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Biomedical subjects

J B Silvers

Publications and source records attributed to J B Silvers.

27 records · Page 2Linked to original sources
PubMed1976

Health care reimbursement is federal taxation of tax-exempt providers.

Under parallel financial circumstances, the health care provider and the tax-paying corporation show equal bottom lines--the corporation pays a tax, and the health institution has a similar amount withheld by the Social Security Administration. Regardless of how this withholding is explained or who administers it, a tax is still a tax.

Commerce↗
PubMed1976

Identity crisis: financial management in health.

Financial management is something quite different from the "bean-counting" image of the traditional "finance man". It is proactive and is closely tied to the broader range of organizational strategy and environmental constraints. What are the interrelationships that must be recognized in order to make the transition to the central role of financial decision making and management?

Accounting↗
PubMedDate not supplied

Clinical diagnoses and EEG interpretation.

A sample of 62 electroencephalographers in the United States evaluated 10-second samples of eight electroencephalograms. The evaluations were performed with and without knowledge of the clinical history. Evaluations consisted of multiple choice questions related to electroencephalographic observations, clinical diagnosis, and requests for additional tests such as computerized tomography and cerebrospinal fluid studies. The results indicate that clinical history influences interpretation, with considerable variation among readers in the number and type of additional tests requested.

Brain Diseases↗
PubMedDate not supplied

Cost-effectiveness of emergency intraarterial intracerebral thrombolysis: a pilot study.

PURPOSE: To assess the clinical efficacy and cost-effectiveness of emergency thrombolysis as a treatment strategy for thromboembolic intracerebral events. METHODS: Thirty-four patients with symptoms suggestive of middle cerebral artery occlusion were included. Eight of these patients were treated with intraarterial urokinase. Effectiveness was determined by comparing the admission National Institutes of Health stroke score to the 24-hour National Institutes of Health stroke score. The cost and length of stay of both populations were derived and used as measures of direct cost. The likelihood of admission to extended care facilities and estimated length cost of admission was used as a measure of indirect cost. RESULTS: The control population became slightly worse, with a change in National Institutes of Health score of -0.5, whereas the treated population improved slightly, with a change in National Institutes of Health score of +5.12. Analysis of the direct costs data between the two populations revealed a slight increased mean for the treated population ($15,202) as compared with the control population ($13,478). The unpaired t test, however, revealed no significant cost difference between the two groups. By reducing the number of completed strokes by one third or by decreasing the severity by the same factor (as shown in our study), the likelihood of admission to an extended nursing facility also is decreased. The cost saving per patient from extended care facilities is approximately $3435. CONCLUSION: The emergency application of intraarterial thrombolysis with urokinase results in a statistically significant positive change in National Institutes of Health score by at least five points. A statistically significant benefit is realized through the use of intraarterial urokinase. A statistically insignificant additional cost is shown by this study. This insignificant cost is more than offset by the saved nursing home costs.

Adult↗