Health trends最新文献

Variations in clinical experience of pre-registration house officers: the effect of London. 注册前房屋管理人员临床经验的变化:伦敦的影响。

Health trends Pub Date : 1995-01-01

T Dent, J Gillard, E Aarons, P Smyth-Pigott

{"title":"Variations in clinical experience of pre-registration house officers: the effect of London.","authors":"T Dent, J Gillard, E Aarons, P Smyth-Pigott","doi":"","DOIUrl":"","url":null,"abstract":"A postal questionnaire was used to examine possible differences in clinical experience of pre-registration house officers (PHROs) in eight former English regions, and, within the Thames regions, between teaching hospitals, and non-teaching hospitals in Inner London, Outer London and outside London. The main measurements were the numbers of patients clerked in an average week as emergency, routine or day admissions or as outpatients; the number of patients under the respondents' care at time of reply; the experience of specific clinical conditions gained; the overall adequacy of clinical experience; and the suitability of posts for preparing respondents to work as casualty officers, senior house officers, or general practitioners. The results indicate that less clinical experience was acquired by PRHOs training in the Thames regions. They had fewer admissions per week, fewer patients, and exposure to fewer surgical conditions. Within the Thames regions, there was a gradient of improving educational quality (in all areas of this study) from the teaching hospitals, through the non-teaching hospitals in inner and in outer London, and then to the hospitals outside London. No differences were found between Thames region posts outside London and non-Thames regions.","PeriodicalId":79616,"journal":{"name":"Health trends","volume":"27 1","pages":"22-6"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21015107","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

Use of Office of Population Censuses and Surveys records in medical research and clinical audit. 在医学研究和临床审计中使用人口普查和调查办公室的记录。

Health trends Pub Date : 1995-01-01

B Botting, H Reilly, D Harris

引用次数: 0

General practice health checks of elderly people: a county-wide survey. 老年人的全科健康检查:一项全国范围的调查。

Health trends Pub Date : 1995-01-01

K Brown, L Groom

引用次数: 0

Leg ulcer care: an audit of cost-effectiveness. 腿部溃疡护理:成本效益审计。

Health trends Pub Date : 1995-01-01

L Freak, D Simon, A Kinsella, C McCollum, J Walsh, C Lane

引用次数: 0

The role of the health service ombudsman. 保健服务监察员的作用。

Health trends Pub Date : 1995-01-01

W K Reid

引用次数: 0

General hospital services for attempted suicide patients: a survey in one region. 综合医院对企图自杀病人的服务:在一个地区的调查。

Health trends Pub Date : 1995-01-01

K Hawton, R James

引用次数: 0

Children with asthma in schools: an opportunity for "healthy alliances" between health and education authorities. 在校哮喘儿童:卫生和教育当局之间“健康联盟”的机会。

Health trends Pub Date : 1995-01-01

E Pugh, K Mansfield, H Clague, P Mattinson

引用次数: 0

The demand for primary dental care at a dental teaching hospital, 1989 and 1993. 1989年和1993年牙科教学医院对初级牙科保健的需求。

Health trends Pub Date : 1995-01-01

D Thomas, E Absi, J Shepherd

{"title":"The demand for primary dental care at a dental teaching hospital, 1989 and 1993.","authors":"D Thomas, E Absi, J Shepherd","doi":"","DOIUrl":"","url":null,"abstract":"The demand for, and provision of, primary dental care was investigated in a teaching hospital setting in 1989 and 1993 - a period which saw the introduction of the new dental contract and the publication of the Poswillo report on general anaesthesia and sedation. Five hundred patients who attended the primary care department for the first time at the University of Wales Dental Hospital were interviewed in May/June 1989, and a further 520 patients were interviewed in May/June 1993. Self-referrals increased from 260 patients (52%) in 1989 to 352 patients (68%) in 1993. The proportion of patients who did not have a general dental practitioner (GDP) increased from 32% (160) in 1989 to 39% (202) in 1993. More patients registered with a dentist self-referred in 1993 compared to those in 1989, reportedly because of inability to obtain an appointment with their own GDP (88), rather than because of cost (17). Over the four-year period there was an increase in demand for treatment of early stage (pulpitic) dental infection from 32% to 40%, and a decrease in relation to end-stage infection (dentoalveolar abscess) from 11% to 6%. This 'safety net' role of dental hospitals needs to be taken into account when contracting for services.","PeriodicalId":79616,"journal":{"name":"Health trends","volume":"27 1","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21015110","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

Cost and utilisation of community services for people with HIV infection in London. 伦敦艾滋病毒感染者社区服务的成本和利用情况。

Health trends Pub Date : 1995-01-01

S Petrou, M Dooley, L Whitaker, E Beck, E Kupek, J Wadsworth, D Miller, A Renton

{"title":"Cost and utilisation of community services for people with HIV infection in London.","authors":"S Petrou, M Dooley, L Whitaker, E Beck, E Kupek, J Wadsworth, D Miller, A Renton","doi":"","DOIUrl":"","url":null,"abstract":"This study aimed to describe the use and costs of community services for HIV-infected people by disease stage, sex and transmission category (homosexual, heterosexual, injecting drug use) by use of a prospective cohort study in which people were followed up for six months. There were two major components; gathering quantitative information on service utilisation from people with HIV infection using two interviewer-administered questionnaires and six self-completed monthly diaries; and estimating the costs of the services provided. People were recruited from two London clinics: the Jefferiss Wing Genito-urinary Medicine (GUM) clinic at St. Mary's Hospital, Paddington, and the Patrick Clements GUM clinic at the Central Middlesex Hospital, Harlesden. Costing data was obtained from providers of community services throughout Greater London. The main outcome measures were contacts per person-year, and costs per person-year, for all community services stratified by service sector. The people studied each made, on average, 139 community service contacts per year at a cost of 2,806 pounds; there was little difference in average utilisation between the three transmission categories. There were differences in both the utilisation of services and costs within the formal and informal sectors for subjects from different disease stages. Although the average number of contacts per person-year were similar for women and men, the total cost of community services was higher for women than for men, reflecting the differences in types of services used. The results indicated a high proportion of total care costs for people with HIV and AIDS is incurred through community-based social care.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":79616,"journal":{"name":"Health trends","volume":"27 2","pages":"62-8"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21023779","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

Early post-tonsillectomy morbidity following hospital discharge: do patients and GPs know what to expect? 出院后扁桃体切除术后的早期发病率:患者和全科医生知道会发生什么吗?

Health trends Pub Date : 1995-01-01

M Kuo, D Hegarty, A Johnson, S Stevenson

引用次数: 0