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Biomedical subjects

F Sabatino

Publications and source records attributed to F Sabatino.

At least 19 recordsLinked to original sources
PubMed1993

New waves. Hospitals struggle to meet the challenge of multiculturalism now--and in the next generation.

Multiculturalism means different things to different people. For hospital executives, there are a number of major implications inherent in the rapidly expanding diversity of the United States. Beginning on page 23, we look at the ethnic diversity issues hospitals face as employers. A consensus has developed that more minority young people must be encouraged to enter health care administration and clinical care; but there are a variety of obstacles to be overcome. Then, beginning on page 29, we examine the many challenges hospitals struggle with as their patient populations become more and more diverse, and in many cases, change very quickly. Problems in dealing with an array of languages, cultures and backgrounds can put up major barriers to effective patient care. Providers must understand the cultural assumptions that patients bring with them.

Communication Barriers↗
PubMed1993

Mind & body medicine. A new paradigm?

Innovative techniques to enhance patient healing are being explored, and the term used to describe them is "mind/body medicine." What's new about the phenomenon? Traditional physicians are taking a closer look.

Complementary Therapies↗
PubMed1992

Hospitals cope with America's new 'family value'.

It's not a new problem, but the attention it's getting is growing every day. Domestic violence, or family violence, a concept that encompasses child abuse, partner abuse, and elder abuse, is being understood more and more as a trauma to the nation's families. Very often it's hospitals, particularly hospital emergency departments, that are the first community organization that the abused person sees for examination or treatment. The question is, are hospitals prepared? In a comprehensive look at the problem and some possible approaches to solving it, Hospitals senior correspondent Frank Sabatino talks to the experts in every area touching on this complex, tragic societal issue.

Aged↗
PubMed1992

Vendors worry: will health reform place technology on trial?

The outcome of the reform debate will have an enormous impact on the health care vendor community as well as on providers. With arguments swirling about regarding such issues as technology costs, vendors offer their views of reform.

Costs and Cost Analysis↗
PubMed1992

Health reform and primary care: physician training exposes tensions in field.

The current debate over proposals to change the structures and funding of graduate medical education (GME) is focusing on academic medical centers and the degree to which the GME status quo may inhibit the diffusion of primary care physicians to needy areas. That debate may heat up soon given the recommendation of the Council on Graduate Medical Education that the U.S. educate 50 percent of physicians as primary care generalists. Meanwhile, Buffalo, NY, may provide the nation with a model for regional hospital collaboration in this area. There, seven area hospitals are pooling a portion of their GME funds to redistribute educational resources to primary care training. The CEOs of those seven institutions are pictured on this issue's cover.

Academic Medical Centers↗
PubMed1992

Clinical quality initiatives: the search for meaningful--and accurate--measures.

At times, it seems as though every hospital, hospital association, philanthropic foundation and major corporation in the United States is involved in the quality movement in health care. The explosion of quality measurement initiatives that began in the 1980s is continuing apace, with earlier programs being expanded, enhanced, modified and replicated throughout the country in a variety of settings. This cover story looks at the broad efforts to develop clinical quality measurement tools from four different perspectives. First, we provide an update on the Maryland Quality Indicator Project and its ongoing use as a role model for many of the newer clinical indicator projects now being developed. Part two looks at the Joint Commission on Accreditation of Healthcare Organizations and its Agenda for Change project, as well as other large-scale quality measurement programs under way in the private sector that are attempting to determine what indicators are meaningful to use. Part three examines the growing role of corporate payers in pushing hospital-comparison and other assessment programs forward. And in the final section, we look at the federal government's role in developing practice guidelines and outcomes research.

Centers for Medicare and Medicaid Services, U.S.↗