摘要:

Emergency services are asked to treat a significant volume of patients that require nonemergent care. Alternative strategies have been proposed for managing this patient population, ranging from free-standing urgent care centers to the integration of urgent care patients with other patients treated in the ED. This article explores issues and physical options surrounding the provision of patient care of urgent care patients in the emergency services.

ISSN:0148-9917    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Over the past four decades, the delivery of health care services has seen dramatic changes. Medicare coverage in 1966 expanded the ability of the health care industry to treat a growing segment of the population. Technology improvements have made great strides in the treatment of disease. Public policy decisions expanded health care coverage from an employee benefit to entitlement for large segments of the population. Managed care growth has reorganized the basic health care delivery system. The aggregate effect of all these items was a dramatic increase in the cost of providing health care in the United States. Beginning in the late 1960s, and escalating in the 1970s and 1980s, the increase of the cost of care was the primary issue for the industry. Only in the 1990s has the rate of increase modified through the impact of managed care, and now there is significant competition for the health care dollar among many competing providers.

ISSN:0148-9917    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

As the shift to ambulatory care increases, many established acute care facilities are searching for ways to serve their communities more effectively, to maintain their position in the market—and to ensure continuing, healthy revenue streams. This article explores some of the issues faced by such an institution in a rapidly growing market in the Southeast. For this article, we refer to it as Metropolitan Hospital.

ISSN:0148-9917    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

This article provides an overview of the approach, programming, and methodology for the renovation of the Peekskill Area Health Center, an urban based non-profit community health center in the Hudson Valley. The impetus of the renovation is in response to changes in the health care environment and overcrowding of the existing facility. The model development, which is reflected in the physical renovation, employes key elements of the Planetree approach to patient-centered care. Consistent with the national Community Health Center philosophy, the project is dedicated to vitalizing an economically depressed area through construction opportunities and links with local commercial businesses.

ISSN:0148-9917    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The purpose of this article is to describe the strategic context within which ambulatory care facilities are being developed, to consider a range of models of care facilities available, and, by drawing on the experience of the authors, to comment on some of the investment and development issues arising from two projects in progress–the community hospitals in Richmond, Yorkshire, in rural north England, and Thames Ditton on the borders of outer south London. In the final section, we consider the possible future of ambulatory care development in the light of government policy.

ISSN:0148-9917    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

This case study is focused on Titusville Area Hospital because of current/recent activities at the hospital, but it also reflects previous experience with other facilities. The rural midwestern hospital no longer needs to be a single facility located in the largest community in the area. In fact, it can no longer be that single facility; it must service its population(s) at locations convenient to patients with the services appropriate to them. It is important that the hospital not only recognize its outreach areas through a satellite facility but also build a strong outpatient and support base at the hospital.

ISSN:0148-9917    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

As rural community hospitals continue their transition of health care delivery to predominantly outpatient and ambulatory services, many factors are being considered in design, planning, and operations to enact this change both efficiently and effectively. The following examines strategies that allow these changes to be incorporated successfully while maintaining the flexibility for the continued transition that these organizations will experience in the future.

ISSN:0148-9917    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The author identifies shortcomings in traditional hospital based ambulatory care programs. Characteristics of innovative, customer focused ambulatory care programs are delineated, and two examples in breast care and wound care are described.

ISSN:0148-9917    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Intended for ambulatory care administrators considering a building project, the article discusses seven key steps to a successful project:Avoid common pitfalls: allow enough time, avoid over-delegation, focus staff on issues rather than egos, require staff “buy-ins” to project concepts and design, and understand the realties of construction.Select the right team: how to interview, assess qualifications, and make a sound decision.Understand all the project costs; construction cost is only one of many.Understand the various construction methods and pricing alternatives; become a sophisticated consumer.Understand the nature and scope of the risks inherent in building projects.Understand all the management issues.Start your project off right through producing. Identify strategic goals and needs, then quantify and qualify your project's intent, scope, and basic financial assumptions.

ISSN:0148-9917    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The following article illustrates some important factors to consider when designing ambulatory care facilities (ACFs), and focuses on how wayfinding, noise control, privacy, security, color and lighting, general ambience, textures, and nature can have a profound influence on patient and family stress, consumer satisfaction, health and well-being. Other important design issues: convenience and accessibility, accommodation to various populations, consumer and family focus, patient education, image, as well as current equipment needs and future growth are examined in light of the prevailing trends in health care delivery. In sum, this feature explores the important stress-reducing and health-promoting elements involved in successful ACF design.

ISSN:0148-9917    

出版商:OVID    

年代:1999

数据来源: OVID