ISSN:0749-6753    

DOI:10.1002/hpm.4740100202

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractHospitals are changing. Throughout the OECD the hospital, that enduring and pervasive organization which has delivered the vast majority of acute care services for decades, is being reconceptualized. We briefly analyse trends which clearly indicate that the existing concept of the hospital is rapidly coming to an end. The emerging model consists of a core facility comprising only the most acute services, intensive care, operating theatres and an accident and emergency unit, with all other services and units linked by information technology to each other and to the core facility. We explore some of the management challenges confronting those who will be responsible for taking their organization through the transition to the boundaryless hospital arrangement, discuss a number of the existing problems with today's hospitals which the new model has the propensity to resolve, and deal with some of the emerging issues which it brings with it.

ISSN:0749-6753    

DOI:10.1002/hpm.4740100203

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThe purpose of this article is to provide a critical review on studies of access and utilization of the uninsured, and some related proposals regarding the health care reform debate. Also, an attempt is made to determine if conclusions or trends can be identified to develop the groundwork for effective policy initiatives to assure access to the 37 million uninsured persons in the United States.

ISSN:0749-6753    

DOI:10.1002/hpm.4740100204

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThis article proposes a number of key principles for health infrastructure planning, based on a literature review on the one hand, and on a process of internal deduction on the other. The principles discussed are the following: an integrated health system; a thrifty planning of tiers within that health system; a specificity of tiers; a homogeneity of the tiers' structures; a minimum package of activities; a territorial responsibility and/or an explicit and discrete responsibility for a well‐defined population; a necessary and sufficient population basis; a partial separation of administrative and public health planning bases; and, finally, rules for a geographical division and integration of nongovernmental organizations. The definition of two strategies, primary health care and district health systems, is also revisite

ISSN:0749-6753    

DOI:10.1002/hpm.4740100205

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThis article reports on a study carried out in 1993 to elicit the opinions of decision makers (medical and non‐medical) as to the types of facilities, locations and culturally acceptable levels of health care appropriate for the elderly in Saudi Arabia. In addition, the study sought to find out the procedures and likely constraints in the development of future health care services for the elderly.An opinion survey was carried out on a randomly selected sample of decision makers, drawn from: hospitals of 100‐bed capacity or more; and, from directorates of education, agriculture, police, municipalities, commerce, transport and media, in each of the regions of Saudi Arabia. A predesigned Arabic questionnaire was completed by the respondents during February‐April, 1993.Of the 244 respondents, the most important categories of elderly to be cared for were considered to be those with handicaps, the chronically ill, and those without family support. The non‐medical decision makers gave higher scores to these alternatives than did the medical decision makers (P<0.05). Use of the family home for elderly health care was rated as the most appropriate, followed by medical rehabilitation centres, and only then by hospitals. Non‐medical respondents gave more emphasis on rehabilitation centres (P<0.02). Medical respondents thought that primary care doctors (87.2%), physiotherapists (87.2%) and general nurses (78.2%) can adequately fulfil the needs of most elderly patients. In contrast, non‐medical respondents demanded the presence of specialist doctors (72.3%), specialist nurses (78.9%), laboratory and X‐ray facilities to run such services (P<0.05).Medical decision makers were also more concerned than the non‐medical respondents that the availability of such medical facilities might encourage some people to neglect their elderly parents (P<0.04). Equally, medical respondents were seemingly more aware of the high cost of hospital beds than their non‐medical counterparts (P<0.0001).The conclusion to be drawn is that there is a need to provide both acceptable and suitable health care facilities tailored to the needs of the elderly in Saudi Arabia. Any proposed setting should be both cost‐effective and avoid socially adverse outcomes. Above all, the community should be encouraged to participate positively in the development, running and periodic evaluation

ISSN:0749-6753    

DOI:10.1002/hpm.4740100206

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740100207

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740100208

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740100209

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740100210

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740100211

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY