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At least 1,207 records · Page 67Linked to original sources
PubMed1999

Development of the local medical service network system. Integration of medical service with the network system between university hospital and other medical institutions.

Although every medical institution always make efforts to provide best services for the patients, it tends to be insufficient to send the patient's information and share them with other medical institutions. It is partly because in the Japanese medical care system there is no obligation to inform patients' medical information to other medical institutions. To provide effective and cost-effective medical service, we made a local network system between university hospital and other medical institutions. The system contributes to clarify the role of medical institutions and the continuity of medical service. For the next step, we must construct the home-care information service network towards the total service for the patients.

Community Networks↗
PubMed2001

Where value lives in a networked world.

While many management thinkers proclaim an era of radical uncertainty, authors Sawhney and Parikh assert that the seemingly endless upheavals of the digital age are more predictable than that: today's changes have a common root, and that root lies in the nature of intelligence in networks. Understanding the patterns of intelligence migration can help companies decipher and plan for the inevitable disruptions in today's business environment. Two patterns in network intelligence are reshaping industries and organizations. First, intelligence is decoupling--that is, modern high-speed networks are pushing back-end intelligence and front-end intelligence toward opposite ends of the network, making the ends the two major sources of potential profits. Second, intelligence is becoming more fluid and modular. Small units of intelligence now float freely like molecules in the ether, coalescing into temporary bundles whenever and wherever necessary to solve problems. The authors present four strategies that companies can use to profit from these patterns: arbitrage allows companies to move intelligence to new regions or countries where the cost of maintaining intelligence is lower; aggregation combines formerly isolated pieces of infrastructure intelligence into a large pool of shared infrastructure provided over a network; rewiring allows companies to connect islands of intelligence by creating common information backbones; and reassembly allows businesses to reorganize pieces of intelligence into coherent, personalized packages for customers. By being aware of patterns in network intelligence and by acting rather than reacting, companies can turn chaos into opportunity, say the authors.

Commerce↗
PubMed2006

International stem cell research; networking and collaboration.

Stem cell research has obtained more attention during the last decade because of its strong potential as a new tool to cure many chronic diseases. In addition, stem cell knowledge is an important basis for understanding pathophysiology at the cellular level and developing disease models for experimental research. There are different limitations on resources, budget, policy and regulation among countries. As a result, each country has particular advantages and disadvantages in stem cell research. This result in the establishment of international networks and collaborations to coordinate and promote stem cell research aimed at medical applications.

Community Networks↗
PubMed1984

Elective surgery in a rural primary medical care program in the Central Amazon Valley.

The unique role of an intermittent, elective surgery service in direct support of a rural primary medical care program in the Central Amazon Valley of Brazil is described. The relatively sophisticated surgical subspecialties bring needed curative treatment, while simultaneously promoting the basic public health and preventative measures of an isolated community health network. The patient profile, diagnostic gamut, and implications of this Third World surgical program are further detailed.

Brazil↗
PubMed1994

Serving severely mentally ill people in a major Canadian city.

Over the past twenty years, GVMHS has been the single organization taking ultimate responsibility for the seriously mentally ill throughout the city. It uses central coordination coupled with community-based teams and partnership programs with other agencies to strike a useful balance between integration and flexibility. GVMHS's mission throughout that time has been to provide everyday community support, networking, case management, rehabilitation, and counseling services to as many seriously mentally ill persons with concomitant disabilities as possible. To carry out that mission, GVMHS has developed some innovative solutions for the problems of community support--problems such as psychiatric emergencies, crises, community demands for service outside the mandate, and workload management. GVMHS has also developed dual-diagnosis, multicultural, multiagency case coordination for the multiproblem client (Buckley and Bigelow, 1992), specialized family and child programs, and specialized geriatric programs. This has all been possible only because financial support is available on an ongoing basis at a level adequate to provide good, dependable services. GVMHS has been proven an effective service in a number of studies (Bigelow and Beiser, 1978; Beiser, Shore, Peters, and Tatum, 1985). It has also demonstrated good cost-efficiency (Bigelow and McFarland, 1989) and abundant innovation and adaptation to emerging challenges (Bigelow, McFarland, Russell, and Sladen-Dew, 1990). It has proven that dedicated, well-trained professionals working at the community level will work hard and smart and that an agency and its staff will stick to the mandate of serving people with serious mental illnesses and disabilities even under pressure to do otherwise. The intriguing thing is that this productivity is not driven by competition, incentives, or threat: none of these factors presses upon the Greater Vancouver Mental Health Services Society from without and none is built in. The excellent performance of GVMHS seems to derive from the professional dedication and motivation of the clinical staff and its administration.

Canada↗
PubMed1996

Forming a coronary services network on the basis of quality of care.

An Ohio insurance company's initiative to emphasize risk-adjusted clinical outcomes as criteria for selecting and reimbursing members of a network is stimulating a new emphasis on quality of care throughout the market area. Hospitals inside the network are cooperating to improve their collective results, while providers on the outside have launched major quality improvement programs in the effort to become measurably competitive with these centers of excellence. This case study in network selection demonstrates a new role for fiscal intermediaries in health care.

Cardiology Service, Hospital↗
PubMed2006

Mental health referral role of rural financial counsellors.

OBJECTIVE: To quantify the proportion of rural financial counsellors' (RFC) clients requiring social, emotional and stress-related (SESR) assistance and the referral of these clients to other services. DESIGN: Survey of all Australian RFCs. SETTING: Rural and remote agricultural locations in Australia. PARTICIPANTS: Australian RFCs employed over the months of November and December 2004. MAIN OUTCOME MEASURES: The proportion of counsellors' clients who required assistance with SESR problems and the proportion of these who were referred. Counsellors' usual referral networks, rating of referral difficulty and ranking of strategies to improve referrals. RESULTS: Counsellors reported that on average 20% of their clients required SESR assistance and half of the counsellors referred more than 75% of these clients. Referrals were mainly to GPs, mental health teams, personal counselling and health and welfare organisations. Almost half (49%) reported that referrals were difficult because of rural clients' reluctance to acknowledge such problems and use mental health services, as well as the lack of these services. Counsellors were placed in a practical role dilemma when clients raised personal issues that were beyond the counsellors' role but were linked to the financial reason for presentation. Strategies identified to improve referrals were to network with mental health and personal counsellors in the region, training and a referral guide. CONCLUSIONS: Because RFCs are a first contact for rural people in crisis, they could be brought into a local counselling network. This network could improve the process of referrals and build local mental health system capacity.

Adult↗
PubMedDate not supplied

Building partnerships with the community: lessons from the Camden Health Improvement Learning Collaborative.

This case study describes the Camden City Health Improvement Learning Collaborative (the Collaborative), a community care network initiative formed in 1993. The organization is composed of representatives from local healthcare providers, public agencies, religious organizations, and neighborhoods. The major goal of this initiative is to improve the health status of the community by involving and empowering residents in the solution of their needs. The Collaborative represents a grassroots strategic model of community inclusion in the formulation of goals and programs to improve community health status. The case study describes the dynamics of the Collaborative by examining the following: historical development; political, institutional, and social context; planning process; organization and structure; and performance evaluation. The article concludes with a discussion of the strategic and operational lessons learned from the Collaborative.

Community Health Planning↗
PubMed1984

Member hospital network for poison control.

MPCS developed a model for poison control which includes a member hospital network besides the regional information center. The network provides a mechanism for establishing information center credibility among hospitals and securing additional funds. Supported by the state hospital association, the membership network has contributed 22% of revenues for system's operations from annual dues of +305 to +882/hospital. Dues entitle hospitals to free managements and publications and public education materials at reduced price. The network has maintained on average 100 member hospitals per year with a 90% continuity rate. Members include 88 (79%) of 112 acute care regional hospitals (88% of teaching, 91% of large and 67% of small community hospitals). Network advantages to hospitals are the incentive to consult with MPCS without losing patients and staff education through consultation and rounds. Advantages to MPCS are an increase in staff and toxicology fellow expertise through consultation, teaching, and protocol formulation, research sites, and professional and public calls.

Marketing of Health Services↗
PubMed1989

Physician bonding: one hospital's experience.

In year one, hospital management has concluded that the objective of establishing a cost-effective physician bonding program has been realized. Early indications suggest that fundamental demand for services have increased. Additional data are being accumulated to assess the impact of the program on shifting referral patterns. Phase II expansion will continue in year two by continued recruitment efforts to include physicians, clinics and hospitals in an expanded geographic area of interest to the hospital. A Phase III community healthcare network is under consideration with proposals to the other two local hospitals. Two additional hospitals in the state are establishing compatible networks with the invitation to join the public utility in the future. As a reaction to environmental changes and increasing competition, hospitals are exploring several options to strategically position and strengthen their institutions. One of these options, the hospital-physician information network, appears to have an impact on bonding with physicians and thereby helping a hospital to maintain or increase market share. However, hospitals soon realize that the presence of a communications network alone does not achieve expected results -- stronger bonding and a positive effect on utilization. To be effective, a more comprehensive program is needed to help referral sources with their pressing needs and concerns. Based upon the findings at Saint Elizabeth Community Health Center, the impact on market share can be dramatic when the needs of the medical staff and primary-care referral sources are addressed in the design and implementation of the hospital-physician bonding program.

Computer Communication Networks↗
PubMedDate not supplied

Social network structure and social support in HIV-positive inner city mothers.

It has been documented that social support influences health outcomes of persons with chronic illnesses. The incidence of HIV and AIDS among minority women is growing at an alarming rate, but little is known about social support in this vulnerable population, and even less is known about the social network conveying that support. Guided by the convoy of social networks model, this study describes the social networks in a sample of HIV-positive, urban-dwelling mothers (N = 147) by stage of disease (i.e., asymptomatic, symptomatic, AIDS) and examines relationships between social network structure and social support. Hierarchical linear modeling showed that women's social networks were disproportionately populated by children, and network members of women with AIDS were significantly older than network members of HIV-positive women with or without symptoms. Profile analyses showed that women's perceptions of the quality of social support differed according to the proportion of family members populating different segments of the social network.

Adaptation, Psychological↗
PubMed2005

Risk factors in the spread of leishmaniases: towards integrated monitoring?

Environmental changes, immune status and treatment failure constitute the three major risk factors for the (re-)emergence and spread of leishmaniases. Except for Leishmania-HIV co-infection, these risk factors are not systematically monitored and their interaction is poorly studied and understood. Recently, the multidisciplinary network Leish-Med was launched to document this issue around the Mediterranean and to promote transborder control strategies.

Animals↗
PubMedDate not supplied

Psychiatric rehabilitation. An open-network orientation.

OBJECTIVE: To discuss the difficulties encountered in providing rehabilitation to multi-problematic clients, and possible remedies. METHOD: The principles of psychiatric rehabilitation are outlined in the frame of the bio-psycho-social model and in the light of long-term follow-up studies. The limits of professional services and the importance of natural networks for successful rehabilitation and social adjustment are highlighted. RESULTS: Worker cooperatives and consumer self-help associations seem to successfully complement health and social services in meeting the complex needs of this population. CONCLUSIONS: The integration of formal and informal networks of care is a major challenge and a relatively neglected, but important area of interest in contemporary psychiatric rehabilitation.

Community Networks↗
PubMed1995

Consumer-sponsored health centers and health reforms in Canada.

The community health center movement, begun in Saskatchewan, is central to successsfully reforming the Canadian health care system. The arguments of 30 years ago are relevant today. Canadian Medicare is at the crossroads. The evidence shows that the provision of primary health care through community health centers is cost effective and that the quality of care is at least as high in these settings as in traditional fee-for-service settings. Each province must encourage the development of a network of community health centers capable of providing services to every resident who wishes to receive all of his or her primary care "under one roof."

Canada↗
PubMed2006

Networks: better language required.

While networks have proliferated in literature and in our health system, our day-to-day language has not kept up in sophistication. This commentary builds on the work presented by Huerta, Casebeer and VanderPlaat to further explore the language of networks. An expansion of our "network literacy" needs to be reflected in a broader vocabulary for describing particular networks and identifying patterns of relationship that are not appropriately labelled a network. Dimensions along which network managers often understand and place their networks are reported, and the implications of various network images are considered. The distinction between the image of a fishing net and that of a spider's web explores the difference between networks as system substrates and as centres. A moratorium on the term network is called for, to ensure an expanded vocabulary is applied to emerging new relationship patterns between or independent of organizations.

Canada↗