PubMed · 12041489
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Arkansas. 1979. Death defined.. https://pubmed.ncbi.nlm.nih.gov/12041489/
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Over the past 20 years at the authors' institution, the management of empyema has evolved. The authors recently have developed a critical pathway in an effort to facilitate diagnosis, guide therapy, and reduce cost. Currently, the average length of stay using this pathway is 4 to 5 days with decreased cost compared to the historic length of stay and a national children's hospital database. The authors review steps to develop a critical pathway as well as discuss their pathway for empyema management.
A benefit-cost analysis of specialty residential treatment (Specialty) and standard residential treatment (Standard) was conducted on a sample of pregnant and parenting substance abusers from Arkansas. Economic benefits were derived from client self-reported information at treatment entry and at 6-month postdischarge with the use of an augmented version of the Addiction Severity Index (ASI). The average cost of treatment in Specialty programs was US dollars 8035 versus US dollars 1467 for Standard residential treatment. Average net benefits (benefit-cost ratios) were estimated to be US dollars 17144 (3.1) for Specialty and US dollars 8090 (6.5) for Standard. The main policy implication of this research is that investment in Specialty residential treatment for pregnant and parenting substance-abusing women appears to be economically justified, but future evaluations should analyze larger and more comparable samples to improve power and precision in the benefit-cost statistics.
The purpose of this article is to describe the activities and outcomes of the Delta Health Education Partnership (DHEP), an interdisciplinary and distance education program developed to promote 'anytime, anywhere' education. The goal of the project is to recruit, educate, and retain interdisciplinary groups of primary care health practitioners to increase access to health care in medically underserved and health professional shortage areas of the lower Mississippi Delta. The targeted health providers are certified nurse midwives, physician assistants, and family nurse practitioners. The DHEP program spans six universities across four primarily rural states. Primary health care students in the lower Mississippi Delta region are taught using asynchronous technology strategies including Internet-based coursework. Opportunities to expand educational options for distance learners and geographically bound students are explained. In addition, methods of building community partnerships in an effort to recruit and retain primary care providers are also explained. The advantages and limitations of the asynchronous Internet-based courses are explored as part of the program evaluation.