摘要:

Architecture, like health care, is a service profession. It serves not only a functional purpose by providing designs for shelter, but also incorporates social purpose. It allows people to conduct business, congregate for amusement, express their faith, and educate themselves. It is also a collaborative art, creating an environment that influences its users by their interactions with it and how they use it.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The aging of the American population, the recent increasing prevalence of smoking in females, and the decline in heart disease mortality are setting the stage for cancer to be the most common cause of death in the United States by the year 2000. The technology exists today to increase survival rates from 50% to 75%, but this continuing care will increase cancer-related expenditures to 20% of the nation's total health care expenditures. Many advances in cancer diagnosis and treatment offer promise for less invasive procedures, and some new interventions focus on prevention or early detection of limited disease in ambulatory patients. The likelihood and the length of hospital admissions are declining, and the proportion of care delivered in an inpatient setting is expected to represent less than 10% of total cancer patient care. While the delivery of care shifts to the outpatient setting, the need for a continuum of care, interdisciplinary collaboration, and access to regional centers for technology and research is likely to encourage the formation of systems that combine a tertiary care hub and a network of community-based ambulatory centers.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This article focuses on offering a methodology that goes beyond creating a noninstitutional environment to one intended to assist in the development of a healing environment, one that influences patients' responses to the environment, and one that offers patients opportunities to cope. This article does not advocate a formula for design that, by its nature, would be antithetical to the dynamic proposed. Instead, this article suggests a methodology that allows and recommends flexibility in design. While the article discusses design issues for outpatient oncological centers and offers specific examples as demonstrations of implementation, the methodology is not limited to outpatient cancer care centers. Ambulatory care centers in general would benefit from application of these principles.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Patient-focused care seeks to improve both patient and staff satisfaction while reducing the costs associated with health care services. Concepts borrowed from inpatient care settings are now being applied to outpatient facilities. Incorporating many of the Planetree principles in design ensures that patients' physical as well as emotional and psychological needs will be addressed. In addition, these same principles, while patient focused, serve the staff needs as well by providing varied tasks, increasing levels of responsibility, and improving efficiencies in operations by improved design.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This article discusses the process to manage a modern cancer center effectively. The process is a continuous management cycle that begins with planning, then moves to implementation, and ultimately returns to planning. Within this cycle, a variety of management decisions and tools is analyzed.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Health care facility design must incorporate four key elements: Strategy, Assessment, flexibility, and Efficiency. These SAFE elements will offer the organization the greatest return on investment, because they encompass both present needs and future demand. They respect the integrated nature of functional operations by clustering them in ways that permit growth or consolidation. In the rapidly changing health care environment, flexibility is fundamental to successful design.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Continuous improvement or Cl is an approach to improving quality in an organization's processes on an ongoing basis. Three key components contribute to Cl success: (1) draw on the knowledge and abilities of employees at all levels; (2) focus on customer needs; and (3) use data in a scientific approach to decision making. A long-term effort, not a short-term fix, the classic Cl cycle is Plan, Do, Study, Act. Health care organizations are finding a good fit for Cl in clinical applications. Improved patient care through efficient, consistent processes is one of the immediate, obvious benefits of Cl. The data collected can also validate decisions from a financial standpoint and provide necessary Information to regulatory agencies. Over the longer term, applying Cl data and understanding customer needs can help to develop efficient, user oriented facilities. The chief payback, however, is an organization that is flourishing because it meets the needs and expectations of customers—patients, physicians, employees, and the community.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

For students in undergraduate and graduate programs in health policy and management, particularly those who wish to be trained as public-health-oriented generalist health administrators, as well as those charged with the responsibility of being their teachers, it is important to consider the trajectory, tensions, and rewards of a career in health policy and management. This article begins by examining what we have learned from earlier research and writing on health policy and management careers and then moves on to analyzing the career history and professional development of 40 graduates of the generalist health policy and management program at the University of Massachusetts School of Public Health. Finally, the article reaches some conclusions about career paths for generalist health administrators trained in at least one school of public health.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID