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Injecting quality into the health care building process. 在卫生保健建设过程中注入质量。
World hospitals Pub Date : 1992-01-01
C Rawlinson, J Kelly
{"title":"Injecting quality into the health care building process.","authors":"C Rawlinson,&nbsp;J Kelly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article, which draws on material from a study undertaken by Rawlinson Kelly Whittlestone (RKW) for the King Edwards' Hospital Fund for London, explores the interrelationships between quality in health buildings and the health building process. It describes the new context for quality improvements in the UK, and attempts to define health building quality from a variety of differing perspectives. It also describes some of the lessons learned and threats to quality from the last 25 years of new health buildings in the UK. Decision points which can compromise quality during the health building process are highlighted. Prerequisites for ensuring that quality is both safeguarded and injected into the health building process are identified and discussed.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 3","pages":"23-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21037667","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
Bring statistics to life. 将统计数据带入生活。
World hospitals Pub Date : 1992-01-01
N Undritz
{"title":"Bring statistics to life.","authors":"N Undritz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 3","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21037668","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
A successful transport scenario for the health sector in developing countries. 发展中国家卫生部门的成功运输设想。
World hospitals Pub Date : 1992-01-01
C D Collins, G Myers, N Nicholson
{"title":"A successful transport scenario for the health sector in developing countries.","authors":"C D Collins,&nbsp;G Myers,&nbsp;N Nicholson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The role and operation of transport in the health sector in developing countries is important, costly but often taken for granted. This article suggests the need for a fresh look at the policy, planning and management of transport through the analysis of the essential components of a successful transport scenario for health services in developing countries i.e. transport and health planning; transport and organisational responsibility; the role of health sector donors; decision-making and procurement of transport and spares; transport and human resources; monitoring and control of transport and information; maintenance and repair; the budget. The article concludes with a checklist of key questions that may be used in assessing the contribution of transport to the health services.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 3","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21037670","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
Changing role of hospitals in the Philippine health system. 菲律宾卫生系统中医院角色的变化。
World hospitals Pub Date : 1992-01-01
J C Azurin
{"title":"Changing role of hospitals in the Philippine health system.","authors":"J C Azurin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The PHC approach is a cost effective solution to the problem of health care delivery in the developing countries, with very limited resources. Instituting such an approach on a nationwide basis requires a drastic departure from traditionally accepted and time hallowed methods. In the Philippines, this required a complete rethinking and overhauling of the entire public health structure. PHC is a system and a system approach is accordingly called for to implement PHC effectively.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 2","pages":"15-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20993193","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
A multicentre audit of hospital referral for radiological investigation in England and Wales. Royal College of Radiologists Working Party. 对英格兰和威尔士医院转诊放射调查的多中心审计。英国皇家放射学会工作小组。
World hospitals Pub Date : 1992-01-01
{"title":"A multicentre audit of hospital referral for radiological investigation in England and Wales. Royal College of Radiologists Working Party.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>A baseline audit of radiology referral practice before the introduction of a strategy for change involving guidelines of good practice, monitoring, and peer review.</p><p><strong>Design: </strong>Prospective data collection over a continuous 12 months period at each centre sometime between January 1987 and December 1989.</p><p><strong>Setting: </strong>Five district general hospitals and one district health authority.</p><p><strong>Subjects: </strong>159,421 inpatient discharges, deaths, and day cases and 861,370 outpatient attendances under the care of 722 consultants from 25 clinical specialties.</p><p><strong>Main outcome measures: </strong>Monitoring of x ray examination referrals per 100 inpatient discharges, deaths, and day cases and per 100 new outpatient attenders after establishment of a computerised data collection system.</p><p><strong>Results: </strong>Referral rates for all x ray examinations varied between firms in the same specialty or sub-specialty by as much as eightfold for inpatients and 13-fold for outpatients, and for chest x ray examination by as much as ninefold for inpatients and 25-fold for outpatients. There was no consistent relation between high referral and teaching status of the centre or specialty or subspecialty.</p><p><strong>Conclusions: </strong>The variation that persisted at all levels of disaggregation of the data supports a recent suggestion that at least a fifth of x ray examinations carried out in Britain may be clinically unhelpful. An intervention study that examines the effect of guidelines of good practice and attendant peer review procedures on the baseline referral levels described above is needed to test this hypothesis further.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 1","pages":"7-13"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20994564","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
Releasing resources for reinvestment in health gain. 腾出资源用于健康收益的再投资。
World hospitals Pub Date : 1992-01-01
C D Riley, M M Warner, D Simpson, J Felvus
{"title":"Releasing resources for reinvestment in health gain.","authors":"C D Riley,&nbsp;M M Warner,&nbsp;D Simpson,&nbsp;J Felvus","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The National Health Services in Wales has adopted a strategic approach based on health gain. Five approaches to meeting this problem are considered (i) eliminating basic inefficiencies; (ii) eliminating unnecessary clinical activity; (iii) doing what is done now but differently; (iv) investing now to save later and (v) withdrawing from a particular area of activity, because it is less important than other competing claims. Each of these is briefly considered with particular reference to the Welsh situation. Three particular lines of advance are identified to achieve the above: creating new sources of information; working more effectively across organisational boundaries; and making the cultural changes to make it all possible.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 3","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21037669","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
Using HIS data for health care research. 将HIS数据用于卫生保健研究。
World hospitals Pub Date : 1992-01-01
J McCord
{"title":"Using HIS data for health care research.","authors":"J McCord","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The importance of measuring healthcare performance and outcome rapidly grows around the world. As hospital information systems (HIS) become more commonplace, their use as clinical research tools can be easily developed. This is demonstrated in the article by two examples of clinical outcomes research undertaken on the world's largest HIS database. The research studies described in the article were on: (1) The effect of hospital 'experience' on inpatient mortality rates for patients with HIV-related pneumocystis carinii pneumonia, and (2) The effect of streptokinase and tPA on post-acute myocardial infarction survival rates.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 2","pages":"5-10"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21043120","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
Czechoslovak hospitals in crisis? 捷克斯洛伐克医院陷入危机?
World hospitals Pub Date : 1992-01-01
J Líman
{"title":"Czechoslovak hospitals in crisis?","authors":"J Líman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 1","pages":"37-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21054509","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
Collaborative care: a hospital strategy for an open Europe. 合作护理:开放欧洲的医院战略。
World hospitals Pub Date : 1992-01-01
W Kaplan
{"title":"Collaborative care: a hospital strategy for an open Europe.","authors":"W Kaplan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 2","pages":"31-3"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20993196","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
Concerted action programme on quality assurance in hospitals in Norway. 挪威医院质量保证协调行动方案。
World hospitals Pub Date : 1992-01-01
H Piene, K Bjoro
{"title":"Concerted action programme on quality assurance in hospitals in Norway.","authors":"H Piene,&nbsp;K Bjoro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Below are the results of the assessment phase of a research project conducted in Norway. This project dealt with various quality assurance strategies and their effect on improvement of care with respect to: prophylactic antibiotic use in surgery; preoperative assessment; keeping records and prevention and therapy of bedsores.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 2","pages":"25-7"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20993194","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
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