PubMed Health⌕ Search

Biomedical subjects

R L Berman

Publications and source records attributed to R L Berman.

3 recordsLinked to original sources

Approaches to self-care in late life.

The preponderance of research on self-care examines behaviors and attitudes while overlooking individual conceptualizations of this domain. Qualitative analysis of open-ended interviews regarding health beliefs explored ways of taking care of oneself among 50 older people. The dialogue of individuals was categorized into three overall approaches to self-care. Although one approach dominated the narratives of most individuals, participants referred to more than one way to take care of themselves. Variations in approaches depended on setting or social context. Participants' approaches to self-care were also explained in terms of their perceptions of aging and their past experiences, as expressed in their images of themselves as self-carers.

Aged↗

An automated PSRO-utilization review system.

A set of computer programs collects, processes, and reports Professional Standards Review Organization (PSRO) and utilization data for all patients at the Miami Heart Institute. They help reduce the time spent by physicians in PSRO and utilization review activities and ease the clerical work load required to comply with rules and guidelines. Daily printed reports provide attending physicians with their patient census and inform them of the next scheduled PSRO review dates for each of their patients. Reports are produced also for the Utilization Review Committee and the Institute's PSRO office. This set of programs is part of a comprehensive automated hospital information system and has been designed to respond rapidly to the frequent changes in regulations and policies dictated by the administering agency. The PSRO subsystem had been in uninterrupted operation for over 6 years and has mitigated escalating clerical and, therefore, health care costs. Physicians' acceptance of this subsystem had been adequate; however, developmental and maintenance costs are high in comparison with other applications within the hospital information system. This article describes the methodology used in complying with PSRO requirements. It does not attempt to evaluate the impact of PSRO on quality of care or length of hospital stay.

Cardiac Care Facilities↗