Biomedical subjects
Publications and source records attributed to R E MacStravic.
Although legal and practical barriers still remain before vertical integration of health care facilities can reach full potential, this kind of multi-institutional arrangement deserves greater attention.
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The importance of variations in hospital census for planning bed requirements has long been recognized. Traditional models assume Poisson or normal distribution patterns accurately describe such variations in specific hospital units, entire facilities, and groups of hospitals serving the same area. A study of 20 groups of hospitals in five states indicates that these traditional statistical distributions are only occasionally accurate. Different services display different census variation patterns. The standard deviation of the daily census distribution becomes increasingly higher than the square root of the mean estimate as the size of the mean increases. Implications of this finding for regional planning and coordination of hospitals are discussed.
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A preliminary analysis of the 1973-74 national assessment of comprehensive health planning [P.L. 89-749, sections 314 (a) and (b)] agencies is reported. The analysis suggests that agency staff size and budget are more strongly related to high performance scores than is size of population served. Complete analysis of the 1973-74 assessment data was not possible because of time constraints; it is argued that plans should be made for detailed analysis of data from future assessments of planning agencies under P.L. 93-641 so that factors relevant to performance may be identified more precisely and incorporated into agency structure.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
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The achievement of significant levels of influence on six program decision areas by communities served by health care program is investigated using Guttman scale analysis in a sample of 50 Children and Youth comprehensive health care projects in the United States to determine whether such achievement occurs in an ordered or a random sequence. Evidence presented indicates that the achievement of relative levels of community influence is orderly for initial levels of influence; higher levels of community influence apparently do not follow the same order. Implications of these findings for planning and predicting the development of personal health service programs are discussed.
Along with other types of hospital inpatient care, acute psychiatric units are subject to state certificate-of-need review under Public Law 93-641. A study of 15 hospitals in Virginia suggests that prevailing techniques for determining inpatient bed needs are not appropriate for psychiatric beds, if indeed they are for other types of care. An alternative technique is offered, not as a substitute for judgment in such matters, but as assistance to it.