摘要:

Moving to a computer-based patient record (CPR) involves much more than simply putting computers in clinical offices. To achieve success, a health care organization must rethink and revise traditional workflows and organizational structures. Diverse constituencies within an organization must be targeted to gain buy-in to the process. Other considerations Include cost justification and Implementation strategies. Current market dynamics suggest that organizations should be contemplating the move to a CPR In order to gain competitive advantage or even to maintain the status quo.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Physicians practicing ambulatory medicine have never had more opportunities to use Information technology to help them In their everyday practice. In parallel, evolving health care Industry dynamics are Increasing the need for clinical computer applications, which help Improve the quality, efficiency, and the cost-effectiveness of patient care. This article examines: (1) the Information needs of practicing physicians, (2) current and emerging technologies that can Improve clinical decision making at the point of care, and (3) the impact of these technologies on clinical quality, medical costs, and physician practice efficiency. The article uses patient case scenarios to Illustrate the emerging role of Information technology in patient care.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Teleradlology, the practice of radiology over a distance via electronic transmission of radiologic Images, has the potential to fundamentally alter the practice of radiology In the years to come. Different models for the practice of teleradlology Include on-call reading, consultation and overreadlng, primary-reading teleradlology, and integration with picture archiving and communication system (PACS) and mlniPACS. Remote real-time ultrasound teledlagnosls represents a specialized subset of primary-reading teleradlology, specifically designed to Involve the radiologist directly with sonographer In the performance of the ultrasound examination. This type of practice Involves rapid transmission of patient demographics and captured still Images and live transmission of the real-time video output of the ultrasound machine. When utilized properly real-time teledlagnosls extends the high standards of tertiary center sonographic diagnosis out to community and rural sites.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The Comprehensive Health Enhancement Support System (CHESS) Is an Interactive computer system containing information, social support, and problem-solving tools. It was developed with Intensive input from potential users through needs-assessment surveys and field testing. CHESS had previously been used by women in the middle and upper socioeconomic classes with high school and college education. This article reports on the results of a pilot study Involving eight African-American women with breast cancer from impoverished neighborhoods in Chicago. CHESS was very well received; was extensively used; and produced feelings of acceptance, motivation, understanding, and relief.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This article presents a small-area variation study that examines utilization differences for primary care physicians (PCPs) In treating a homogeneous set of prevalent medical conditions. The study used secondary data collected over a 24-month period from a large, Northeastern region Independent practice association. The diagnostic cluster methodology was used to examine geographic differences for PCPs In treating prevalent medical conditions. This methodology groupsInternational Classification of Diseases, 9th revision (ICD-9), codes Into diagnostic clusters based on clinical homogeneity with respect to generating a similar clinical response from the physician. For each diagnostic cluster, diagnostic episode clusters (DECs) were formulated. Each DEC links all services Incurred In treating a patient's medical condition within a specific period of time. Differences In use rates across small areas were tested usingttests. The data showed little variation In the physician office visit rate across small areas. However, services generated from these office visits exhibited large rate variations. The most significant small-area differences were for hospital Inpatient days and surgical procedures. Pattern-of-treatment differences exist across small areas for the homogeneous set of prevalent medical conditions treated by PCPs.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Although the concept of outpatient care Is not a new one, the growth In ambulatory facilities has revolutionized medical care In the United States. The growth In ambulatory surgery centers, Imaging centers, and cancer centers In Florida Is explored In detail. With the many changes forthcoming in health care, ambulatory care will play an Increasing role in delivering good health care at a reasonable cost.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The health care industry leads others In the development and use of professional codes of ethics. However, ambulatory care facilities continue to operate without coherent ethical guidelines addressing the workplace Itself. New diagnostic and treatment capabilities, coupled with economic pressures, have Intensified the ethical dilemmas facing the ambulatory care practice. This article argues that office codes of ethics decrease the risk of liability exposure, clarify the expectations of patients and staff, and foster responsible ethical reflection In the workplace. Material for this article was gathered from relevant literature In the areas of business ethics, bloethics, and health care management.

ISSN:0148-9917    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The Bureau of Primary Health Care, a division of the Health Resources and Services Administration of the Department of Health and Human Services, Public Health Service, commissioned a study to evaluate the performance of community health centers (CHCs) under managed care. This article reports on the findings of the bureau's study, which examined the managed performance of seven CHCs that contract with health maintenance organizations (HMOs). The experiences of these centers can provide valuable insights for other CHCs and the HMOs with which they partner. Policy makers contemplating the role of CHCs In managed care will also benefit from these findings.

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