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Results for “Program Acceptability”

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At least 1,207 records · Page 67Linked to original sources
PubMed1994

Capturing data from distant hospital databases for cancer registration.

The particular logistical problems of collecting cancer registration data in the South-Western region of England are discussed. The Regional Cancer Registry has endeavoured to overcome these through developing electronic links to hospital-based patient-information systems. Some of these involve data transfer on magnetic media, but there are also interrogation facilities which operate on a realtime, interactive basis, and complement these other facilities. A PC-based program (SNODEV5), which can accept data from histopathology computer systems, translate SNOMED codes to ICD-9, and produce files suitable for processing by the registry's Batch Data Entry system is described. Its contribution to the achievement and monitoring of equity in health care provision is discussed.

Data Collection↗
PubMed1997

Evaluate and communicate health care benefits.

Both employers and employees need appropriate information to make intelligent decisions about health care benefits. For employers, analysis of health care data offers an approach to monitoring quality care and can provide a tool for controlling costs. For employees, an education and communication strategy is probably the single most important factor influencing both program utilization and employee acceptance.

Communication↗
PubMed1979

No-fault insurance in New Zealand and in Sweden.

No-fault medical malpractice insurance programs in Sweden and New Zealand, especially the latter country, can offer useful guidelines to Americans considering a no-fault mechanism. In four years of actual operation, the New Zealand program has been generally accepted, fairly administered, and kept within budget. The government's approach to "medical mishap and error," however, encourages physicians to opt in favor of avoiding patients.

Clinical Competence↗
PubMed1983

An indigenous mental health program in remote Northwestern Ontario: development and training.

This paper describes a shift in the focus of mental health services to remote Indian villages in Northwestern Ontario. Traditional indigenous counsellors are assuming control of this service, previously offered by non-Indian outsiders. The resources of the Federal Sioux Lookout Zone Hospital and psychiatrists from the University of Toronto are used in the ongoing training of the counsellors. Challenges encountered by outside non-Indian professionals providing relevant training and consultation to the area's natural helpers are described. This unique program has enjoyed enthusiastic acceptance by local people in helping positions.

Community Mental Health Services↗
PubMed1983

A computer application for dietary analysis in clinical nutrition.

The computerized dietary assessment system developed at Chedoke-McMaster Hospitals, to assist dietitians with routine calculation of nutrient intakes of patients, as a component of clinical nutrition assessment is described. The program was designed for dietary assessments of hospitalized patients and ambulatory patients, and to facilitate teaching students about dietary management of medical nutrition problems. To meet program objectives, efforts were directed toward software development, with flexibility to meet the needs of a wide variety of users, to accommodate rapidly changing nutrient composition data, to allow tailoring of the database to individual clinical settings, and for future expansion. The regionally accessible dietary assessment system is easy to use and is rapid, requiring 10 to 15 minutes to complete each one-day assessment. The program has been well accepted and utilized by hospital nutritionists in several clinical areas, for establishing dietary goals, monitoring progress, and in patient education.

Computers↗
PubMed1986

Idle assets: profits, empty beds make for good bedfellows. Roundtable discussion.

The problem of empty beds does not have to remain a problem. Empty beds can be converted into services or programs that produce revenue for the institution and contribute to the bottom line. In a roundtable discussion sponsored by the Healthcare Financial Management Association and HBO & Company Industry Group, eight individuals met to discuss the problem of empty beds and explore the solutions that are possible. They concluded that hospitals must respond to the marketplace, offer services consumers need, evaluate programs carefully, and pull out when a program no longer is acceptable.

Bed Conversion↗
PubMed1988

The development and implementation of a drug utilization review program.

In response to rising drug expenditures and pressure from hospital administration to contain drug costs, the department of pharmaceutical services at The Mississauga Hospital initiated a Drug Utilization Review (DUR) Program. The main purpose of this program was to contain the escalating drug budget through identifying and correcting areas of drug misuse, without compromising the quality of patient care. This article will describe the procedures involved in developing and implementing such a DUR program at our hospital and our experience to date. Both structured and informal strategies have been implemented, which have identified factual and potential cost savings. Overall, the DUR program has been well accepted by the medical staff and hospital administration.

Concurrent Review↗
PubMed2000

Critical issues in the management of depression. Based on a presentation by David Goodman, MD.

Primary care providers (PCPs) see patients with depression on a daily basis, but they frequently overlook signs and symptoms of this illness because they are looking for physical signs of illness. Even when they identify the symptoms of depressive illness in a patient, they are constrained by the fear of stigmatizing the patient. The general public is either unaware of the active symptoms of depression or they view them as a sign of weakness or a natural part of aging. Ineffective treatment of depression is expensive. Depressed patients use medical services 50% to 100% more frequently than those who are not depressed. By appropriately treating depression, PCPs can lower the unnecessary and ineffective utilization of medical services by depressed patients without increasing the cost of treating them.

Antidepressive Agents↗
PubMed2001

Genetic algorithm for scheduling of laboratory personnel.

BACKGROUND: Staffing core laboratories with appropriate skilled workers requires a process to schedule these individuals so that all workstations are appropriately filled and all the skills of each worker are exercised periodically to maintain competence. METHODS: We applied a genetic algorithm to scheduling laboratory personnel. Our program, developed in Visual Basic 4.0, maximizes the value of a fitness function that measures how well a given scheduling of individuals and their skills matches a set of work tasks for a given work shift. The user provides in an Excel spreadsheet the work tasks, individuals available to work on any given date, and skills each individual possesses. The user also specifies the work shift to be scheduled, the range of dates to be scheduled, the number of days that an individual stays on a given workstation before rotating, and various parameters for the genetic algorithm if they differ from the default values. RESULTS: For >22 months, the program matched individuals to those tasks for which they were qualified and maintained personnel skills by rotating job duties. The schedules generated by the program allowed supervisory personnel to anticipate dates far in advance of when worker availability would be limited, so staffing could be adjusted. In addition, the program helped to identify skills for which too few individuals had been trained. This program has been well accepted by the staff in the clinical laboratories of a 670-bed university medical center, saving 37 h of labor per month, or approximately $11,000 per year, in time that supervisory personnel have spent developing work schedules. CONCLUSIONS: The genetic algorithm approach appears to be useful for scheduling in highly technical work environments that employ multiskilled workers.

Algorithms↗
PubMed1999

Preventation of thalassemia in Australia.

Screening for thalassemia and other hemoglobinopathies in the major maternity hospitals in Melbourne, Australia has shown that 6% of the patient population carries a clinically significant genetic abnormality. The most common of these are beta-thalassemia (3%). HbS (1.8%), HbE (0.5%) and alpha0 thalassemia (0.4%). Approximately 60 prenatal diagnoses for the clinically significant combinations of these abnormal genes are performed annually in the 2 major centers of Melbourne and Sydney. The majority of these prenatal diagnoses are for beta-thalassemia major (65%). whilst 11% are for Bart's hydrops fetalis, 8% for HbE/beta-thalassemia. 6% for HbS/beta-thalassemia, 2% for sickle cell anemia and the remaining 8% for other combinations of thalassemia/hemoglobinopathies. Of the 178 patients with beta-thalassemia major, sickle cell disease or beta-thalassemia in combination with HbE or HbS, only 5 are less than 5 years old, reflecting both the success of the screening program and the increasing acceptance by couples of 1st trimester prenatal diagnosis.

Australia↗
PubMed2001

Medicaid program; use of restraint and seclusion in psychiatric residential treatment facilities providing inpatient psychiatric services to individuals under age 21. Interim final rule; amendment and clarification with request for comment.

On January 22, 2001, we published an interim final rule with comment period (66 FR 7148) that established a definition of a "psychiatric residential treatment facility" that is not a hospital and that may furnish covered Medicaid inpatient psychiatric services for individuals under age 21. The interim final rule established standards for the use of restraints or seclusion that psychiatric residential treatment facilities must have in place to protect the health and safety of residents. In response to some of the concerns submitted in comments on that interim rule, this document clarifies what facilities are subject to the requirements of the interim final rule, modifies reporting requirements to facilitate HCFA monitoring, and amends staffing requirements applicable to restraints and seclusion. Due to the operational significance of these issues, amendment to the interim final rule is required by the May 22, 2001 effective date of the interim final rule. Without such amendments, we are concerned that substantial numbers of facilities would not be able to comply with certain requirements of our interim final rule, and that beneficiaries will suffer needless displacement from those facilities. We are also concerned that HCFA will not be able to timely obtain data necessary to monitor for situations involving jeopardy to program beneficiaries. We will accept comments on these amendments, and will address all comments on the interim final rule and these amendments at a later date.

Adolescent↗
PubMed2003

[War on Drugs or War against Health? The pitfalls for public health of Puerto Rican drug policy].

Puerto Rico has followed the United States in adopting drug policy sustained on a criminal justice model that limits the opportunities to address problematic drug use through public health interventions. Demand for illegal drugs is controlled by criminalizing drug use and applying jail sentences for drug offenses. These strategies marginalize drug users and reduce opportunities to minimize health risks applying public health measures. Production and sale of illegal drugs is criminalized with the intent of dissuading drug use, with adverse unintended health effects that impact both drug users and non-drug users in the community. The present work reviews the assumptions of the punitive prohibitionist model and its outcomes that present themselves as public health challenges in Puerto Rico. It also presents those principles that should sustain pragmatic drug policy to address problematic drug use from a health and social perspective.

Crime↗