Health bulletin最新文献_第2页

Surgical audit activity may improve long-term survival in cancer patients: an observation from "Trends in Cancer Survival in Scotland 1971-1995". 手术审计活动可以提高癌症患者的长期生存率:来自“1971-1995年苏格兰癌症生存趋势”的观察。

Health bulletin Pub Date : 2002-01-01

S J Nixon

引用次数: 0

Health governance--its introduction in Lanarkshire Health Board. 卫生治理——在拉纳克郡卫生委员会的介绍。

Health bulletin Pub Date : 2002-01-01

J G Wrench, D C Moir

{"title":"Health governance--its introduction in Lanarkshire Health Board.","authors":"J G Wrench, D C Moir","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To describe an approach to implementing the principles of clinical governance in a Health Board setting.Design: Using guidance from the Scottish Executive and The Faculty of Public Health Medicine to set up a health governance structure at Health Board level. Auditing current work to identify areas that required to be progressed.Setting: Lanarkshire Health Board.Results: A Health Governance Committee and a Health Governance Advisory Group, to support the work of the main committee, were set up at Board level. The Scottish Executive Governance Monitoring Template has been adapted to cover the main public health functions. Topics considered in the first year include qualifications, registration and CPD activity of Consultants in Public Health Medicine, audit of public health advice on gastro-intestinal illness, audit of DPH Annual Report and audit of items of business on Health Board agenda.Conclusion: The model developed in Lanarkshire has a Health Governance Advisory Group which works in support of the main Health Governance Committee. This model works well in practice with much of the routine work being done by the Advisory Group. This has streamlined the work of the Health Governance Committee and facilitated its introduction.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"60 1","pages":"48-54"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22313176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Information for community hospitals. 社区医院信息。

Health bulletin Pub Date : 2002-01-01

J Urquhart, B J M Graham, A Ward, H Greig

{"title":"Information for community hospitals.","authors":"J Urquhart, B J M Graham, A Ward, H Greig","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To design and test a revised data collection system for routine patient based data in the Community Hospital setting in Scotland.Design: A two part qualitative study was designed to identify the requirements for Community Hospital information, develop a data set to meet these requirements and pilot a proposed Community Hospital Information System.Setting: Identification of the information deficit (Stage 1) involved administering face to face questionnaires in all relevant Health Board areas in Scotland; piloting of the proposed information system (Stage 2) was carried out in four Community Hospitals in Scotland.Results: Stage 1 of the study highlighted the information requirements as including: who is being treated; why they are there; how complex their needs are; what is being done and by whom; and what is happening next. The additionally required data included: admission reason--medical/social; type of care--intended and provided; all relevant diagnoses and social factors; medication--on admission and discharge; interventions--nursing/GP/consultant; dependency throughout stay; delayed discharge information; and discharge plan. The summary of recommendations that flowed from this part of the study includes: incremental electronic record; link with GP and acute systems; interface with other community systems; duplication of recording; accessibility at local level with variable levels of access (to protect patient confidentiality). Stage 2 of the study piloted the collection of the proposed dataset and permitted development of suitable feedback information, in particular the patient summary screens. Economic evaluation of the proposed dataset compared to the existing data was carried out in parallel with the study and is reported elsewhere.Conclusion: It is feasible and highly desirable to collect clinically useful information at little additional cost and to provide relevant feedback, including useful patient summary screens, representing the patient stay in hospital.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"60 1","pages":"13-9"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22313170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Scottish molecular genetics consortium--15 years on. 苏格兰分子遗传学协会，15年过去了。

Health bulletin Pub Date : 2002-01-01

K F Kelly

引用次数: 0

From the Chief Scientist. 来自首席科学家。

Health bulletin Pub Date : 2002-01-01

Roland Jung

引用次数: 0

Organisational implications of concentration orthopaedic services. 集中骨科服务的组织意义。

Health bulletin Pub Date : 2001-11-01

J Bowers, G Mould

{"title":"Organisational implications of concentration orthopaedic services.","authors":"J Bowers, G Mould","doi":"","DOIUrl":"","url":null,"abstract":"The re-organisation of the acute health services in 1999 is causing many acute trusts to consider the practical implications of concentrating services. This may be in terms of the complete merger of departments at different units or a less radical policy of the alternation of the responsibility for emergency receiving between units. The benefits may include the opportunity to improve the quality of care by providing more specialist services, more attractive working conditions with a larger pool of specialists providing the on-call rota and enhanced opportunity for training. Economic theory indicates that concentration should lead to economies of scale by greater sharing of fixed overhead costs, whilst statistical theory specifies that concentration should produce a relative decline in the variability of demand. This paper examines the effects of concentration on emergency admissions in an orthopaedic department by means of a series of simulation experiments. It examines the potential economies of scale for theatre utilisation and bed usage associated with increasing the volume of non-elective patients. As the volume of patients increases so the relative variability of demand decreases and the relative demand for emergency operating theatre time declines. Concentration could offer savings on theatre time allocated to trauma patients, but the impact on wards is less significant with concentration having a limited effect on the demand for beds.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 6","pages":"381-7"},"PeriodicalIF":0.0,"publicationDate":"2001-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22310139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nursing homes infection control audit. 养老院感染控制审核。

Health bulletin Pub Date : 2001-11-01

A J Holliday, S Murdoch

{"title":"Nursing homes infection control audit.","authors":"A J Holliday, S Murdoch","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To carry out a telephone audit looking at the number of nursing homes adhering to the recommendations that nursing homes should-. have a trained infection control link nurse have appropriate reference material respond appropriately to enteric outbreaks record residents with previously identified MRSA and C. diff. be aware of clients with possible infections offer influenza vaccination to all residents.Design: An initial telephone survey of all 23 nursing homes within Forth Valley Health Board area in February 2000 was followed by offering a training programme and repeating the survey in December 2000 to find out if improvements had been made.Results: In February 2000 there were 17(74%) nursing homes with link nurses. In December 2000 this was 19(83%). The numbers who had attended a PHICN induction course were low (11% vs 16%). The lack of availability of reference material in a number of homes gave cause for concern. About one third of nursing homes had residents with diarrhoea and vomiting in the last three months and had called the GP. In February none and in December one of the respondents said that Public Health had been informed. The number of homes which took specimens was 33% in February vs 88% in December and with carriers of MRSA was 75% vs 83%. Those flagging notes increased from 73% to 100%. The number with residents with C.diff was extremely small (1vs2) and all notes were reported to be flagged.Conclusion: Staff retention and training were highlighted as areas to be addressed. Improvements in availability of reference material in nursing homes, standardisation of \"flagging\" or marking of notes and increased notification of possible outbreaks to the Communicable Disease Team are required.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 6","pages":"356-63"},"PeriodicalIF":0.0,"publicationDate":"2001-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22310136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of national clinical guidelines on obstetricians in Scotland. 国家临床指南对苏格兰产科医生的影响。

Health bulletin Pub Date : 2001-11-01

R Foy, G Penney, I Greer

{"title":"The impact of national clinical guidelines on obstetricians in Scotland.","authors":"R Foy, G Penney, I Greer","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To audit reported clinical practice in relation to four national obstetric guidelines on The Preparation of the Foetus for Preterm Delivery, The Management of Mild, Non-proteinuric Hypertension in Pregnancy, The Management of Pregnancy in Women with Epilepsy and The Management of Postpartum Haemorrhage.Design: Questionnaire surveys before and after dissemination of the guidelines.Subjects: One hundred and sixty one consultants and senior specialist registrars in Scotland.Results: The response rates to the baseline and follow-up surveys were 85% and 74% respectively. Over 90% of the obstetricians kept the guidelines for reference and 85% had been prompted to change or reconsider their practice. Reported compliance improved significantly for six out of twenty nine recommendations covering: the use of tocolysis in women at risk of pre-term labour; the use of prophylactic antibiotics or entry to a clinical trial for pre-term, pre-labour rupture of the membranes; the initiation of steroid therapy in women with insulin-dependent diabetes mellitus; and the prescribing of periconceptual folic acid and vitamin K to women with epilepsy. There were no significant improvements in relation to mild, non-proteinuric hypertension or post-partum haemorrhage.Conclusions: There were significant improvements in the reported management of women at risk of preterm labour and those with epilepsy. However, reported practice in relation to mild, non-proteinuric hypertension and post-partum haemorrhage has improved little. This is possibly because the guidelines for these topics were relatively complicated to understand and apply, and established patterns of practice more resistant to change.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 6","pages":"364-72"},"PeriodicalIF":0.0,"publicationDate":"2001-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22310137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Poor but healthy? The youngest generation of Irish catholics in west Scotland. 贫穷但健康?西苏格兰最年轻的一代爱尔兰天主教徒。

Health bulletin Pub Date : 2001-11-01

J Abbotts, R Williams, H Sweeting, P West

{"title":"Poor but healthy? The youngest generation of Irish catholics in west Scotland.","authors":"J Abbotts, R Williams, H Sweeting, P West","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Catholic adults in the West of Scotland, who are mainly of Irish origin, have been shown to suffer excess morbidity and mortality compared to the general population. A major contributing factor to this inequality is socio-economic disadvantage. This paper investigates the health and socio-economic position of Catholics in the youngest generation.Design: Secondary analysis of baseline data from the West of Scotland 11-16 STUDY: Teenage Health, which is a longitudinal school-based survey.Setting: One hundred and thirty five primary schools in Glasgow and surrounding districts.Subjects: Two thousand five hundred and eighty six final-year pupils (average age eleven years and three months), born in 1983/1984.Results: Comparing Catholics and non-Catholics on a range of indicators of general health, recent acute symptoms, chronic conditions, mental health and physical measures, we found no evidence of any systematic health inequality. A few indicators did show statistically significant differences at the five percent level, but these were not in any consistent direction. In terms of household socio-economic position, though, we found strong evidence of disadvantage for Catholics. Catholic children were more likely to have parents of manual social class, without any formal qualifications, who were less likely to own their home or a car, more likely to express difficulty 'making ends meet', and more likely to live in a deprived area.Conclusions: We discuss the prospects for diminishing socio-economic inequality over time between Catholics and non-Catholics in this cohort, which will depend on Catholic social mobility. We consider the likelihood of enduring health equality for Catholics, which will depend on the effects of different influences on health over the life course.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 6","pages":"373-80"},"PeriodicalIF":0.0,"publicationDate":"2001-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22310138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Managed clinical network--a start. 管理的临床网络——一个开始。

Health bulletin Pub Date : 2001-11-01

C Baker

引用次数: 0