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PubMed1998

Changes in racial identification and the educational attainment of American Indians, 1970-1990.

We use data from the 1970, 1980 and 1990 census public-use files to assess the impact of newly identified Indians on the educational attainment of American Indians who were at least 25 years old in 1970. We test the hypotheses that this impact was limited to metropolitan areas and to states with small Indian populations. We find that educational attainment for American Indians rose sharply between 1970 and 1990 and that changes in racial identification were an important component of this increase in 1980 but not in 1990. Increases in educational attainment were concentrated in metropolitan areas and occurred in states with large and small Indian populations.

Adult↗

PubMedDate not supplied

A burn center cost-reduction program.

A concerted effort to decrease resource usage and length of stay without sacrificing quality of care was undertaken over a 2-year period in a high-census Burn Center. Through a series of changes in practice, substantial decreases in the costs of several high-usage items were tracked. During this period the average length of stay also was decreased. The average hospital charge decreased from $46,628 per patient in fiscal year 1993 to $33,159 per patient in fiscal year 1994. During this period there was no significant change in the patient population as measured by total body surface area percentage burn and acuity level. With the exception of significant improvement in the infection rate, there was no substantial change in indicators of quality care as measured by readmission, morbidity, and posthospital would healing progression. This cost-reduction program showed that costs can be reduced without diminishing quality of care; in some respects quality of care improved due to the practice changes that were implemented.

Burn Units↗