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Biomedical subjects

P A Fry

Publications and source records attributed to P A Fry.

4 recordsLinked to original sources

Patient satisfaction surveys and multicollinearity.

The measurement of patient satisfaction is now an integral part of hospital market research. Just as consumer satisfaction is a function of the extent to which providers do things right, the value of consumer-oriented market research is directly related to whether the research itself is done right. The use of poorly designed consumer research instruments, no matter how well executed, can cause multicollinearity among the independent variables, which, in turn, can result in misleading conclusions.

Data Collection↗

Nonvisual navigation by blind and sighted: assessment of path integration ability.

Blindfolded sighted, adventitiously blind, and congenitally blind subjects performed a set of navigation tasks. The more complex tasks involved spatial inference and included retracing a multisegment route in reverse, returning directly to an origin after being led over linear segments, and pointing to targets after locomotion. As a group, subjects responded systematically to route manipulations in the complex tasks, but performance was poor. Patterns of error and response latency are informative about the internal representation used; in particular, they do not support the hypothesis that only a representation of the origin of locomotion is maintained. The slight performance differences between groups varying in visual experience were neither large nor consistent across tasks. Results provide little indication that spatial competence strongly depends on prior visual experience.

Adolescent↗

Using integration technology as a strategic advantage.

The underlying premise of the Managed Competition Act previously cited is that through managed competition providers will be forced to lower care costs while increasing the level of positive care outcomes. Because it may also be that tomorrow's hospitals will find a severe rationing of technology, what can they do to prepare? Most of the systems in place today already have built within them all the necessary potential to address this premise and technology requirement with no change, no conversion, no expense for new equipment and software, and no disruption in day-to-day operations, just a little re-engineering. Today, however, these systems are similar to a 20-mule team pulling in different directions: all the power is there, but the wagon remains motionless and totally unable to reach its objective. It takes a skilled wagonmaster to bring them together, to make the mules work as a cohesive unit, to make the power of 20 mules greater than the sum of 20 mules. So it is and will be for the hospital of tomorrow. System integration is no longer a question of whether but of when. Those hospitals that use it today as a strategic advantage will be in a better position tomorrow to use it as a competitive strategic advantage in an environment that will reward low cost and high positive care outcomes and will penalize those that cannot compete. The technology is already here and economically within reach of nearly every hospital, just waiting to be used. The question that must nag all of us who want to make the health care system of America better is, Why not make the when now? Rich Helppie, president of Superior Consultant Company, summarized the solution well: The old ways will not give way to the new overnight. The re-engineering process in healthcare must evolve. Compared to the last 20 years, however, such evolution may appear to be a massive, forthright, complete, comprehensive, drastic and rapid revolution. Survival is the name of the game, and for healthcare organizations to survive, they must join the re-engineering revolution. When that happens, the "Americanized" health care system might look like the community network shown in Figure 7, which is a networked integration of all the systems used in the community working together and exchanging information, with hospitals exchanging information with other hospitals and sharing it with physicians, clinics, laboratories, radiology centers, universities, employers, payors, and governmental agencies.(ABSTRACT TRUNCATED AT 400 WORDS)

Computer Communication Networks↗