[Accreditation standards in health care].
Explore the source record for details and available documents.
Accreditation↗
Biomedical subjects
Jan Mainz
Publications and source records attributed to Jan Mainz.
Impact of delay on diagnosis and treatment of primary lung cancer.
Lung cancer continues to be a devastating disease that defies nearly all the therapeutic endeavours to improve the 5-year survival. Survival is determined to a large extent by age, morphology and stage. Early presymptomatic detection by screening has as yet failed to demonstrate any effect of such programmes. At the moment, medical healthcare units invest a significant proportion of their resources to eliminating waiting times in diagnosis and treatment in order to improve outcome. The aim of this literature review is to investigate whether waiting times and delays have any bearing on prognosis and treatment. Specifically, the hypothesis is raised that longer delays are associated with poorer survival or more advanced stage disease and may explain the poorer survival rate. Large-scale cohort studies within well-defined catchment areas are required both to establish the prognostic impact of delays and to understand the natural progression of lung cancers.
Diagnosis, Differential↗
Patient and GP agreement on aspects of general practice care.
OBJECTIVE: The aim of the present study was to compare patient and GP priorities for general practice care. METHODS: A questionnaire survey was carried out in general practice in Denmark which included 900 consecutive patients aged over 18 years from 15 practices collected in 1995, and 919 randomly sampled GPs in 1999. The postal questionnaire, developed by the EUROPEP group, contained 40 questions about eight aspects of primary care. Participants were asked to state their priorities for each question ranging from "not at all important" to "most important". A reminder questionnaire was sent to non-responders after 2 weeks. Top priority percentages ("very/most important") were calculated for each question as were differences between participant groups. RESULTS: Questionnaires were answered by 771 (85.7%) patients and 584 (64.2%) GPs. Their priorities were highly correlated (r = 0.754, P < 0.001). Patients gave higher priority than GPs to availability and accessibility of the practice and seeing the same GP. The GP should be capable of providing information on illness, investigations and treatments and patient associations, and should know the patient's history and be regularly updated through courses. CONCLUSIONS: Patient and GP priorities for primary care were highly correlated. The higher priority awarded by patients than by GPs to specific aspects of primary care should be acknowledged when organizing and developing general practice.
Adult↗
Determinants of priorities and satisfaction in pediatric care.
AIMS: To investigate determinants of parents' priorities and satisfaction in relation to pediatric inpatient care and to examine the relationship between fulfillment of expectations and satisfaction. METHODS: The study took place in a pediatric acute care inpatient department with 300 parents of children admitted consecutively. Data were collected by means of two self-administered questionnaires. Parents completed one questionnaire immediately after their child's admission and the second after hospital discharge. RESULTS: Having confidence in the doctors, getting answers to questions about care and treatment, and being satisfied with the nurses' and doctors' behavior, were found to be determinants of having a satisfaction score above average. Waiting time was a relatively weak determinant of being satisfied in general, although a short waiting time was one of the items given the highest priority score.
Adolescent↗