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Biomedical subjects

W C Stratmann

Publications and source records attributed to W C Stratmann.

11 recordsLinked to original sources
PubMed1995

Patient satisfaction and experience with health services and quality of care.

This article discusses the use of patient satisfaction and personal health care experiences as a measure of health care quality. It also presents a field-proven patient experience and satisfaction assessment methodology known as the Patient Experience Survey (PES) that has been employed throughout the country for the last decade. Finally, it offers recommendations and comments on the use of patient satisfaction data in quality assessment and improvement.

Data Interpretation, Statistical↗
PubMed1994

Patient satisfaction surveys and multicollinearity.

The measurement of patient satisfaction is now an integral part of hospital market research. Just as consumer satisfaction is a function of the extent to which providers do things right, the value of consumer-oriented market research is directly related to whether the research itself is done right. The use of poorly designed consumer research instruments, no matter how well executed, can cause multicollinearity among the independent variables, which, in turn, can result in misleading conclusions.

Data Collection↗
PubMed1982

The utility for audit of manual and computerized problem-oriented medical record systems.

Objective assessment of the delivery of care requires an unambiguous record of all related events and decisions in the care process. Both the handwritten Problem-Oriented Medical Record (POMR) and its computerized successor, the Problem Oriented Medical Information System (PROMIS) have been designed to facilitate audit of care delivery. In this study, a national sample of physicians was asked to determine which of these two record systems best serves the function of audit. The study involves assessment of a sample of 69 matched pairs of patient records drawn from two different ward settings, one of which used the manual POMR, the other, PROMIS. No difference was perceived between the two records with respect to the reliability of information or the analytical reasoning of providers. Information in PROMIS records was judged to be slightly more thorough. The format of the manual record was judged better on the basis of conciseness, accessibility, and organization of record information.

Computers↗
PubMed1980

Assessing the problem-oriented approach to care delivery.

It is evident that there is wide difference of opinion about the utility of the problem-oriented approach to health care delivery. Review of the literature on the subject suggests that ongoing debate over the merits of the approach has been fueled by incomplete information about important elements of the problem-oriented philosophy. This essay discusses the arguments for and against the approach, attempts to explain how misunderstandings have limited previous efforts to assess the manual problem-oriented record, and suggests implications for the study of both manual and computerized applications of the problem-oriented approach to care delivery.

Computers↗
PubMed1978

Imapct of a primary care group practice on emergency room utilization at a community hospital.

This paper reports the effects on a community hospital's emergency room utilization that were brought about by the development of a primary care group practice. The practice, which has replaced the hospital's traditionally structured outpatient clinics, employs full-time, salaried physicians and provides evening office hours and 24-hour coverage. The primary care group appears to have effected a substantial reduction in pediatric emergency room use. To a lesser extent, utilization by former clinic users among the adult atients was also reduced. These reductions, however, created only modest impact in the context of the hospital's total emergency room use, owed in part to the relatively small size of the patient population who formerly had depended upon the hospital for primary care.

Adult↗
PubMed1975

A study of consumer attitudes about health care: the delivery of ambulatory services.

This paper examines the patient's decision to select a source of care, offers a theoretical construct of this choice process, and reports on the results of a survey that tested the model among the population of Rochester, New York. Respondent reasons for selecting a source of ambulatory care are collapsed into categories that relate to individual perceptions of the utility of cost, time, convenience, sociopsychological factors, and the technical quality of care. The relative importance of these criteria and other findings relating to sociodemographic characteristics and individual patterns of utilization are reported. The data are derived from a survey (N = 521) of households representative of the area of Rochester, New York.

Adolescent↗
PubMed1975

A study of consumer attitudes about health care: the control, cost, and financing of health services.

The delivery of health care had emerged as one of the most important political issues of the 1970's, yet public attitudes about health issues remains a relatively unexplored subject. Little is known about the public's opinion of who should control the delivery of health care, about how the costs of health care are perceived, or about how the delivery of care should be financed. This paper relates respondent attitudes on these subjects to attitudes about criteria that determine the respondent's choice of ambulatory care facility and to socioeconomic, political, and other demographic characteristics. The data are derived from a survey (N=521) of households representative of the area of Rochester, New York.

Adolescent↗
PubMed1975

An emergency room's patients: their characteristics and utilization of hospital services.

Utilization of the emergency room at an urban community hospital is studied in a format designed to accomplish three complementary objectives: 1) to characterize a sample of individual patients, rather than an unweighted sample of visits, 2) to estimate the number of individuals served during a specified period and the magnitude of the relationship between these patients and the utilization of other hospital services, and 3) to introduce the patient's "frequency-of-visit" as an important variable in the analysis of emergency room utilization. Some specific findings are: 1) the vast majority of patients who used the emergency room did so very infrequently; 46,527 visits were made in one year by an estimated 34,286 different patients; 2) an estimated 2,586 patients made three or more visits during the year; a disproportionately large number of these "high-frequency" users were black, low-income, and from inner-city areas; a relatively small percentage of their visits were for accidental injury, 3) approximately 53 per cent of the hospital's inpatient admissions and 68 per cent of the inpatient days were generated by patients who also made at least one emergency room visit during the year studied.

Accidents↗
PubMed1975

A study of consumer attitudes about health care: the role of the emergency room.

Contrary to the traditional role of the emergency room (ER) as a care source for the treatment of urgent medical needs, it is evident that substantial numbers of people now use the ER for the treatment of nonurgent problems. In this paper, we report on public opinion about the role of the ER, the accessibility of medical care, and factors that prompt the use of the ER rather than other sources of care. The data result from a community survey of households (N = 521) in the area of Rochester, New York, representative of a population of about 580,000 people. The findings, which relate ER utilization to source of payment, use of other sources of care, demographic variables, and consumer attitudes illustrate the rationality of the patient's use of ER facilities and reflect the patient's view of the ER as a place to obtain medical treatment when other sources are not available.

Adult↗