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At least 649 records · Page 36Linked to original sources
PubMed1990

HCFA chief won't budge on Medicare budget cuts.

Gail Wilensky, Ph.D., head of the Health Care Financing Administration, has time on her side. Four months into the job, Wilensky has received high marks from various segments of the health care field for her broad outlook and no-nonsense approach to numerous issues. Still, final judgment is being reserved until Wilensky is forced to address some tough issues. And in today's environment, there are plenty of tough issues ahead--the 1991 budget, for instance.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed1990

CEOs: keep capital fold-in out of budget politics.

Hospital CEOs don't want to see Medicare capital reimbursement fall victim to budget politics. Yet, that's likely to happen if the Health Care Financing Administration folds capital reimbursement into the prospective pricing system (PPS), CEOs say. Moreover, the majority of CEOs say that no fair method of including capital payments in PPS rates can be developed.

Attitude of Health Personnel↗
PubMedDate not supplied

[Effect of acute preoperative hemodilution on circulation, oxygen budget and blood coagulation].

The effect of acute preoperative hemodilution on circulation, oxygen budget and blood coagulation has been studied in 54 patients with lung pathology and major vessel disease. With exfusion up to 20% circulating blood volume (CBV), circulatory changes were manifested in decreased vascular tone. With exfusion up to 25% CBV, an increase in cardiac output and a decrease in mean blood pressure were observed. O2 transport, consumption and utilization remained unchanged, with normalization of a so far enhanced blood coagulation.

Adult↗
PubMed1989

[Admissions and bed occupancy at the hospital before and after the beginning of budgeting; a dance of billions].

Hospital budgeting was enacted in 1983 and led to a spectacular decrease of hospital admissions. Admissions of elderly patients were an exception, however; progress in medicine results in ever-increasing possibilities of adequate treatment for this group. The shortening of the average hospital stay, evident since a number of years, continued unchanged after 1982. Taking into account the greying of the patients, the number of hospital days per 100 of the population has decreased by 20% between 1982 and 1987. This descending curve grows increasingly steep. The evolution outlined has probably resulted in a 10-figure reduction.

Adolescent↗
PubMed1989

[Operations before and after the beginning of budgeting; ever better results from medical practice].

The number of operations performed clinically has decreased fairly steeply, mostly since 1982, the start of hospital budgeting. This decrease concerns all age groups except that of 65 and older. It appears that especially the minor operations are performed in the outpatient clinic more often than formerly. In spite of the fact that this renders the clinical operation schedule gradually heavier, the mortality of patients undergoing clinical operations, already low, continues to decrease rather rather markedly. These findings strongly suggest that the progress of modern medicine also particularly benefits the aged.

Adolescent↗
PubMed1984

Your accounts. Saving, investment, and mortgages after the budget.

The budget has caused a number of problems for the personal taxpayer, the investor, and the prospective mortgagee. Some accepted principles affecting decisions in any of these three areas may now have to be redefined. To reap the maximum from one's savings, doctors are now likely to dispense with their natural financial caution and invest in a more speculative manner than before. They should now be coerced into relying more heavily on stock brokers, accountants, and other financial experts. Under the present climate, those who remain conservative will undoubtedly miss out on an enormous amount of potential and, in the long run, suffer the consequences.

Financial Management↗
PubMed1980

Hospital budget and rate regulation: why Colorado failed.

A state legislature created an agency to develop a system for regulating hospital budgets and rates, then terminated it two years later. The agency's chairman analyzes the Colorado experience and what can be learned from it.

Colorado↗
PubMedDate not supplied

[The effect of hyperbaric oxygenation on the microcirculation, oxygen budget and acid-base equilibrium in patients with diabetic angiopathy of the lower extremities].

These effects were studied in 52 patients with degrees III-IV diabetic angiopathies of the lower limbs. Microcirculation parameters were found changed in this patient population, this leading to disorders of the oxygen budget and development of metabolic acidosis. Development of destructive changes in the limb evidences failure of the compensatory adaptive mechanisms of microcirculation. Addition of hyperbaric oxygenation to multiple-modality treatment of patients with diabetic angiopathies was conducive to improvement of the blood rheology, of tissue saturation with oxygen, and to essential reduction of metabolic acidosis. The detected microcirculation disorders necessitate addition to the therapeutic complex of the drugs improving the biophysical characteristics of the blood.

Acid-Base Equilibrium↗
PubMed1993

Sex acts, sex partners, and sex budgets: implications for risk factor analysis and estimation of HIV transmission probabilities.

Many epidemiological studies have identified the number of sex partners as a risk factor for the acquisition of HIV, but few studies have identified the number of sex acts as a risk factor. The seeming lack of importance of the number of sex acts as a risk factor has yet to be explained. In this report we conduct an exploratory data analysis to evaluate the relationship between the number of sex acts and the number of sex partners for heterosexuals. Our results indicate that it may be most appropriate to view sexual activity within a sex budget and resource allocation framework. We use the results (a) to suggest an explanation for why the results from some of the risk factor analysis studies have identified a per partnership but not a per act risk, and (b) to assess the implications of the relationship for the estimation of heterosexual transmission probabilities for HIV.

Adult↗