SEARCH · Search PubMed

Results for “Universal”

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.

SourceResearch connectionFrom yearThrough year

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 559 records · Page 31Linked to original sources

PubMed1983

Weighing the views of a university hospital and medical school regarding an HMO.

After 14 years of study, the University of Michigan decided to terminate development of a health maintenance organization (HMO). The process was long and difficult because of the university's need to consider the HMO from the university's perspective of both an employer and a provider. As an employer, the university's early view was favorable and then declined when employee interest was found to be weak and the HMO's impact on the rapidly rising cost of the university's health insurance benefit was determined to be modest. As a provider, the university's view was mixed. In regard to its hospitals, the university's judgment was positive largely because it hoped that HMO incentives might help the hospitals remain viable in the health care delivery environment that was becoming increasingly competitive. From the Medical School's point of view, an HMO was felt not to be desirable because it could put in jeopardy the professional fee revenue used by the school to help underwrite its academic programs, which are the primary source of faculty pride and recognition.

Health Benefit Plans, Employee↗

PubMed2000

Scholarship in the medical faculty from the university perspective: retaining academic values.

Academic medicine and research universities have enjoyed a close relationship that has strengthened both, spawning an era of discovery and scholarship in medicine that has earned the U.S. academic medical enterprise a high level of public trust and a deserved leadership position in the world. However, changes in the financing of medical care and in the organization of health care delivery have dramatically affected the medical school-university partnership. The growing emphasis on delivery of clinical services and the concomitant decrease in time for tenured and clinician-educator faculty to teach and do scholarly work jeopardizes both the potential for continued discovery and the education of the next generation of medical scholars. The background of the medical school-university relationship and the factors leading to the development of clinician-educator faculty tracks are reviewed, and recent trends that impact faculty scholarship are discussed. Both tenure-track and clinician-educator medical faculty, as members of the broader university community, should expect from their university colleagues a continued demand for scholarship and educational activity that reflects the underlying philosophy of the parent university. As a corollary, the university, through its medical school, must provide these faculty the time and the financial support necessary to fulfill their academic mission. The size of the clinician-educator faculty should be determined by the academic needs of the medical school rather than by the service demands of its associated health care delivery system. To accomplish this, academic medical centers will have to develop cadres of associated or clinical faculty whose primary focus is on the practice of medicine.

Career Mobility↗

PubMed1991

Requirements of British universities for higher medical degrees.

OBJECTIVE: To examine the requirements and opportunities for obtaining a doctor of medicine or master of surgery degree from a university in the United Kingdom other than the graduate's own, particularly in the case of foreign graduates. DESIGN: Review of regulations governing the award of doctor of medicine and master of surgery degrees in British universities. SETTING: All 19 universities in the United Kingdom offering clinical courses. MAIN OUTCOME MEASURE: Availability of degrees to graduates of other universities. RESULTS: Opportunities for obtaining a degree differed widely among the medical schools, one university (Edinburgh) not admitting graduates of other universities in any circumstance. Of the remaining universities, none would consider a graduate who had not worked in the area where the medical school was located. CONCLUSION: The wide differences in opportunity among the medical schools may put some foreign graduates at a disadvantage compared with other graduates. This problem may become more severe as the number of graduates from the European Community who settle in Britain increases.

Education, Medical, Graduate↗

PubMed2006

Occupational health needs of universities: a review with an emphasis on the United Kingdom.

This study describes the needs of universities in relation to planning the provision of occupational health services, by detailing their occupational hazards and risks and other relevant factors. The paper presents the results of (1) an enquiry into publicly available data relevant to occupational health in the university sector in the United Kingdom, (2) a literature review on occupational health provision in universities, and (3) selected results from a survey of university occupational health services in the UK. Although the enquiry and survey, but not the literature review, were restricted to the UK, the authors consider that the results are relevant to other countries because of the broad similarities of the university sector between countries. These three approaches showed that the university sector is large, with a notably wide range of occupational hazards, and other significant factors which must be considered in planning occupational health provision for individual universities or for the sector as a whole.

Health Status↗

PubMed1989

The effect of competitive environments on university hospital-medical faculty/staff relationships.

The change in reimbursement and turbulence in the external environment are elements of uncertainty to all hospitals, including university hospitals. The organizational character of the university hospital presents it with substantial challenges as it strives to continue to meet its traditional role in society. Changes in policy may indeed be enacted with specific outcomes in mind--but they may result in totally unexpected longer-term effects on the institutions affected. This article--an attempt to develop a model and a set of propositions through which such changes can be analyzed as they affect the university hospital and its relationship to its medical faculty/staff--focuses primarily on the effects of such changes on the delivery of clinical services. While individuals viewing the same problem from different perspectives could reach other conclusions regarding academic activities and community services, the approach may be useful as an analytic tool for these areas of concern as well. For the sake of simplicity and because patient care is important both clinically and financially to the university hospital, it was chosen as the critical variable on which to focus the analysis. The analysis was predicated on the interaction of two perspectives from the general area of exchange theory. While each can contribute to an understanding of the dynamics of organizational change, their complementary nature allows one to analyze organizational environments from a more inclusive perspective. It is suggested that changes in policy that result in changes in organizational performance should utilize frameworks that integrate perspectives--focusing on commonalities, identifying differences and, in essence, triangulating on the management of critical relationships--to ensure successful implementation of the policy change. In this way, the analytic framework developed in this article should be useful as a close reflection of organizational reality. Prospective payment, price competition, alternative sources of care, and the oversupply of physicians threaten to change the balance of influence among the university hospital's influential actors. Depending on the decisions made, any of the four goals of the university hospital (patient care, education, research, and community service) may have to be modified or eliminated. The university hospital's historical role as the last resort for the severely ill, developer of new basic and clinical knowledge, and provider of indigent care may be in jeopardy. While the long-term effects of PPS and competition for patients cannot be predicted, speculation can be offered regarding the possibility of changes in the traditional physician-patient and faculty/staff-university hospital relationships as both institutional and external regulators and purchasers of care exert increased control over UH physicians. Such changes may lead to an under-supply of physician educators and physician scientists as a result of a change in policy

Conflict, Psychological↗

PubMed1976

Factors related to drug abuse among Iranian university students.

Questions related to the use of narcotics were administered to 607 students attending four Iranian universities: Pahlavi University, the University of Tehran, Isfahan University, and Aryamehr University. Twenty-four percent of the students reported that they have used drugs at some time, although only 11% of the students have used drugs more than three times in their lives. Hashish was the most frequently used drug, having been used by 54% of the students who have used narcotics. Ninty percent of the students prefer to ingest the drugs by smoking them. A majority of the students (59%) said that they use drugs for pleasure or to increase sociability. Use of drugs was found to be significantly related to sex, age, number of years of university attended, and father's education. Although proportionately more males than females use drugs, they do not appear to differ significantly from the females in the type of drugs used or the frequency of use. Drug use was not significantly related to the parents' socio-economic status or parents' use of drugs. Exposure to drug use in the university seems to be more closely related to drug use than does parental influence.

Adolescent↗

PubMed2001

Obstetrics and gynecology final examination scores at university and community hospitals. A comparison.

OBJECTIVE: To determine if there were differences in standard obstetrics and gynecology final examination scores for students whose clerkships were at either the university or one of five community hospitals. STUDY DESIGN: All students taking their obstetrics and gynecology clerkship from July 1995 to June 1998 were included in the analysis. The clerkship was eight weeks in length. All sites had four weeks of obstetrics and four of gynecology. Six sites were utilized--five community and one university. University of Illinois at Chicago (UIC) residents rotated to two of the community hospitals. Two of the remaining three hospitals had freestanding obstetrics and gynecology residency programs. Core lectures were provided for five of six sites at the university; one site gave its own series of similar topics. Comparisons were made with respect to obstetrics and gynecology final examination scores (National Board type). United States Medical Licensure Examination (USMLE) scores were evaluated to determine whether a control with respect to test performance was needed. Only the first attempt for either examination was evaluated. Student's t test and one-way analysis of variance were used as indicated. Significance was set at P < .05. RESULTS: Five hundred twenty-two students were included in the analysis. There was no difference with respect to obstetrics and gynecology examination scores between the combined community and university hospitals. There were no significant differences between sites for obstetrics/gynecologic scores when evaluated using USMLE step I scores as a control. The presence of UIC residents and higher final examination scores was significant (3.6 points, P < .024). The presence of obstetrics and gynecology residents and higher final examination scores was also significant (2.5 points, P < .035). CONCLUSION: The type of hospital (community vs. university) does not appear to affect obstetrics and gynecology final examination performance, but the presence of obstetrics and gynecology residents may positively affect student performance on final examinations, with a greater benefit noted in facilities with university-based residents.

Clinical Clerkship↗

PubMedDate not supplied

Defining and managing biohazardous waste in U.S. research-oriented universities: a survey of environmental health and safety professionals.

A survey was conducted of environmental health and safety professionals responsible for biohazardous waste management at 122 institutions. The overall response rate was 82.6 percent (100 out of 122). Results indicate that university policies for biohazardous waste are heavily influenced by state environmental regulations, the Occupational Safety and Health Administration Bloodborne Pathogens Standard, and the biosafety guidelines of the Centers for Disease Control and Prevention and the National Institutes of Health. With respect to definition of waste, 84 percent of the universities treat non-infectious human-cell-culture waste as biohazardous. Sharp items, including hypodermic needles, syringes with needles, and scalpel blades, are commonly treated (by 85 percent of universities) as biohazardous sharps regardless of contamination status. Importantly, while 90 percent of universities use autoclave sterilization for waste treatment, only 52 percent use a biological indicator to validate the process. On-site incineration is currently used by 42 percent of universities. Twenty-two of 42 incinerators are hospital/medical/infectious-waste incinerators, and 10 of these will continue to operate under the U.S. Environmental Protection Agency's revised incinerator regulations. Eighty-seven percent of the respondents indicated that some portion of their university's biohazardous waste is treated and disposed of through a licensed medical waste hauler (MWH). To ensure compliance with institutional policy, most universities segregate and package waste, train waste generators, and conduct inspections.

Centers for Disease Control and Prevention, U.S.↗

PubMedDate not supplied

[The future of biomedical research at universities].

The present article reviews the historic background of research in the Spanish University and particularly biomedical research in our country. We analyze the last set of data facilitated by the University Council and the Consejo Superior de Investigaciones Científicas. We also review the implications that the National Plan of Quality has had on university research, clearly stimulating and improving the system, and new transformations that the Organic Law of Universities brings implied, and more specifically the National System of Qualification for the access to university teaching staff, which has research work of the teachers as the essential key. Finally, we review the biomedical scientific production during the last years by topics and universities, reflecting the improvement seen during the last decade not only in quantity but also in quality, which is more important. In conclusion, the review reflects a notable change in biomedical research in our universities opening an encouraging track for the future of research.

Biomedical Research↗

PubMed2004

Exploring knowledge and attitudes about emergency contraceptive pills among university students in Jamaica. A qualitative approach.

Emergency contraceptive pills (ECPs) are an important option for university students who may be at high risk for unplanned pregnancies. In the Caribbean, little research has been carried out on university student's knowledge and opinions of this method. This study uses qualitative methodology to explore knowledge and opinions on ECPs among university students attending The University of the West Indies (UWI) Mona campus. We conducted eight focus groups (n = 71) with female and male university students at The University of the West Indies, Kingston, Jamaica, in March 2000. The group discussions lasted approximately two hours. We tape-recorded discussions and then transcribed and analyzed them by coding responses according to themes. General knowledge of ECPs was high, but students lacked specific information about the method such as its time frame and its mechanism of action. Most students supported the method, especially after learning correct information. However, several students were concerned about its side effects and the potential for abuse or irresponsible use by young adults. Although the university students in this study lacked detailed information about ECPs, their opinion toward the method was favourable. We suggest further research to investigate the prevalence of misinformation about the method among other groups of Jamaicans.

Adolescent↗

PubMed2004

Environmental engineering education at Ghent University, Flanders (Belgium).

Since the 1980s, environmental engineering education has been a rapidly growing discipline in many universities. This paper discusses the history, the current status and the near future of environmental engineering education at Ghent University. This university, with about 50% of the Flemish university environmental engineering students, can be considered as representative for the situation in Flanders, Belgium. In contrast to many other universities, environmental engineering education at Ghent University does not have its historical roots in civil engineering, but has been developed from the curricula organized by the former Faculty of Agricultural Sciences. As part of a reorganisation of the education and research activities at this faculty, a curriculum leading to the degree of "bio-engineer in environmental technology" was established in 1991. This curriculum covers a 5-year study and is constructed around 8 main components. Exchange of students with other European universities, e.g. within the Socrates framework, has become a prominent aspect of student life and education. This paper also briefly describes the employment opportunities of graduated bio-engineers in environmental technology. Finally, the current implementation of the bachelor's-master's structure, leading to a "master of science in environmental technology" degree is summarized.

Belgium↗

PubMed2004

[University-external sector linkage: a managerial strategy].

The University-External Sector vinculation is an increasing phenomenon in Latin America as in the rest of the world. The universities through its investigation processes actively participate in the creation and incorporation of science and technology to produce technological processes, to bring foreign technology into national reality, and also to create and transmit innovation for the productive sector. In those ways these institutions achieve bonds with the external sector which provide them with additional income and allows them to have certain relief for their tight teaching and investigation budgets. Several studies in university organizations have been made to identify the motivations and barriers for de adequate development of the interaction between the university and the external sector. The lack of vinculation between these institutions could be due in part to the lack of knowledge that the external sector has of the possibility to obtain services from the university, and also the lack of knowledge that the university has about the needs of potential users of their services. The goals achieved by public Venezuelan universities, in the last years, in their search of a vinculation with the external sector could grow and consolidate through an adequate strategic management plan that allows a mayor diffusion and promotion of the results of their investigations and services, to reach in a wider and more direct way, and to a greater number of potential clients.

Research↗

PubMedDate not supplied

[Teaching of medicine of the University of Bologna in the Reinaissance].

The foundation date of the University of Bologna was 1150, was the first European University and set the pattern. The combination of structured teaching and students association marked the origin of the studium generale. The presence of teaching legists encouraged teachers in others fields to come to Bologna. Ars dictaminis, grammar, logic, philosophy, mathematical arts and especially medicine were taught there by the middle of the thirteenth century. The university had to offer advanced instruction in law, medicine, and theology, had a minimum of six to eight professors teaching civil law, canon law, medicine, logic, natural philosophy and usually rhetoric. Many professors bearing local names were able scholars and commanding figures in medicine and surgery. Taddeo Alderotti (1210-95) began to teach medicine in Bologna about 1260. He soon raised medicine to a prestigious position in the university. The geographical distribution demonstrates the international character of the student body 73% were Italians and 26% non Italians. The decision of the commune of Bologna to wrest control of the university from the students by paying professors was probably the most important decision in the history of Italian universities. Examination of the distribution of professors offers a detailed picture of the faculty. In 1370 the university had 11 professors of civil law, seven professors of canon law, three professors of medical theory, two of medical practice (the specific of diagnosis and treatment), and one professor of surgery. After growing steadily the numbers of teachers stabilized at 85 to 110 until 1530.

Education, Medical↗

PubMed2006

The ethical and practical aspects of acceptance and universal patient acceptance.

"Acceptance" is an often presupposed, hidden core value and ethic focused on how dental and other health practitioners first accept people as possible patients. The three basic styles of patient acceptance are random, selective, and universal. Reduced public access to care results from the practice of random and selective acceptance. Only universal acceptance creates a potential pathway for improved access to care. The notion of Universal Patient Acceptance (UPA) is discussed here as one kind of applied ethical tool or clinical practice that allows for the ethic of acceptance to be more effectively pursued in daily practice. We suggest that health providers falsely surmise that they already understand and practice Universal Patient Acceptance. That myth and perspective are partly what keeps Acceptance hidden as an ethic and overlooked as a potential way to foster dialogue and indirectly promote better access to care. Without Universal Patient Acceptance, dental and health providers will continue to silently engage in practice patterns that adversely affect public access to care. The actual benefits of Universal Patient Acceptance are the subject of ongoing review and debate. Whatever those benefits might be will not likely be realized until Acceptance and Universal Patient Acceptance are included as part of dental and other health professional codes of ethics and training curricula. That is what we argue for here.

Codes of Ethics↗

PubMedDate not supplied

[Foundation and organization of the University of Bologna from the XII century to the Renaissance].

The University of Bologna was founded in 1150 and was the first European University to establish this educational trend. The combination of structured teaching and student associations marked the origin of the studium generale. The presence of teaching legists encouraged teachers in others fields to come to Bologna. Ars dictaminis, grammar, logic, philosophy, mathematics and especially medicine were taught there by the middle of the thirteenth century. The university offered advanced instruction in law, medicine, and theology and had a minimum of six to eight professors teaching civil law, canonical law, medicine, logic, natural philosophy and usually rhetoric. Many professors bearing local names were learned scholars and commanding figures in medicine and surgery. Taddeo Alderotti (1210-1295) began to teach medicine in Bologna in about 1260. He soon raised medicine to a prestigious position in the university. The geographical distribution demonstrates the international distribution of the student body: 73% were Italians and 26% non-Italians. The decision of the legislature of Bologna to take control of the university from the students by paying professors was probably the most important decision in the history of Italian universities. Examination of the distribution of professors offers a detailed picture of the faculty. In 1370 the university had 11 professors of civil law, 7 professors of canonical law, 3 professors of medical theory, 2 professors of medical practice (specifically of diagnosis and treatment), and 1 professor of surgery. After growing steadily, the numbers of teachers stabilized at 85 to 110 until the year 1530.

Curriculum↗

PubMedDate not supplied

[The university: protagonist or antagonist of the health revolutions?].

In this work, different aspects of the ambivalence presented by the university will be analyzed. On the one hand, there exists the difficult job of breaking away from the administrative structures within, plus, the fact that the university itself must stimulate educational advancement; on the other hand, the University has an obligation to society to adequately handle the resources assigned to it, and, at the same time, maintain its academic and administrative autonomy. The challenges which confront the university are: to ensure the continuation of superior education and to establish a more reliable relationship with the community with respect to health, above all. The current goal is to better qualify professionals and, at the same time, have them feel an obligation to society to establish a spirit of public service; in this sense, the university should be considered neither protagonist nor antagonist, since it does not function in an isolated way. The various health institutions together with the university should define their objectives as a whole in order to establish an efficient system. Finally, with regard to the subject of health, the university as well as the state and the community must unite in order to accomplish the changes which have stimulated the World Health Organization.

Education, Medical↗

PubMed1978

Physicians' assistants on a university cardiothoracic surgical service. A five-year update.

In 1973 two physicans' assistants (P.A.'s) were employed on a cardiothoracic surgical service at Emory University Hospital. In 1974 our initial experience with these paramedical personnel was presented to this Association. Since that time eight additional P.A.'s have been added to our service. They are now employed in four hospitals of the Emory University Woodruff Medical Center. New guidelines and regulations have been imposed at both the state and federal levels regarding P.A.'s, and their role in our center has become rather well defined. With over 1,700 cardiac cases and 600 thoracic cases per year to cover on our service, the P.A. has assumed a position of increasing importance both in operating room assistance and in preoperative and postoperative care. Since the university has maintained a constant number of residents and fellows during this interval, P.A.'s have filled needs of expanded clinical service in the various hospitals. In the pediatric and community hospitals associated with a university, the P.A. now functions as a junior house officer. In our university center, with a large resident staff, their role has become narrowed with definite guidelines. A Credentials Committee now governs the hiring of all P.A.'s by the University. When properly utilized and supervised, the P.A. can be a vital member of the cardiothoracic team. This report details our experience with P.A.'s for the past 5 years--culminating in a staff of ten P.A.'s working on our service in four types of hospitals within our university medical center.

Georgia↗

PubMed1984

A comparison of Western European and US University hospitals. A case report from Leuven, West Berlin, Leiden, London, and San Francisco.

To assess how closely US university hospitals resemble those in other Western countries, I compared four major European university hospitals--Leuven, Belgium; Klinikum Steglitz , West Berlin; Leiden, the Netherlands; and St Thomas', London--with a US institution--University of California, San Francisco ( UCSF ). University of California had 1.6 to 2.4 more total employees, 1.1 to 1.7 more registered nurses, 2.1 to 8.5 more staff physicians, and 1.5 to 3.0 more house officers per adjusted occupied bed. University of California's costs per bed were 2.2 to 3.5 times higher, its inclusive per diem charges at least four times higher, and its malpractice premium at least 50 times greater. Medical patients at UCSF and West Berlin were more severely ill, as judged by organ system failure, need for organ system support, and levels of consciousness. Compared with UCSF , the European hospitals had more explicit rationing of care according to age and illness severity. Overall, European university hospitals are larger, less expensive, less technology intensive, staffed by fewer employees and physicians, occupied by less severely ill patients, and more apt to serve as regional referral centers. As US university hospitals move into a price-competitive era, they may come to resemble their European counterparts.

Belgium↗