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Biomedical subjects

N Pettinger

Publications and source records attributed to N Pettinger.

9 recordsLinked to original sources

Emergency admissions. Change the record.

The rise in emergency admissions has been 2-3 per cent over the last 20 years and shows no sign of abatement. Medical emergencies account for most of the increase Emergency admissions should be divided into short and long stays. This type of analysis shows that the bulk of the increase in emergency admissions has been for short-stay patients. Better understanding of emergency admissions should help hospitals improve their ward distribution.

Emergency Service, Hospital↗

Hospital reconfiguration. Going places.

Two major hospital moves in Lanarkshire were completed smoothly by predicting the number of emergency admissions likely over the crucial periods and involving GPs and all the hospitals concerned. An analysis of emergency admissions was one factor in deciding which days the moves should take place on. A workshop after the first move was finished proved important.

Continuity of Patient Care↗

Waiting lists. Richly deserving.

The poor wait longer on waiting lists and have less access to elective treatment than more affluent groups. Hospitals have a long way to go if they are to ensure a more equitable system. Managing waiting lists to discriminate in favour of the poor should be considered.

Health Services Accessibility↗

Winter pressures. Lazy days of summer.

The relationship between increased emergency admissions and longer waiting lists in winter has not been proven. Waiting lists are more likely to be affected by patterns of elective work than emergency admissions. Slowdown in elective work in summer is at the root of winter problems.

Elective Surgical Procedures↗

NHS costs. Age-old myths.

The ageing of the UK population will not automatically lead to increased demands on the NHS. If people live longer they stay healthy longer. The cost of caring for them is shifted, not increased. It has not been proven that an ageing population and the costs of medical technology justify the NHS receiving above-inflation funding increases year after year.

Aged↗

Managers. Bureaucracy: hit and myth.

The poor image of NHS management is largely undeserved. The greatest expansion in the number of managers took place before the introduction of the internal market. Many of the white paper proposals, including the establishment of primary care groups, suggest a substantial bureaucracy.

Administrative Personnel↗

In strategy we trust.

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Diffusion of Innovation↗