[Cardiac arrhythmias in chronic cor pulmonale (author's transl)].
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Biomedical subjects
Publications and source records attributed to D Calder.
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PURPOSE: There has been substantial recent interest in diabetes disease management interventions, guidelines, and care practices. As the vast majority of diabetes care occurs in primary care settings, it makes sense to evaluate current levels of recommended practices in different primary care settings. METHODS: We report on two separate studies that included a combined total of 389 patients seen by over 30 different providers. Three different sets of recommended practices were assessed: (1) the ADA provider recognition measures, (2) the proposed Diabetes Quality Improvement Project measures, and (3) the state of Oregon Population-Based Guidelines for Diabetes. RESULTS: In general, there was only a moderate level of adherence to recommended practices, and adherence was much lower for behavioral or patient-focused practices as contrasted with laboratory tests. There was considerable variability across providers and across different guidelines activities. CONCLUSIONS: Policy and quality improvement implications and future research issues are discussed, including the need for studying different measurement approaches for evaluating guidelines adherence.
Physiotherapy caseload standards were developed in 1975 for the purpose of providing an efficient statistical tool for department heads, administrators and government planners in their consideration of staffing and equipping treatment facilities. This paper is a summary of a report prepared by a committee of the Canadian Physiotherapy Association whose task was to evaluate the standards. Analysis of data collected by Statistics Canada via the Canadian Schedule of Unit Values in 1980-81, showed a high correlation between two primary workload indicators--attendances per department paid hour and attendances per physiotherapist paid hours. Using three of the seventeen statistical indicators developed, the committee prepared physiotherapy caseload standards for seven types of hospitals, categorized by size and the proportion of rehabilitation services they offered. The standards were later revised and reissued as guidelines. This report discusses three of the recommended guidelines: number of attendances per physiotherapy department paid hour; number of attendances per physiotherapist paid hour; and weighted units per physiotherapy department paid hour. A copy of the complete report is available from the Canadian Physiotherapy Association.