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Biomedical subjects

S A Chesteen

Publications and source records attributed to S A Chesteen.

6 recordsLinked to original sources
PubMed1993

A statistical evaluation of mammography: crucial questions for health systems.

This article reviews data on incidence and mortality rates from breast cancer and provides the results from applications of Bayes' Theorem and a test of homogeneity to investigate the efficacy of mammographic screening for breast cancer. The results of our analyses indicate that the accuracy and effectiveness of mammographic screening for breast cancer are debatable. Consequently, we identify crucial unanswered questions for health systems about the heavy reliance on mammography. We recount the current recommendations, standards of practice, and utilization of mammography for breast cancer screening. Finally, we question the language used to describe the conclusions of these studies.

Adult↗
PubMed1987

Functional and structural prerequisites for clinical pharmacy services.

Pharmacy directors and pharmacists in charge of clinical services at 46 medium-sized hospitals were surveyed to identify possible explanations for previously documented inconsistency in the implementation of clinical pharmaceutical services. There were three study objectives: to determine the extent to which basic structural and functional management prerequisites have been implemented at these institutions; to determine whether a relationship exists between the kind and number of clinical services offered and implementation of these prerequisites; and to identify discrepancies between responses of the pharmacy director and the pharmacist in charge of clinical services at the same hospital to the same questions. One hundred hospitals providing clinical pharmaceutical services were randomly selected from a master list of 190 hospitals that had been grouped into nine geographic areas. Of 17 functional and structural prerequisites studied, 4 to 13 of them had been implemented at the hospitals surveyed. Only 24% of the hospitals had implemented the basic functional prerequisites of unit dose drug distribution and decentralized pharmaceutical services. Of nine clinical pharmaceutical services, one to eight were being delivered. A weak correlation between the number of prerequisites implemented and the number of clinical services provided was found. Significant disagreement was found between the directors and their pharmacists about which prerequisites and clinical services were being implemented. This pilot study suggests that pharmacy directors and clinical pharmacists need to assess how effectively basic management prerequisites are being put into practice in the delivery of clinical pharmaceutical services.

Medication Systems, Hospital↗
PubMed1986

A comparison of family practice clinics and free-standing emergency centers: organizational characteristics, process of care, and patient satisfaction.

Because of the increasing popularity of free-standing emergency care centers as a source of primary care services, this cross-sectional study was conducted to compare four of them with two family practice centers that provided extended hours. A total of 2,339 patient encounters were examined with data obtained from both physicians and patients. The factors that were found to be a basis for discrimination between the two types of practice were the cost of care and the patient's satisfaction with convenience and personal attention from the physicians. The overall average costs were significantly higher for the free-standing centers ($45) as compared with the family practice clinics ($27). Convenience and time factors, including waiting time, time spent with the physician, time to get an appointment, clinic location, and out-of-pocket cost, all produced a higher level of satisfaction for the free-standing clinic patients. Conversely, the personal concern of the physician and the ability to see the same physician brought higher levels of satisfaction for the family practice clinic patients. The free-standing emergency center is clearly becoming a significant factor in the delivery of primary care with evidence to suggest that patients are willing to pay a premium for convenience.

Ambulatory Care Facilities↗
PubMedDate not supplied

Lower anxiety in today's high 'sue-ciety'.

Physician malpractice claims are part of the reason for the increased level of health care costs in the United States, according to authors Susan A. Chesteen, Ph.D., Fikry S. Gahin, Ph.D., and Joan M. Lally, Ph.D., of the University of Utah David Eccles School of Business. They present the results of a survey conducted on the residents of Utah on malpractice and discuss the implications for health care providers.

Adult↗