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At least 19 recordsLinked to original sources

Improving the cost efficiency of services to the chronic inebriate: an unexpected paradox.

An important component of evaluating any mental health or alcoholism treatment service is to examine the accessibility of the facility to individuals in need of such services. The present study examined the question of accessibility of treatment services to the chronic inebriate in terms of program location. Utilization data were compared for periods of time when a "sobering-up" facility was located in the skid row area of downtown Tampa, Florida, and when it subsequently moved to a working-class residential neighborhood 4 miles away. Results suggest that the move resulted in a decrease in inappropriate use of the facility. The potentials for services to the chronic inebriate are discussed.

Alcoholism↗

Relocation appraisal, functional independence, morale, and health of nursing home residents.

Relocation to a nursing home can be stressful and may result in mental and physical illness. Appraisal, or the meaning assigned to relocation, can influence relocation outcome. This study examined the relationships between appraisal of relocation and 30 nursing home residents' psychological and physical health, morale, functional independence, and demographic and situational factors, including age, gender, income, education, prior residence, participation in the decision to relocate, and preparation for the move. Positive, benign, and challenge appraisals were related to higher morale and functional independence. Threat appraisal was related to poorer psychological health and lower morale. Harm-loss appraisal was associated with lower morale and lower functional independence. Preparation for the move was related to higher positive appraisal, higher morale, functional independence, and lower harm-loss scores. Implications include the need to assess people's appraisal of relocation so as to plan strategies that prevent relocation stress.

Activities of Daily Living↗

"Satellite" haemodialysis.

Thirty of the 39 patients treated at the Blacktown Dialysis Centre, the first "satellite" dialysis centre in the greater metropolitan Sydney, had been referred from four Sydney renal units for long-term dialysis therapy. The move save approximately 150 kilometres in travelling and eight hours time each week for each of these patients. The cost of running the unit was approximately $10,000 per patient per year in the first year--no greater than that of home dialysis, and less than that of dialysis in a teaching hospital. The advantages of establishing satellite dialysis centre, the method of operation, and the results of the first year of operation of the Blacktown Dialysis Centre are described.

Adult↗

Health effects of relocation at work.

The health effects of a work-related stressor over a six-month period in 355 employees at a university medical center were prospectively measured. Subjects were assigned to cohorts determined by whether they experienced a move from their office or laboratory during a time of building construction and renovation. After controlling for demographic factors, preexisting health status, prior physician utilization, and bed-disability, movers had a higher rate of bed-disability (P = .05). They were also more likely to report a deterioration in their health (P less than .05). Movers with high support at work and high total social support were more likely to report increased physician utilization. The findings suggest that a work-related stressor can adversely affect health, but this study does not support the hypothesis that such effects are moderated by social supports. Family physicians should be sensitive to the potential adverse health effects of work-related stressors on their patients.

Adult↗

A mediational model of quality of life for individuals with severe mental health problems.

BACKGROUND: Despite the increasing importance of quality of life in the mental health field, the theoretical conceptualization of the construct remains poorly developed. A proposed mediational model of quality of life, which links subjective quality of life with self-related constructs, is examined with a group of long-term psychiatric hostel residents. The present study aims to develop a measure of quality of life based on the proposed model, to explore the data and their implications for service development and finally to conduct a preliminary analysis of the model's predictions. METHODS: A cross-sectional research design was employed. Quality of life interviews, using a modified version of Lehman's Quality of Life Interview, were carried out with 54 psychiatric residents in Greece. The model's predictions were examined by using a series of regression analyses. RESULTS: The results indicate that perceived improvements in lifestyle, greater autonomy and positive self-concept are significantly and directly associated with better quality of life. In contrast, a direct relationship between objective indicators and subjective quality of life was not found. CONCLUSIONS: The traditional two-part quality of life model that includes objective indicators of life circumstances and subjective indicators is extended to included the constructs of self-concept and perceived autonomy. The present extended mediational model of quality of life for individuals with long-term mental health problems appears to have important implications for the planning and delivery of mental health programmes.

Cross-Sectional Studies↗

Relocation stress syndrome. A patient and staff approach.

Administrative articles addressing hospital mergers, renovations, and unit or departmental relocations can be found in nursing and healthcare literature. However, there is a paucity of information regarding the patients' needs, both before and after relocation, especially the integration of these needs in a comprehensive relocation plan. The authors present a successfully implemented relocation plan, highlighting the need for awareness of relocation stress syndrome.

Consultants↗

A study of central-city hospital changes.

This study was initiated to determine the extent of hospital capacity reduction in large U.S. cities. In addition, hospital bed and service additions were analyzed. Study data indicate that between 1976 and 1978 more than 5,000 beds were closed in the 36 cities surveyed. This constitutes 2.7% of total hospital beds in those cities. Nearly half of the cities had no bed reduction at all, while seven had their supply diminished by more than 5%. Thirty-one emergency rooms and 13 outpatient facilities were also closed during the 2-year period, potentially affecting patient access. Health system agencies (HSAs) expressed approval of 73.4% of hospital closures and 54.4% of expansions, therefore expressing greater support of system shrinkage. Data on expected hospital changes (for the next year) was limited. However, opening and expansions are expected to occur at a slightly higher rate than during the 1976-78 period with fewer closures.

Health Facility Closure↗

The "beds to the west" scheme: the politics and outcomes of the 1982 New South Wales hospital rationalisation programme.

Recent announcements by the NSW Government concerning the closure and relocation of hospital services are reminiscent of similar initiatives in 1982. It is timely that consideration be given to the impact and longer term effectiveness of the "beds to the west" scheme as the earlier redistribution programme became known. A review of the extent to which the programme's objectives were achieved together with a description of the principal management features of the decommissioning process provide significant lessons for today's policy makers.

Attitude of Health Personnel↗

Planning the move of patient activities at a large medical center.

The planning for the move of inpatients and outpatients to a new 845-bed, 1.5 million square foot facility that took place over a period of two and one-half years and encompassed the health care, safety, and social needs of both inpatients and outpatients and their families is described. The length of time given to the planning process allowed the hospital personnel to undertake planning the move along with their regular duties and without the need for additional staff, plus allowed for very detailed planning. The precise estimate of time requirements for the inpatient move resulted in the move being completed within two minutes of the projected 150-minute estimate. Moving patients from one health care facility to another can be accomplished safely and efficiently with the aid of a well-developed plan and sufficient practice of all needed functions.

Forms and Records Control↗

Moving day.

The horror stories--legends or true--about hospitals moving from one facility to another can strike fear in an administrator's heart. As with a residential move, planning is necessary--but for healthcare facilities, the planning must anticipate the tiniest detail. And finally, practice will make the perfect move.

Health Facility Moving↗