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Biomedical subjects

J P Steensen

Publications and source records attributed to J P Steensen.

14 recordsLinked to original sources
PubMed1989

[Evaluation of quality in health services].

In recent years, the population and professional people have become increasingly aware of the need for a more systematic assessment of quality in health service. On basis of this, a Danish workshop was held in 1988 concerning scientific methods of assessing quality in the health sector. This review provides an introduction to the expressions "assessment of quality" and "insurance of quality" in the health sector. The main points from the workshop are quoted and concrete examples of assessment of quality in the Danish health service are given. It is concluded that after a couple of decades in which health political analyses and decisions have primarily been concentrated on productivity and efficacy, we may consider insurance of quality as an instrument for decision-making in the current adjustment of the health service to the changes in knowledge, attitudes and technology.

Denmark↗
PubMed1985

Medical demography in Denmark. I. From a deficit to a surplus of doctors.

In the 1970s and beginning of the 1980s Denmark like other western countries has experienced a substantial growth in the number of medical doctors. Throughout the country, the doctor population ratio has improved considerably, a number of new specialised methods of examination and treatment have been started, and the need for doctors to work overtime has largely been abolished. At the same time, however, the growth in the number of doctors has also given rise to problems of postgraduate education, unemployment, the emigration. Furthermore, there has been political anxiety about the impact of an ever growing supply of new doctors on the continuous growth in health expenditure. This article briefly describes the development in the number of doctors through the last decades and the status of the current employment of doctors. Problems created by the growth in the number of doctors, and various initiatives to solve the problems and limit the growth in the supply of doctors are examined. A subsequent article will discuss and elucidate the future development in supply and demand on the employment market for doctors. The article begins with a short outline of the Danish health care system.

Denmark↗
PubMed1985

Medical demography in Denmark. II. Prognoses--how to achieve equilibrium?

In keeping with efforts made during the 1970s to achieve a better balance between supply and demand on the employment marker for doctors, several detailed prognoses have been produced for the future development of supply with regard to sex and age structure, mortality, early retirement, frequency of emigration, specialist distribution etc. On the demand side, the prognoses are of a more evaluating character partly because there has not been sufficiently effective methods developed to predict the growth of the demand, partly because the future demand is dependent on a wide range of health, technological, economic and political factors which can hardly be predicted. This article is an account of the main tendencies anticipated in the expansion of the supply of medical doctors in the coming decades. Further, the possibilities for achieving equilibrium between supply and demand in the future employment market will be discussed.

Denmark↗
PubMed1985

Postgraduate medical education in Denmark. Present status and perspectives.

The Danish Specialist Board--the advisory organ to the National Board of Health in all matters of medical education--was established 50 years ago. In 1979 a complete new scheme of organisation of postgraduate medical education was introduced, now involving political and administrative instances directly in the decisions. The Specialist Board was enlarged and extended with three permanent subcommitees dealing respectively, with evaluation of education and authorization, theoretical education, and clinical education. A description of the various organs and their functions is presented. New rules concerning training within the 20 basic specialties and 19 subspecialties and in general medicine was layed down in 1982. The frames of postgraduate medical education and the main lines in the clinical training course and theoretical programme is described. A series of problems have accumulated over the last 10-15 years, mainly due to developments in medical demography and new conditions for clinical education related to a new agreement between the hospital administrations and the Association of Junior Hospital Doctors. On basis of an analysis made by the Specialist Board a plan has been designed with the purpose to establish a staff reform in the hospital departments and to transform postgraduate clinical education of doctors to a formally planned and supervised programme.

Denmark↗
PubMed1984

Acute excision or exposure treatment? Final results of a three-year randomized controlled clinical trial.

Which treatment, acute excision or exposure, is the method of choice in the treatment of patients with small, medium-sized or large burns, and superficial or deep burns respectively? In an attempt to give an answer to this question a Randomized, Controlled, Clinical Trial was carried out by the Burns Unit in Copenhagen. The RCCT consisted of all patients (570) admitted primarily for burn injuries over the 3-year period 1976-79. Patients who would be too difficult to compare were sorted out (unsuited for trial--421 patients). The remaining patients were stratified into two groups: group A = patients treated with excision of all burned areas (superficial dermal plus deep dermal plus subdermal burns) and grafted as quickly as possible after the accident, and consequently in the shock-phase (73 patients), and group E = patients treated with exposure until day 14 post-burn, at which time all non-spontaneously healed areas were excised and grafted (76 patients). The stratification was successful, and it was revealed that the two groups were comparable with regard to the extent and depth of the burn and the age of the patients. The following parameters were used: the crude mortality rate and the time and causes of death. The morbidity estimated by the kind and number of complications; especially the number of infected patients and the severity of the infections. The resource expenditure expressed in number of bed-days, duration of operations and amount of blood transfusions. Late results are described elsewhere.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗