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Effective health care最新文献

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The changing character of quality assurance: activities in acute care hospitals. 质量保证性质的变化:急症护理医院的活动。
Effective health care Pub Date : 1983-08-01
J I Hudson
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引用次数: 0
Critical assessment of routine preoperative investigations. 常规术前检查的关键评估。
Effective health care Pub Date : 1983-08-01
C Blery, C Chastang, J H Gaudy
{"title":"Critical assessment of routine preoperative investigations.","authors":"C Blery,&nbsp;C Chastang,&nbsp;J H Gaudy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of routine investigations is widespread in medical practice, particularly for preoperative assessment. Recent studies showed that some routine preoperative investigations are uninformative when ordered without a clinical indication. The rationale for preoperative investigations includes emphasis on history taking and clinical examination, as well as specific targets correlated to the surgical situation. Investigations could fall into three broad categories: discretionary tests which complete clinical history, baseline tests for interpretation of anticipated perioperative disturbances and screening tests for conditions affecting perioperative morbidity and mortality. Each investigation should answer a specific question and the result should influence decision-making. Application of these principles should lead to elimination of unnecessary tests and better utilization of medical information but further studies are needed for evaluation of such strategies.</p>","PeriodicalId":79874,"journal":{"name":"Effective health care","volume":"1 2","pages":"111-4"},"PeriodicalIF":0.0,"publicationDate":"1983-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21187054","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
Health care policy today: making way for the libertarians? 今天的医疗保健政策:为自由意志主义者让路?
Effective health care Pub Date : 1983-06-01
F F Rutten
{"title":"Health care policy today: making way for the libertarians?","authors":"F F Rutten","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79874,"journal":{"name":"Effective health care","volume":"1 1","pages":"35-43"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21132058","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
Effects of cost-sharing in health care. 保健费用分摊的影响。
Effective health care Pub Date : 1983-06-01
W P van de Ven
{"title":"Effects of cost-sharing in health care.","authors":"W P van de Ven","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article gives an introduction to the literature dealing with cost-sharing in health care and focuses on the question: does a change in cost-sharing have any impact on the demand for medical care, keeping all other things equal? And if so, to what degree? The main empirical results in the health care economics literature are reviewed and some important studies are discussed. One conclusion on which all studies agree is that an increase of the out-of-pocket price results in a reduction of the demand for the medical care in question. There are many indications that this money price-effect is the larger the lower the time-price, the lower the income, the less urgent the medical care is and the more influence the patient has on the decision to receive medical care. Finally, there are indications that cost-sharing for out-patient services reduces the hospitalization rate.</p>","PeriodicalId":79874,"journal":{"name":"Effective health care","volume":"1 1","pages":"47-58"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21132059","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 national approach to health service management information services. 保健服务管理信息服务的国家方针。
Effective health care Pub Date : 1983-06-01
E Körner, A Mason
{"title":"A national approach to health service management information services.","authors":"E Körner,&nbsp;A Mason","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79874,"journal":{"name":"Effective health care","volume":"1 1","pages":"59-65"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21132060","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
Evaluation of medical action and of action in public health. A clarification of concepts with special reference to quality of care. 医疗行动和公共卫生行动的评价。澄清概念，特别提及护理质量。
Effective health care Pub Date : 1983-06-01
F Grémy
{"title":"Evaluation of medical action and of action in public health. A clarification of concepts with special reference to quality of care.","authors":"F Grémy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper attempts to analyse the tangled concepts which make the notion of evaluation so complex. After having given the reason why evaluation of health services is becoming more and more useful, the paper proposes a major distinction between routine and research evaluation. Routine evaluation is based on the conformity to the presently accepted norms. The aim of research evaluation is to establish norms in a continuously changing scientific context. Research evaluation uses tools such as controlled clinical trials, decision analysis, cost-benefit and cost-effectiveness analysis. Most of the paper is concerned with routine evaluation. It adopts the three major axes suggested by Donabedian: resource, procedure, results evaluations. It also gives the fundamental notions, the difficulties, and proposes some examples of each of these approaches.</p>","PeriodicalId":79874,"journal":{"name":"Effective health care","volume":"1 1","pages":"11-23"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21178982","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
Economic appraisal and health service decision making. 经济评价与卫生服务决策。
Effective health care Pub Date : 1983-06-01
M F Drummond
{"title":"Economic appraisal and health service decision making.","authors":"M F Drummond","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79874,"journal":{"name":"Effective health care","volume":"1 1","pages":"25-33"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21178983","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
Effectiveness and efficiency of health services. 保健服务的效力和效率。
Effective health care Pub Date : 1983-06-01
A J Culyer
{"title":"Effectiveness and efficiency of health services.","authors":"A J Culyer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79874,"journal":{"name":"Effective health care","volume":"1 1","pages":"7-9"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21132061","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
Need, demand, supply. 需要，需求，供给。
Effective health care Pub Date : 1983-06-01
D Black
{"title":"Need, demand, supply.","authors":"D Black","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ideally, health needs should arouse a proportionate and appropriate demand for health care, which can then be supplied in a systematic way. In real life, this desirable process is distorted by faulty perception of actual need; by failure of even perceived need to generate demand, while at the same time demands are made which bear little relation to need; and finally by the inappropriateness of some service provision to either need or demand. One approach to making a more objective assessment of what is needed in service provision is described, in the shape of a system of five indices of the burden cast by various types of illness on sufferers and on the health services.</p>","PeriodicalId":79874,"journal":{"name":"Effective health care","volume":"1 1","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21132057","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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