ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1987.tb00161.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1987.tb00162.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1987.tb00163.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACTUsing episode based data, analysis of those patients with diagnoses of upper respiratory infection or laceration seen in a remote setting revealed that the medical care given by nurse practitioners and minimally trained indigenous health aides was comparable in relation to management and outcome. Specifically, the average number of visits per episode, the length of episodes and the percentage of patients who subsequently developed complications were similar for the nurses and the health aides. Although both the nurses and the health aides managed over 90 percent of the patients independently, the health aides were more likely to communicate, refer or transfer the patient to the care of another provider. These findings, if applicable to medical problems in general, imply that nonphysician providers in a remote setting can give quality care and can be trained to manage conditions appropriately, if the needed' back‐up is availabl

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1987.tb00164.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACTUsing a nine category continuum of residence ranging from major metropolitan counties of one million or more to isolated rural counties with las than 2,500 residents, the data presented indicate that although ruralurban differentials in mortality narrowed over the decade of the 1970s, by 1980 non‐metropolitan counties continuedto have crude death rates that were significantly higher than metropolitan counties for deaths from all causes, cardiovascular disease, and cancer. A detailed examination of directly standardized rates reveals that virtually all of the rural‐urban mortality differential is due not to residenceper se, but to differences in demographic structure, particularly age composition. Rural areas have an age distribution more heavily skewed toward the older ages where the probability of death is higher. The implications of the findings for broad‐based rural health care policy are discussed with an emphasis on the need to consider the special health and service needs ofan aging popul

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1987.tb00165.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACTCommunities with major recreational attractions tend to be rural and to have high injury experience both because of environmental hazards unique to rural areas and because they attract urban visitors who may be unfamiliar with the area andits roads, engaging in activities for which they are poorly prepared, and using equipment that is rented, in poor condition, or even of inherently hazardous design or construction. Alcohol abuse by visitors is often aproblem. Once injured, visitors may have difficulty gaining access to emergency care andwhen received, such care may be limited in both quantity and quality. While the influx of visitors to rural areas brings jobs and income, it also may bring crowding, violence, unintentional injury and other stresses. Most rural recreational communities do not actively plan as a community to deal with these problems, but rather approach them piecemeal and with limited communication among all necessary participants. Such planning is essential if progress is to be made.

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1987.tb00166.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACTA case study approach was used to study 10 limited resource farm families to identify factors relative to the farm family situation that are associated with adequate or inadequate food habits. Dietary measures were developed and adequacy of diets was analyzed in relation to gender, women's off‐ or on‐farm employment, predominant farm activities, and cohesiveness. Traditional families, with two adults present and the women employed on the farm, had the most adequate diets and higher cohesiveness ratings. Families in transition, with women employed off the farm or headed by widowed women farmers, had the poorest diets nutritionally and tended to have lower cohesiveness ratings. The presence of a food source raised or grown for income purposes did not guarantee the use of the food for family consumpt

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1987.tb00167.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACTSystems linkages through signing a management contract or selling to a multihospital system have been advocated as strategies for addressing the distress of small rural hospitals through increased management capacity. This national study compares 311 independent self‐managed hospitals, 194 independent systems‐managed and 235 systems‐owned and managed hospitals in relation to occupancy levels and secondary measures of performance. Almost no differences were found in performance among the three groups. Distress was found to be highly associated with hospitals under 50 beds and less supportive environments. The data presented suggests that many of the advantages of systems linkage may be obtained in other ways and that a management contract or sale to a multi‐hospital system may not solve the problems of a rural h

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1987.tb00168.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Book Reviewed in this Article:COILE, RUSSELL C., JR.The New Hospital: Future Strategies for a Changing Industry.SIMENDINGER, EARL A. and TERENCE F. MOORE.Organizational Burnout in Health Care Facilities: Strategies for Prevention and Change.

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1987.tb00169.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1987.tb00170.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY