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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.

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At least 19 recordsLinked to original sources
PubMed1995

Infection control in public hospitals.

Public hospitals face challenging infection control problems that differ from those in other hospitals. This article reviews some of the unique aspects of infection control in public hospitals, including governance, physical plant, patient mix, communicable diseases, and employee issues, and suggests management strategies.

Facility Design and Construction↗
PubMedDate not supplied

Profitable public hospitals.

Public hospitals, the "safety net" for the poor and uninsured, are typically overwhelmed and under-reimbursed, but some have managed to stay out of the red. What's their secret? An analysis conducted for Modern Healthcare shows what profitable public hospitals have in common, and some of the steps administrators are taking to offset the burden of indigent care.

Community-Institutional Relations↗
PubMedDate not supplied

Issues in managing patients with chronic hepatitis C in public hospitals.

Public hospitals in Belgium are taking care of a disfavoured people such as drug addicts, alcoholics, patients with low income and people referred by refugee centres. Many of these patients are at risk of hepatitis C. The medical and paramedical staff is facing numerous problems in taking care of these patients. Requests of hepatologists from public hospitals are a more effective psychosocial management, an increase of the framing in these hospitals, and a more rapid process of reimbursement of medication for treatment of hepatitis C, allowing to treat the patients according to international standards.

Alcoholism↗
PubMed2003

Organisational reform in healthcare in China: impacts on the social functions of public hospitals.

Public hospital reform in China since the mid 1980s has had detrimental effects on hospitals' social functions, especially the provision of care for poor people. This study of hospitals in Northern China, using a range of economic measurements, indicated that there has been an overall decline in social functions since 1985, especially in secondary and tertiary level hospitals. Reason for this include the increasingly competitive medical market in China and, under the decentralisation reforms, the imperative for hospitals to generate revenue. We put forward policies to strengthen hospital social functions, including funding for essential packages of services to specifically benefit the poor and vulnerable, and increased government subsidies to support social functions in primary level hospitals where care can be more easily accessed.

China↗
PubMed1991

AIDS and public hospitals.

Public hospitals have assumed a disproportionate and growing share of AIDS care in the US, causing financial distress and disruption of services to patients with and without AIDS.

Acquired Immunodeficiency Syndrome↗
PubMed1998

[Ambulatory surgery in French public hospitals. Present and future. "Public hospitals" group of the French Association of Ambulatory Surgery].

OBJECTIVES: To assess ambulatory surgery practices in France, make an inventory of projects for the creation of ambulatory structures and analyze the perception of different hospital personnel of ambulatory surgery. METHODS: A questionnaire was sent to 541 public hospitals with a surgery unit in France. The first part of the questionnaire was used to record current activity and existing projects for ambulatory surgery. The questionnaire also collected opinions concerning the analysis of difficulties encountered and possibilities offered by ambulatory surgery. RESULTS: Overall participation rate was 59%. Ambulatory surgery was practised in 81% of the hospitals. Sixty-six percent had a projects under consideration, including several at the decision making stage (17%). 1550 ambulatory surgery clinics could be created by the year 2000. In 66% of the cases, the future facility would be integrated into the traditional surgery unit. There was favorable opinion concerning the development of ambulatory surgery clinics in public hospitals in 83% of the cases. Inconveniences suggested generally involved organizational aspects, particularly concerning medical organization. Foreseen obstacles to the development of ambulatory surgery clinics were regulatory procedures, unfavorable exchange rate, insufficient investment funds and the lack of a policy favoring their development. CONCLUSION: The development of ambulatory surgery clinics in public hospitals in France can be expected in the near future. Budgeting and regulatory procedures must however be adapted to promote implementation of the existing projects.

Attitude of Health Personnel↗
PubMed2000

Spectrum of malignant lymphomas in Klang Hospital, a public hospital in Malaysia.

BACKGROUND: Lymphoma is a relatively common group of neoplasms diagnosed in hospital practice. This study aims to elucidate the pattern of this disease encountered in a public service hospital of the Ministry of Health, Malaysia. MATERIALS AND METHODS: A total of 98 biopsies from 92 patients were retrieved from the archives of Klang General Hospital, from January 1993 to June 1999. The histopathology of these biopsies were reviewed by two pathologists, and confirmed cases were sub-classified according to the WHO proposed scheme. Immunohistochemical staining with a panel of lymphoid antibodies was performed in aid of sub-typing. All cases were screened for Epstein-Barr virus association by in-situ hybridisation technique. RESULTS: 15 biopsies were excluded from further analysis due to inadequate material for further study or diagnosed as non-lymphoma. The remaining 83 biopsies were from 80 patients. 52 were males and 28 females. The male: female ratio was 1.9:1. There were 64 Malays, 4 Chinese and 12 Indians. The ages of patients ranged from 3 to 86 years with a mean age of 50.5 years. 73.8% of the diagnostic materials were nodal tissue. Fourteen patients had Hodgkin's lymphomas (HL), 6 being mixed-cellularity, 4 nodular-sclerosis, 1 lymphocyte-rich, 2 lymphocyte-depleted, 1 lymphocyte-predominant, and 66 had non-Hodgkin's lymphomas (NHL). The HL: NHL ratio was 1:4.7. Of the 66 cases of NHL, 9 (13.6%) were T- and 57 (86.4%) B-cell types. The most common NHL encountered was diffuse large B-cell type. Follicular-lymphoma constituted 16.7% of these NHL. 77.8% of T-NHL and 10.5% of B-NHL was EBV associated. Double staining of EBER with CD20 and EBER with CD3 in the T-NHL cases showed that in a majority of the cases, EBER-positive large cells did not express the T- or B- cell antigen. CONCLUSION: There is a relatively small proportion of T-cell lymphoma in this series of Asian patients. The reason is thought to be the lower utilisation rate of this hospital service by ethnic Chinese, as reflected by the hospital admission data.

Adolescent↗
PubMed2002

Public hospitals: who's looking after you? The difficulties in encouraging patients to use their private health insurance in public hospitals.

Private health insurance (PHI) is an important part of the Australian health system. During the introduction of the recent PHI reforms it was argued that, without the reforms, the public hospital system would undoubtedly collapse under the increased demand for public health services. The increase in PHI coverage might also have been expected to result in an increase in the revenue earned by public hospitals as a result of treating privately insured patients. However, the decline in numbers of privately insured patients using their PHI in public hospitals has continued, with adverse impacts on public hospital budgets in some states. This article addresses the complex interactions between various policy instruments and their impact on public hospitals, and reports the results of a study conducted at the Austin & Repatriation Medical Centre (A&RMC) which examined the reasons for privately insured patients electing not to use their insurance in public hospitals, and methods by which they might be overcome.

Budgets↗
PubMed1979

The public hospital and its local ecology in the United States: some relationships between the "plight of the public hospital" and the "plight of the cities".

The "plight" of the public hospital in the United States is examined from the point of view of its relationship to the "plight" of the cities. Fifty-five large cities are examined and for 38 of these cities that have such hospitals the relationships of levels of public hospital services to local demographic, government fiscal, and tax structure conditions are analyzed. The principal findings point to the existence of some strong relationships and the implications for public policy of these associations are discussed.

Catchment Area, Health↗