Paper series (United Hospital Fund of New York)最新文献_第2页

Hospitals and the poor: strategies for primary care. 医院和穷人:初级保健战略。

Paper series (United Hospital Fund of New York) Pub Date : 1991-08-01

J Cooke, P Brooks

引用次数: 0

If we knew then what we know now: planning for people with AIDS. 如果我们当时知道我们现在所知道的:为艾滋病患者制定计划。

Paper series (United Hospital Fund of New York) Pub Date : 1991-05-01

S A Masline, K Feiden, D A Gould, D E Halper, M F Mooney

引用次数: 0

Homeless people and health care: an unrelenting challenge. 无家可归者和医疗保健:一个无情的挑战。

Paper series (United Hospital Fund of New York) Pub Date : 1990-12-01

S L Neibacher

引用次数: 0

Policy and practice: certified home health care in New York City. 政策和实践:纽约市认证家庭保健。

Paper series (United Hospital Fund of New York) Pub Date : 1990-08-01

K S Fox, W D Helms, S Ginsburg

引用次数: 0

Transitional care: the problem of alternate level of care in New York City. 过渡性护理:纽约市交替护理水平的问题。

Paper series (United Hospital Fund of New York) Pub Date : 1989-11-01

D G Safran, E A Eastwood

引用次数: 0

The nursing shortage: new approaches to an old problem. 护理人员短缺:解决老问题的新方法。

Paper series (United Hospital Fund of New York) Pub Date : 1989-10-01

M I Krasner

引用次数: 0

Playing doctor: who will control medical practice in the year 2000? 扮演医生:谁将在2000年控制医疗实践?

Paper series (United Hospital Fund of New York) Pub Date : 1989-07-01

E Friedman

引用次数: 0

Measuring avoidable deaths and diseases in New York State. 衡量纽约州可避免的死亡和疾病。

Paper series (United Hospital Fund of New York) Pub Date : 1988-01-01

W Carr, N Szapiro, T Heisler, M I Krasner

{"title":"Measuring avoidable deaths and diseases in New York State.","authors":"W Carr, N Szapiro, T Heisler, M I Krasner","doi":"","DOIUrl":"","url":null,"abstract":"The measurement of sentinel health events--avoidable deaths and diseases--is a practical and valuable method for assessing the state of the community's health and the performance of the health system in meeting the needs of the population. A comprehensive framework for identification of sentinel health events has been defined by the Working Group on Preventable and Manageable Diseases. The Working Group developed lists that include more than 120 medical conditions for which death or disease is deemed to be potentially avoidable through primary prevention activities or timely and appropriate treatment. Hospital discharge abstract data offer a unique perspective for examining these potentially avoidable negative health outcomes. Such data, available in New York State through the Statewide Planning and Research Cooperative System (SPARCS), are a source of detailed and accessible information on a wide range of morbidity-producing conditions and associated deaths. Among the findings of this sentinel health events study, based on an analysis of SPARCS data, are the following: Among hospitalized residents of New York State in 1983, more than 19,000 deaths occurred that were potentially avoidable. More than one-third of these deaths occurred among persons under age 65. More than 336,000 instances of disease were found that were potentially preventable, amounting to 123 disease occurrences per 1,000 discharges. In the category of sentinel events where each event may be avoidable, only three conditions alone were associated with 75 percent of the deaths and 60 percent of the disease occurrences--malignant neoplasm of the trachea, bronchus, and lung; emphysema or chronic obstructive lung disease(s); and malignant neoplasm of the bladder. In the category of events where some proportion of events may be avoidable, one diagnosis--vascular complications associated with hypertensive disease(s)--was linked with 45 percent of the deaths. Significantly higher rates and ratios for many sentinel events were found among blacks, Medicaid recipients, and users of public hospitals than were found for comparison groups. For example, among patients hospitalized for colon and related neoplasms, black patients were more than twice as likely to die than white patients.(ABSTRACT TRUNCATED AT 400 WORDS)","PeriodicalId":79701,"journal":{"name":"Paper series (United Hospital Fund of New York)","volume":" 8","pages":"1-54"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21184213","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

Getting care: poor children and New York City hospitals. 得到照顾:贫困儿童和纽约市的医院。

Paper series (United Hospital Fund of New York) Pub Date : 1987-04-01

B Weitzman

{"title":"Getting care: poor children and New York City hospitals.","authors":"B Weitzman","doi":"","DOIUrl":"","url":null,"abstract":"In 1984, almost 10 million visits were made to New York City hospital emergency rooms and outpatient departments. Of these, nearly one-quarter were made by children. Almost nine out of ten children using hospital emergency rooms and outpatient departments were either poor or uninsured. Nearly 70 percent of emergency room visits by Medicaid-covered children in 1984 were made to voluntary hospitals, as compared with less than 40 percent of uninsured visits. Medicaid patients -- poor but uninsured -- are less likely than uninsured patients to visit the emergency room for non-urgent care. For example, in 1984, 35 percent of uninsured medical and surgical after-care visits were made to the emergency room, as compared with 13 percent of Medicaid-covered visits. The availability of primary care physicians in a neighborhood reduces the rate of outpatient department use by children covered by Medicaid, but has no affect on the utilization rates of uninsured children. Access to routine health care by uninsured children is limited by the number of municipal hospital sites, both because children seek care within their home community. More details from the study of poor children and New York City hospitals follow. Data sources and statistical methods are described in an appendix to this report.","PeriodicalId":79701,"journal":{"name":"Paper series (United Hospital Fund of New York)","volume":" 7","pages":"1-25"},"PeriodicalIF":0.0,"publicationDate":"1987-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21184212","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

Home care in New York City: providers, payers, and clients. 纽约市的家庭护理:提供者、支付者和客户。

Paper series (United Hospital Fund of New York) Pub Date : 1987-02-01

D Bell, J J McCormack

{"title":"Home care in New York City: providers, payers, and clients.","authors":"D Bell, J J McCormack","doi":"","DOIUrl":"","url":null,"abstract":"Estimates based on 1980 data indicate that almost two-thirds of the disabled elderly in New York City receive care only from informal sources. Another one-fifth use a combination of informal and formal sources of care. Thus, only about 15 percent are exclusively dependent on various agencies and programs that constitute the formal home care system. Over 200 organizations in 1986 offered some form of home care service in New York City. Among these were at least 100 proprietary businesses, 61 nonprofit personal care agencies, and 36 nonprofit certified home health agencies. In 1984, 166,739 different New York City residents received home care services provided by the four largest types of formal providers of care: certified home health agencies; Long Term Home Health Care Programs; Human Resources Administration home attendant agencies and homemaker/housekeeper agencies; and Department for Aging homemaker/housekeeper programs. While women age 65 and older living alone are the largest client group for home care services, persons below age 65 account for approximately one-fourth of program caseloads of the four major home care providers in New York City. An estimate of one-day home care use in 1984 shows that the four major types of providers served 59,554 persons with total annual expenditures of $499.3 million, while nursing homes cared for 36,072 persons with annual expenditures of almost $1.4 billion. It is thus evident that more people are receiving organized, extended care at home on a given day in New York City than in nursing homes. Medicaid, the major payer for home care in New York City, spent $412.4 million on home care services in 1984, accounting for 82.6 percent of total publicly funded expenditures for home care services. Of this amount, 89 percent was for personal care services provided through the Human Resources Administration's personal care program. More details on home care in New York City follow, along with a discussion of policy perspectives surrounding the provision of and payment for home care services in the future.","PeriodicalId":79701,"journal":{"name":"Paper series (United Hospital Fund of New York)","volume":" 6","pages":"1-46"},"PeriodicalIF":0.0,"publicationDate":"1987-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21184211","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