ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1991.tb00695.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1991.tb00696.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1991.tb00697.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1991.tb00698.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACT:Rural hospital trustees are usually volunteers who serve important roles in the governance of a hospital and, therefore, in defining health care policy in their communities. Because most trustees are not health professionals, their orientation to the hospital and continuing education about the hospital present a special challenge to administrators. One hundred and three trustees from 10 rural hospitals in western New York were surveyed to better understand their demographics, their knowledge base regarding the hospital, and their roles as trustees. Sixty‐six percent of the respondents were male and the average age of the sample was 48 years. Trustees had served an average of six years and spent seven hours per month on hospital business. Eighty‐three percent recalled receiving some orientation. Answers about average hospital census, length of stay, payor type, and hospital services were correct less than 50 percent of the time. Trustees were aware that recent quality assurance guidelines increased their liability and half believed it was their most important activity. We conclude that greater effort should be applied to the orientation and continuing education of hospital trustees. Given the significant time commitment already asked of trustees, this education should be woven into the hospital governance rout

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1991.tb00699.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACT:Professionals concerned with rural health issues sometimes overlook the possibilities that the Cooperative Extension Services (CES) hold for addressing rural health problems. Joint venturing between health care and CES professionals can help address the growing rural health care concerns associated with cost containment strategies and the federal deficit, as well as the traditional problems associated with the scarcity of health care resources in rural areas. Cooperative extension, a 75‐year‐old national, community‐based system can provide the structural and program delivery capacity to help shape health care delivery in rural areas through community organization and education. The structure and functions of the CES, brief examples of successful CES programs, and some helpful hints provide insights into the potential for successful cooperation and collaboration. This collaboration can represent a cost‐effective strategy to address problems in the changing health care

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1991.tb00700.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACT:Changes in rural health care are resulting in new challenges for the administrators of rural hospitals. The lack of available care, economic deterioration, and demographic changes in rural America are contributing factors to rural health care problems and are detrimental to the financial well‐being of rural hospitals. Diversification is becoming commonplace in these hospitals as administrators seek strategies to gain financial viability for their facilities. The concept of hospital‐sponsored rural health clinics is more than a decade old, yet there are fewer than 30 such clinics nationwide. Reasons for the underutilization of such clinics may include the lack of knowledge that such clinics exist as well as inadequate information describing the establishment, operation, and financial feasibility of the clinics. The hospital‐sponsored rural health clinic “concept” will be introduced, including potential benefits of such clinics to both the hospital and the communities they serve, factors to be considered in developing such a system, and problems that may arise in this development. This article presents a case study of how one rural hospital incorporated such clinics into its long‐

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1991.tb00701.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACT:The merger of rural primary care and home health services offers the potential for increasing the administrative efficiency of health care, and thereby enhancing the quality of care and increasing access to services, particularly health promotion. However, the proposed benefits of any merger can only be realized if the merger process is successfully completed. An analysis of the factors that were important in a case study of successful and unsuccessful mergers of rural health centers and home health care agencies in northeastern Vermont is presented. Three components were found to be necessary to start the merger process: complementary needs, opportunity, and common philosophy. The involvement and support of key individuals was crucial to sustaining merger interest. Good communication throughout the process contributed substantially to the maintenance of both community and staff support. Others considering similar mergers should recognize that the process of consolidating organizations and satisfying regulations takes some time to complete.

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1991.tb00702.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACT:The frequently cited statistics on farm accidents are based on definitions of farms accidents and on sources of data that exclude some events that could be called farm accidents and that represent only some of all the defensible perspectives on health risks in farming. As a contribution to exploring alternative perspectives on farm accident statistics, mailed surveys of 2,016 Iowa farm operators provided information on accidental injuries in their farm operations during the year preceding the survey. The majority of injuries were home treated, and hence were not events that would be reflected in accident statistics based on medical records. The data allow a breakdown by age, thus enabling an estimate of farm accident rates for children, youth, and the elderly, people whose accidents are typically excluded from farm accident statistics. Data are also presented that provide a farm operator's perspective on farm accidents, showing that many farm operators had knowledge about accidents through their own close calls and through their efforts to assist others who had farm accidents. The farm operator's perspective is also reflected in data indicating greater concern about chemical and air quality health risks than about risks from farm machinery and livestock.

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1991.tb00703.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACT:We implemented a hospital‐based agricultural injury surveillance System in central Wisconsin in November 1986. The geographic area of the study is heavily agricultural, with a predominance of dairy farmers. This report describes the epidemiologic characteristics of the 913 patients seen during the first two years of the surveillance System. The majority of patients were male (77%), between the ages of 19 and 65 years of age (68.4%), and either the owner/operator of the farm (42.4%), or the spouse of the owner/operator (10.5%). Falls accounted for the greatest number of injuries in children younger than 16 years of age and in those older than age 65, while animals were the most frequent cause of injury in those between the ages of 16 and 65 years. Injuries were most likely to occur in the months of June, July, and August, which together accounted for 37 percent of the total number of injuries. Despite the limitations of the descriptive data derived front surveillance Systems, such information may be useful for determining the magnitude of a health problem and suggesting hypotheses to account for the apparent distribution of disease and injur

ISSN:0890-765X    

DOI:10.1111/j.1748-0361.1991.tb00704.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY