Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Service Statistics”

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.

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

At least 883 records · Page 49Linked to original sources
PubMed2006

Endometrial ablation in England--coming of age? An examination of hospital episode statistics 1989/1990 to 2004/2005.

OBJECTIVE: To observe numbers and trends in endometrial ablation performed for heavy menstrual bleeding (HMB) in England. DESIGN: Examination of National Health Service (NHS) Hospital Episode Statistics. Number of hysterectomies and endometrial ablation procedures performed each year from 1989/1990 to 2004/2005. RESULTS: Hysteroscopic endometrial ablation peaked in 1992/1993 before falling significantly to a low in 1997/1998. Since then the total number of procedures has increased by 250% and of the 9701 endometrial ablations performed in 2004/2005 over half (5457) are now second-generation techniques. CONCLUSIONS: Endometrial ablation is now more common than hysterectomy for heavy menstrual bleeding and second-generation methods are now more commonly performed than hysteroscopic endometrial ablation. There is every indication that endometrial ablation will continue to increase in practice in England.

Catheter Ablation↗
PubMed1993

Computer-Assisted Retrospective Clinical Activities Statistics (CARCAS) Program.

Clinical pharmacy services have been demonstrated to have a positive impact on patient care in the hospital setting. Accurate and complete documentation of interventions aimed at improving drug use is essential to assess workload characteristics, determine the impact of pharmacist activities, justify current programs and predict future clinical staffing requirements. The need for an improved system of collecting and analyzing clinical workload statistics led to the development of a Computer-Assisted Retrospective Clinical Activities Statistics (CARCAS) Program in our department. Using a pre-defined clinical activity coding system, pharmacist activities were efficiently documented on a daily basis using an existing distributional computer system. Training requirements and data entry time were minimal. The CARCAS Program appeared to capture more clinical pharmacist activities than the earlier manual system. The flexibility of the CARCAS Program should permit adaptation to other hospitals with similar computer systems regardless of the nature of their clinical programs.

British Columbia↗
PubMedDate not supplied

Midwife and nurse-midwife. The effect of title on perception and confidence in services provided by professional midwives. The Midwifery Research Project Group.

This study surveyed individuals in the communities of nurse-midwifery students. Students, identifying themselves as graduate students doing a telephone survey in the area of health care, posed 56 questions to 200 individuals living in New York, North Carolina, Massachusetts, and Nebraska. Survey questions were designed to assess the awareness of the terms midwife and nurse-midwife. Additionally, the survey assessed the sample's perception of the range of services provided by midwives and nurse-midwives, as well as its confidence in having these services provided by a midwife or a nurse-midwife. Demographic data were collected to describe the sample and determine the effects of age, gender, marital status, income, and race on perception and confidence with services. There was a statistically significant relationship between stated familiarity with the terms midwife and nurse-midwife and perception of scope of services and confidence in services. Increased familiarity with the terms midwife and nurse-midwife coincided with a more accurate perception of the scope of services provided by both midwives and nurse-midwives and greater confidence in services provided by midwives and nurse-midwives. Demographic factors studied did not impact on either perception or confidence in services. The data in the survey reveal a large proportion of individuals who report being uncertain about midwives' and nurse-midwives' level of education, scope of services, and relationship to the health care system. This suggests that consumer education could have a sharp impact on shaping the public perception of both midwives and nurse-midwives.

Adult↗
PubMed1990

Unit dose pharmacy workload forecasting: validation of the pharmacy service unit model.

Departmental efficiency is a priority issue for hospital administration as third party payers maintain or reduce the level of reimbursement. This study validates the PHASU (PHArmacy Service Unit) model, which predicts the workload and productivity of a unit dose pharmacy. A PHASU equivalency system enabled the authors to develop a comparative standard for all pharmacy procedures. The procedure most reflective of workload is unit dose orders. Predicted productivity and staff requirements compare favorably to management engineering determinations. The PHASU model represents a reliable workload forecasting instrument that pharmacy managers can prospectively incorporate in the support of current and future pharmacy services.

Efficiency↗
PubMed2006

Measuring and estimating diagnostic accuracy when there are three ordinal diagnostic groups.

This article studies the problem of measuring and estimating the diagnostic accuracy when there are three ordinal diagnostic groups. We use a receiver operating characteristic (ROC) surface to describe the probabilities of correct classifications into three diagnostic groups based on various sets of diagnostic thresholds of a test and propose to use the entire and the partial volume under the surface to measure the diagnostic accuracy. Mathematical properties and probabilistic interpretations of the proposed measure of diagnostic accuracy are discussed. Under the assumption of normal distributions of the diagnostic test from three diagnostic groups, we present the maximum likelihood estimate to the volume under the ROC surface and give the asymptotic variance to the estimate. We further propose several asymptotic confidence interval estimates to the volume under the ROC surface. The performance of these confidence interval estimates is evaluated in terms of attaining the nominal coverage probability based on a simulation study. In addition, we develop a method of sample size determination to achieve an adequate accuracy of the confidence interval estimate. Finally, we demonstrate the proposed methodology by applying it to the clinical diagnosis of early stage Alzheimer's disease based on the neuropsychological database of the Washington University Alzheimer's Disease Research Center.

Alzheimer Disease↗
PubMed2005

Assessing paratransit eligibility under the Americans With Disabilities Act in the rehabilitation setting.

OBJECTIVE: To assess the usefulness of a rehabilitation-based assessment program designed to determine the eligibility, according to Americans With Disabilities Act criteria, of applicants for paratransit bus services. DESIGN: Retrospective summary statistics on 500 consecutive paratransit evaluations. SETTING: Outpatient physical medicine and rehabilitation center. PARTICIPANTS: Applicants for a community paratransit bus service. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Clinical assessment of each applicants functional physical and cognitive ability to ride a fixed-route or paratransit bus system. RESULTS: Of the 500 applicants for specialized paratransit services, 38 (8%) were found to be ineligible, based on rehabilitation professionals evaluations of their physical and cognitive abilities. CONCLUSIONS: Mass transit organizations must adjust to the rapidly growing demand for paratransit services. Rehabilitation-based assessment programs, because of the expertise they provide in assessing functional abilities, are uniquely qualified to provide objective determinations of paratransit eligibility.

Adolescent↗
PubMed1999

Maximum likelihood analysis of generalized linear models with missing covariates.

Missing data is a common occurrence in most medical research data collection enterprises. There is an extensive literature concerning missing data, much of which has focused on missing outcomes. Covariates in regression models are often missing, particularly if information is being collected from multiple sources. The method of weights is an implementation of the EM algorithm for general maximum-likelihood analysis of regression models, including generalized linear models (GLMs) with incomplete covariates. In this paper, we will describe the method of weights in detail, illustrate its application with several examples, discuss its advantages and limitations, and review extensions and applications of the method.

Algorithms↗
PubMed2003

Service users' and occupational therapists' beliefs about effective treatments for chronic pain: a meeting of the minds or the great divide?

PURPOSE: Research supports that beliefs about chronic pain and its treatment are individually constructed. It also suggests that lack of agreement between people with pain and treatment providers may contribute to negative treatment outcomes. The aim of this study is to identify patterns of congruence that exist between service users and occupational therapists in relation to beliefs about which treatments for chronic pain are important. METHOD: These findings are extracted from a wider research study exploring congruence between service providers from a range of professional groups and service users regarding their endorsement of treatments for chronic pain. The survey findings reported here asked occupational therapists and service users their opinion about whether specific treatment components are important for people with chronic pain. The survey also included Skevington's Beliefs About Pain Control Questionnaire (BPCQ) which measured beliefs in the internal or personal control of pain, beliefs that powerful others (doctors) control pain and beliefs that pain is controlled by chance events. RESULTS: There were few treatment components that 100% of the respondents agreed were important. Occupational therapists' and service users' responses demonstrated statistically significant differences in endorsement of treatments, BPCQ scores and the relationship between BPCQ scores and treatment endorsements. CONCLUSIONS: Occupational Therapists and service users are distinctly heterogeneous groups in regards to what treatments they believe are important for chronic pain. It is possible that the therapeutic relationship and the outcome of available treatments are negatively affected as a consequence of disagreement about what treatments are important.

Adult↗