Cooperation between a department of adult hepatic surgery and a department of pediatric transplantation for living related donor liver transplantation.
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Adolescent↗
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Results for “Interinstitutional Relations”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
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Position paper: dentistry and the dental industry summit on managed care.
A taskforce of dental professionals and industry leaders looked at the impact of dental benefit programs on America's oral health. When properly done, such benefits programs are positive; but precautions must be taken to ensure that underfunded programs and those which restrict choice are not allowed to erode dental health. Six possible courses of action are developed, centered around education, communication, and collaboration.
Communication↗
The role of private medical practitioners and their interactions with public health services in Asian countries.
This paper aims to review the role of private practitioners and their interactions with public health services in developing countries, focusing largely on the Asian region. Evidence on the distribution of health facilities, manpower, health expenditures and utilization rates shows that private practitioners are significant health care providers in many Asian countries. Limited information has been published on interactions between public and private providers despite their co-existence. Issues related to enforcement of regulations, human resources, patient referrals and disease notifications, are examined.
Asia↗
Responsive medical professionalism: integrating education, practice, and community in a market-driven era.
Revolutionary changes in the nature and form of medical practice institutions are likely to reverberate backward into medical education as leaders of the new practice organizations demand that the educational mission be responsive to their needs, and as these demands are increasingly backed by market power. In the face of this pressure, medical education's traditional response--that it should have autonomy in defining its mission--is no longer viable. Instead, more explicit, formal, and systemic linkages between practice and educational institutions are inevitable. The crucial question is whether these linkages will reflect the values of the market, oriented by economic self-interest, or the values of medical professionalism, oriented by the obligation to sacrifice economic self-interest in the service of patients. The authors maintain that the realization of the normative ideal of professionalism in medical education within the emerging market environment requires that a vision be articulated that is distinct from that of either autonomy or the market, and that combined lay-professional institutions be established to integrate--and perhaps merge--education and practice, and to foster responsiveness to lay values and community needs. The authors conclude by briefly describing examples of current efforts in this direction.
Academic Medical Centers↗
Center for Integrated Health Care: primary and mental health care for people with severe and persistent mental illnesses.
The Center for Integrated Health Care capitalizes on the abilities, drive, and autonomy of advanced practice nurses, resulting in an exciting, timely academic nursing center exemplar. People with severe and persistent mental illnesses receive care that is targeted specifically to a population with chronic mental illnesses and tailored to the unique individual by integrating primary and mental health care. This Center is a partnership between Thresholds, a psychosocial rehabilitation center, staff and University of Illinois at Chicago, College of Nursing faculty. The Center's goals are to provide quality care, support teaching and learning for nursing and other health professional learners, and generate new knowledge related to the integration of mental and physical health care. To achieve long-term sustainability, the Center must partner with a federally qualified health center.
Chicago↗
Sustainable partnerships for integrated care: the role of decision making and its environment.
This paper is intended to further the understanding of the role of the characteristics of decision making and its environment in the development of sustainable partnerships in health care, and to illustrate how this subject can be studied from a combined theoretical and methodological perspective. With the aid of a conceptual model covering sensitizing concepts from contingency theory (that refer to environmental characteristics--particularly institutions--the process course of decision making and its outcomes) and the case study methodology (explanation-building, triangulation, document study and interviews), two Dutch cases were analysed. The findings indicate which environmental characteristics are responsible for the differences in the process course and outcomes between the cases.
Community-Institutional Relations↗
Why hospitals offer health promotion: perspectives for collaborating with health promotion practitioners.
Most hospitals have expanded their services in recent years to become involved with health promotion programs and activities. A hospital might offer health promotion services to promote health and to raise the health status of its community. However, it might provide health promotion for other reasons, such as to improve the hospital's cost-effectiveness, competitive strategy, organizational legitimacy, or tax exemption. Health promotion practitioners who collaborate with a hospital for health promotion should understand the hospital's reasons for providing health promotion. Furthermore, they should understand that different reasons may lead to different priority populations, resource commitments, organizational structures, work processes, and health outcomes.
Community Health Planning↗
A call for help. Collaboration with community officials is key.
The U.S. government's war on terrorism is a battle with an unseen enemy that uses tactics that are just as elusive. Although such conventional terrorists' assault methods as bombs and other explosives are a major concern, the threat of a biological, chemical or nuclear attack is particularly troubling to the government and those who would have to deal with the aftermath of such an attack.
Bioterrorism↗
The organization of health services research in the Veterans Administration.
The VA is developing health services research expertise within its health care system. This development and management effort is focused in the Health Services Research and Development Service in the VA Central Office in Washington. The VA development of health services research includes four major programs. Two programs, the Health Services Intramural and Contract Research Programs, provide funding for individual research projects. These programs are analogous in purpose, structure, and administration to the long-established VA biomedical research programs. The third program is the VA-University Health Service Research Affiliation Program. This program consists of about a dozen VA hospital-university affiliations for health services research and is coordinated with the Health Research. Te fourth program is a doctoral and postdoctoral health services training program. By means of these four programs and related efforts, the VA intends to provide knowledge useful for improving teh delivery of health services in the VA health care system.
Goals↗
Improving access to knowledge-based health sciences information: early results from a statewide collaborative effort.
Access to biomedical literature has been shown to reduce the patient's length of stay and thus reduce the cost of the hospital visit. Unfortunately, access to the most current information, at the time and place of need, requires a substantial commitment of resources in the form of staff expertise, computer hardware and software, and user training. The cost of these resources may be prohibitively high for all but the largest institutions. The Arizona Health Information Network (AZHIN) brings together librarians, information systems specialists, and health care professionals from hospitals throughout the state in an effort to share resources and expertise. By reducing the cost of access, AZHIN has increased the availability of health-related information across the state. Progress in AZHIN's first two years is described.
Arizona↗
Community agency survey formative research results from the TAAG study.
School and community agency collaboration can potentially increase physical activity opportunities for youth. Few studies have examined the role of community agencies in promoting physical activity, much less in collaboration with schools. This article describes formative research data collection from community agencies to inform the development of the Trial of Activity for Adolescent Girls (TAAG) intervention to provide out-of-school physical activity programs for girls. The community agency survey is designed to assess agency capacity to provide physical activity programs for girls, including resources, programs, and partnerships. Most agency respondents (n = 138) report operations during after-school hours, adequate facilities, and program options for girls, although most are sport oriented. Agency resources and programming vary considerably across the six TAAG field sites. Many agencies report partnerships, some involving schools, although not necessarily related to physical activity. Implications for the TAAG intervention are presented.
Adolescent↗
Public health law reform.
Public health law reform is necessary because existing statutes are outdated, contain multiple layers of regulation, and are inconsistent. A model law would define the mission and functions of public health agen cies, provide a full range of flexible powers, specify clear criteria and procedures for activities, and provide protections for privacy and against discrimination. The law reform process provides an opportunity for public health agencies to draw attention to their resource needs and achievements and to form ties with constituency groups and enduring relations with the legislative branch of government. Ultimately, the law should become a catalyst, rather than an impediment, to reinvigorating the public health system.
Confidentiality↗
[Researches of clinical anatomy performed by experienced surgeons and physicians coming from outside of the university].
These 5 years, twenty experienced surgeons and physicians have come from outside of the university and performed researches of clinical anatomy in my laboratory. This report shows the specific research preparation, actual research life and related problems. I hope it will provide a new, fruiteful collaboration between the present author and other members of JAA.
Anatomy↗
Center for Life provides accessible maternity care.
Providing good, comprehensive, accessible maternity care to the underserved can help solve a hospital's declining OB census and can support a pro-life philosophy.
Adolescent↗
The ASVIN Project: a study of electronic and printed veterinary science journals in the UK and Ireland.
ASVIN was a Research Support for Libraries Programme (RSLP) Funded Project, whose principal aim was to develop better co-operation between nine libraries in the veterinary and animal health field. The project examined a number of library-related areas, such as journal archiving, collection development policies, development of a common Z39.50 catalogue interface, grey literature, and printed and electronic journals. This paper examines the latter, whilst also providing a detailed analysis of printed journals held in partner libraries. Comparisons of the nine partner library collections are undertaken with a range of secondary sources, and an ASVIN core list of veterinary journals was developed. It looks at some of the issues relating to e-journals, expressing the benefits and concerns that many librarians are experiencing, such as licensing arrangements, archiving and general management issues.
Animals↗
Federal Republic of Germany: perspectives in school health.
In the Federal Republic of Germany, responsibilities for health and education are held by the 11 German states. Particularly in the health system, a number of tasks are delegated to private organizations under governmental control. In this review, general characteristics of both the public health and education systems are delineated. An overview of school health programs, including instruction, health services, environment, and school-community relations, and school-based research, also are presented.
Community Participation↗
Dental aid organisations: baseline data about their reality today.
AIM: To collect basic data about non-governmental dental aid organisations on a global scale and thus contribute to a better understanding of their diversity, activities and limitations. METHODS: Data was collected through a mailed questionnaire to all organisations listed by the FDI World Dental Federation. A second questionnaire was e-mailed to those organisations identified as non-governmental organisations (NGO) by the first questionnaire. FINDINGS: The response rate to the first questionnaire to detect NGOs was 36.2%, to the second e-mailed form 84.4%. About two thirds of NGOs originated in developed countries, one third responded from developing countries. The majority had been established after 1980. Developed countries dental NGOs tended to have larger membership and disposed of greater budgets. In general, income was generated predominantly from donations and own resources. The workforce was primarily based on volunteers. High priority activities: service provision, education and training, technical assistance, community development. Measures for quality assurance showed low complexity. Frequent areas of problems were associated with funding and staff. Collaborative links with other stakeholders in development were weak and focussed on information exchange. CONCLUSIONS: Recommendations for NGOs, donors, FDI and future research are developed.
Budgets↗
Collecting data along the continuum of prevention and care: a Continuous Quality Improvement approach.
For the past 14 years, a team of applied social scientists and system analysts has worked with a wide variety of Community- Based Organizations (CBO's), other grassroots agencies and networks, and Medical Center departments to support resource, program, staff and data development and evaluation for hospital- and community-based programs and agencies serving HIV at-risk and affected populations. A by-product of this work has been the development, elaboration and refinement of an approach to Continuous Quality Improvement (CQI) which is appropriate for diverse community-based providers and agencies. A key component of our CQI system involves the installation of a sophisticated relational database management and reporting system (DBMS) which is used to collect, analyze, and report data in an iterative process to provide feedback among the evaluators, agency administration and staff. The database system is designed for two purposes: (1) to support the agency's administrative internal and external reporting requirements; (2) to support the development of practice driven health services and early intervention research. The body of work has fostered a unique opportunity for the development of exploratory service-driven research which serves both administrative and research needs.
Acquired Immunodeficiency Syndrome↗