home care for persons who require the prolonged use of life-supportive medical technology is a reality in several nations. France has had more than a quarter of a century of experience with providing home care for patients with chronic respiratory insufficiency and with a system to evaluate the patients' outcomes. The French approach features decentralized regional organizations which offer grassroots involvement by the beneficiaries who participate directly in the system. Since June 1981, a national organization has provided patients, professionals, and others concerned with direct access to national funding authorities and governmental officials and has created a data base for evaluation of the experience. This system permits direct input by current users of the services and creates informed opinion among members of the general public, governmental officials, and others involved (health care professionals and service providers). This is essential for the development of responsive public policy and for the determination of the relevancy of programs. In the United States, increasing demands are being made upon expensive hospital services by patients with diseases such as AIDS and other catastrophic, long-term care conditions. Cost-saving, community-oriented home care models serving complex medical-societal needs abroad are worthy of study to discern possible applications to health and social problems in our nation.

Financing, Government↗
PubMed2003

Charles W. Dohner, PhD: an evaluator and mentor in medical education.

As one of the first generation medical education pioneers, Charles W. Dohner, PhD established the ninth office of medical education at the University of Washington (UW) where he served as chairman from 1967-1996. With a background in education and measurement, he focused his work on evaluation of educational programs and faculty development. The Department of Medical Education went through three distinct stages of development: pathfinding 1967-1972 focused on developing working relationships with the faculty and clarifying identity, integration into academic affairs 1972-1980, and direct leadership by department faculty 1980-1996. Dohner helped to create and evaluate the WAMI program, a regional medical education program for the states of Washington, Alaska, Montana, and Idaho. He served as a consultant to a specialty board, the founding president of the Society of Directors of Research in Medical Education, and a frequent consultant in international medical education. Dohner identified three important innovations in medical education: educators in academic medicine, simulations and performance assessment, and community-based medical education. Success factors for professional education include technical competence in education, interpersonal communication and collaboration skills, a plan for personal growth, and use of mentors. Future trends in medical education will involve information technology, professionalism, wellness and complementary medicine, and performance assessment. He has been a passionate spokesman for excellence in medical education and most noted for his roles as an evaluator, program developer, and mentor of academic leaders.

Education, Medical↗
PubMed1976

Difficult issues in health planning, development, and review.

To give an overview of the kinds of issues expected to be encountered by the new Health Systems Agencies being established in conformity with Public Law 93-641, the authors draw from the experiences of the Comprehensive Health Planning agency and Regional Medical Program of an Upstate New York area. Problems faced together in the years 1972 to 1975 in health planning, development, review, and public policy are described. The unusual geographic and working relationship of these agencies makes them, together, a useful prototype of the HSA to examine.

Female↗