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Biomedical subjects

R Randolph

Publications and source records attributed to R Randolph.

10 recordsLinked to original sources
PubMed2001

Hospitalization rates as indicators of access to primary care.

Variations in hospitalization rates for selected conditions are being used as indicators of the effectiveness of primary care in small areas. Are these rates actually sensitive to problems in local primary care systems? This study examines the relationship between ambulatory care sensitive condition (ACSC) hospital admission rates and primary care resources and the economic conditions in primary care market areas in North Carolina in 1994. The data show a high degree of correlation between the rates and income but not primary care resources. The distribution of rates did agree with expert assessments of the location of places with poor access to health services. The data confirm that access to effective primary care reflected in lower rates of ACSC admissions is a function of more than the professional resources available in a market area. The solution to reducing disparities in health status may not lie within the health system.

Health Services Accessibility↗
PubMed1995

Physical assessment in the community pharmacy.

As pharmacists continue to define their role in the health care system of the future and implement pharmaceutical care, they will need new or enhanced skills in managing patient care cost-effectively. Their ability to perform basic physical assessments will be a vital tool in managing their patients' health status. By using the SOAP method of evaluation and plan development and by using a systematic approach to obtaining physical data, pharmacists can properly perform initial assessment and monitor the patients they now serve. This enhanced level of care will be well accepted by patients and other health care team members when pharmacists provide them in a professional manner and serve as partners with these practitioners in developing and managing appropriate care plans.

Aged↗
PubMed1986

Electrocardiograms in office practice.

Electrocardiograms (EKGs) are a widely used diagnostic tool in primary care. The indications for EKGs are widespread. We reviewed all EKGs performed over a two year period at the two model practice units of the University of Mississippi's Department of Family Medicine. Four hundred and sixteen EKGs were reviewed and subdivided according to indication, outcome, and age. One hundred and sixty-six EKGs were read as abnormal. Overall, the percentage of abnormal findings increased in proportion to age. Seventy nine percent of the EKGs were obtained for 4 indications: (1) chest pain (28%), (2) health screening (24%), (3) abnormal rhythm (15%), and (4) hypertension (12%). The percentage of abnormal EKGs was found to increase with age for all four indications. Screening EKGs were essentially unremarkable prior to age 51. EKGs on the under 30 age group were by far more helpful when performed for abnormal rhythm. No abnormalities were found on patients under age 41 when performed for chest pain.

Adolescent↗