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Biomedical subjects

R S Ramaiah

Publications and source records attributed to R S Ramaiah.

At least 19 recordsLinked to original sources
PubMed1992

AIDS in India.

Explore the source record for details and available documents.

Acquired Immunodeficiency Syndrome↗
PubMed1992

Quality of hospital service: a study comparing 'Asian' and 'non-Asian' patients in Middlesbrough.

To compare 'Asian' and 'non-Asian' patients' experience of and satisfaction with non-clinical aspects of their hospital care, and to evaluate the effect of subsequent provision of 'Asian' food, we undertook interview surveys of recently discharged adult patients in Middlesbrough. Fifty-two 'Asians' and 52 'non-Asians' matched for sex, age, specialty of admission and hospital reported similar experiences in regard to the amount of information received, the presence of medical students during examination, and satisfaction with privacy and visiting arrangements. The main differences between the groups related to the receipt of written information in the patients' first language, 'Asian' patients' inability to communicate because of lack of English and their dissatisfaction with existing interpreting arrangements, 'Asian' women's attitudes to examination by male doctors, and provision of and satisfaction with hospital food. For example, 47 (90 per cent) 'Asians' and 14 (27 per cent) 'non-Asians' required a special diet but 19 per cent and 86 per cent, respectively, received it; and 'Asians' were less satisfied with the food overall. Despite being disadvantaged 'Asian' patients seldom complained. Following the provision of 'Asian' food, 'Asian' patients reported satisfaction levels comparable with those of 'non-Asians'. Equitable health care provision for ethnic minorities requires a level of service comparable with that enjoyed by the majority community. Written information in minority languages, professional interpreters, examination of female patients by women doctors and culturally suitable food were confirmed as priority needs. Staff training and community education may ensure successful implementation of policy on health care of ethnic minorities. Finally, the quality of non-clinical care in hospital needs to be raised for all groups of patients.

Adolescent↗
PubMed1987

Open access to orthopaedic appliances for general practitioners.

A clinic to which general practitioners can refer patients for some types of orthopaedic appliances was opened in North Clwyd in 1983. During 1985, 956 patients were referred by 82 general practitioners; 860 patients received an appliance, and the average waiting time was less than five weeks. Most referrals were for soft collars (44%), lumbar sacral supports (30%), and dorsilumbar supports (7%). Thirty eight patients failed to attend, 54 declined an appliance, and four referrals were considered to be inappropriate. A few patients were subsequently referred to consultant outpatient clinics, 22 for physiotherapy and 34 were referred simultaneously to the open access clinic. The referral rates for general practitioners with access to community hospitals were low. Such an arrangement merits wider consideration.

Aged↗
PubMed1985

Experience in implementation of clinical guidelines: pre-operative chest radiography in non-cardiopulmonary surgery.

In 1983, the All-Wales Management Efficiency Group (All-Wales MEG) published a report on pre-operative chest radiography (POCR) and made recommendations about the use of POCR in district health authorities in Wales. The object of this paper is to describe experience within one Welsh authority, highlighting both perceived problems and the difficulties encountered in the implementation of these recommendations.

Hospitals↗
PubMed1984

Comparison of patients attending general practitioner and consultant day hospitals for the elderly.

A comparative study of patients attending general practitioner and consultant day hospitals for the elderly in Clwyd is described. The general characteristics of both patient groups were similar. There were, however, differences in the types of illness represented: disorders of the nervous system, mainly strokes, comprised over one third (37 per cent) of the consultant day hospital cases; disorders of the musculoskeletal system, mainly osteoarthrosis, comprised nearly one third (29 per cent) of the general practitioner group. Over 70 per cent of patients attending both types of day hospital had been discharged within six months and most attended once or twice each week. Clinical evaluation on discharge showed that over 80 per cent of the patients in both types of hospital had shown improvement or had not further deteriorated during their period of attendance.It is concluded that day hospital care in community hospitals, supervised by general practitioners, can make an effective contribution to total health care provision for the elderly.

Activities of Daily Living↗