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At least 631 records · Page 35Linked to original sources
PubMed2005

Beginning patient flow modeling in Vancouver Coastal Health.

This paper reports on the development of patient flow modeling in Vancouver Coastal Health (VCH). The first section provides the context for the initiative. The organizational priority is then presented, with the project's purpose and goals. The initial models are briefly identified. The paper closes with examples of possible future directions for modeling in VCH.

Canada↗
PubMedDate not supplied

[A cooperative model of the German Ministry of Health funded rheumatic disease centers].

The German Ministry of Health has granted since 1992 the institution of 21 multipurpose arthritis centers in 21 regions of Germany to improve the integrated care for patients with chronic rheumatic diseases. To coordinate and combine their efforts the supported rheumatic centers have joint together into a model cooperation. The basic founding for all centers aim to advance the interdisciplinary care network inside the centers, to elaborate appropriate measures of audit, to test new modalities for better care and to advance post-graduate and continuing medical education. In addition, continuing funding supports individual projects (n = 5) and since 1994 in 5 of the centers the German Ministry of Research and Technology granted the institution of integrated rheumatological research projects. The development and effects of the multipurpose arthritis center programme is evaluated by the Scientific Institute of the German Medical Association. The successful structural development of the centers and the first results of the joint efforts of the model cooperation (recommendation for surveillance of treatment with long acting antirheumatic drugs, basic documentation, data set for documentation of rheumatological out-patients) shows the promising outcome of the programme.

Ambulatory Care↗
PubMedDate not supplied

[Measles control in developing countries].

The EPI has made significant progress in reducing global morbidity and mortality from measles. Many countries are considering the need for additional strategies in response to the changes in measles epidemiology which occur when vaccination coverage increases. Measles vaccination changes the relative age distribution of cases towards older groups, because measles transmission becomes less intense so that children reach older ages before being exposed to wild virus. The proportion of cases occurring below the target age group for vaccination may also increase, though the number of cases does not always increase. Outbreaks are likely to occur after some years of low incidence in countries which have moderate or high coverage, for several reasons. Firstly, susceptibles gradually accumulate over a number of years until a "post-honeymoon" outbreak occurs. Second, there may be pockets of low coverage which occur for example in urban slums, in nomadic and other inaccessible populations, or among groups with religious or philosophical objections to vaccination. Third, outbreaks can occur among vaccinated children who did not respond to the vaccine. Even in industrialized countries, where measles vaccine is administered in the second year of life and is over 90% effective in protecting against disease, small outbreaks have occurred among vaccine failures under conditions of close contact such as school settings. In developing countries, where measles vaccine is usually administered at age 9 months, approximately 15% of children are not protected, and vaccine failures can be expected to play an increasing role in outbreaks in the future. Furthermore, if vaccine efficacy is reduced because of poor vaccine storage or handling, large outbreaks may occur.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1994

Research and policy.

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Diffusion of Innovation↗
PubMed1994

An evaluation of Duke University's LIVE FOR LIFE health promotion program on changes in worker absenteeism.

The effect of an employer-sponsored health promotion program on worker absenteeism is examined over a 4-year period in a group of 4972 Duke University hourly employees. Program participants experienced an average of 4.6 fewer absentee hours in the third year of program availability than did nonparticipants, after controlling for baseline absenteeism, gender, race, education, and age. These results suggest that employer-sponsored health promotion initiatives can have a favorable influence on absenteeism.

Absenteeism↗
PubMedDate not supplied

Presidential address.

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Health Plan Implementation↗