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Results for “Decentralization”

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At least 487 records · Page 27Linked to original sources
PubMed1997

[Central to decentralized admission to the psychiatric hospital. Effects of changed admission circumstances on structure and process quality].

The study provides empirical data to compare different systems used for hospital admission procedures in a psychiatric clinic. The Psychiatric University Clinic Basel replaced its traditional central admission ward by direct admission to a number of different treatment settings. This change had consequences for both structural and procedural quality. More admissions occurred after prior notice had been given, and these admissions occurred more often at a time of day when more clinic staff were available. The rate of voluntary admissions increased, and the continuity of care, as measured by the number of transfers within the clinic during the first 5 days post-admission, was improved. These findings, which support an interpretation that the treatment conditions were improved, must be balanced against the drawback of delayed decision-making processes with, for example, longer waiting times for the patient. However, the continuity of therapeutic relationships can be increased through further changes in the procedural quality.

Adult↗
PubMed1987

Maternal serum alpha-fetoprotein screening. II. Pitfalls in low-volume decentralized laboratory performance.

Assays of maternal serum alpha-fetoprotein are subject to the phenomenon of assay drift, which may be defined as incorrect increase or decrease of alpha-fetoprotein values from their true values. Low maternal serum alpha-fetoprotein weekly volume (for example, fewer than 500 specimens per week) will result in a greater than 47% probability that 10% assay drift will not be recognized. Further, laboratory reports to clinicians may lead to either misdirecting 43% more pregnant women (with positive drift) into further (possibly invasive) diagnostic procedures or the offer of further diagnostic services to 32% fewer gravidas at increased risk (with negative drift) than should be so managed. We address the problem outlined above and present the reasons for establishment of regional maternal serum alpha-fetoprotein screening programs operating at sufficient volume to permit the identification and control of assay drift.

Clinical Laboratory Techniques↗
PubMed1994

Capabilities of compact analyzers for decentralized testing of lipids and lipoproteins.

Advances in compact analyzer technology have provided the capability to move laboratory testing to the patient, the bedside, the physician office, wellness sites and even into the home. The future has arrived in the sense that lipid testing can be performed in a simple manner similar to blood pressure testing with results immediately available to facilitate treatment decisions. The realities of access and utilization as well as the rate of future technology developments will be determined to a large degree by government regulatory and reimbursement decisions.

Blood Chemical Analysis↗