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Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 37 records · Page 2Linked to original sources
PubMed1989

Promoting the quality of life in nursing homes: can regulation succeed?

It has been assumed that the best policy for promoting quality of life in nursing homes is direct regulation. In this paper it is argued that if our experience in regulating quality of care is any indication, we may not possess the political will to successfully regulate quality of life. Moreover, from a legal perspective, the less concrete nature of the concept of quality of life may make it more difficult to regulate than quality of care. Finally, although regulation would probably be necessary if potential nursing home residents (and their agents) lacked the information or rationality to make choices that promoted their interests, this has never been shown to be the case empirically. Therefore, we may not be forced to choose regulation to achieve an adequate quality of life. Alternative--and perhaps better--policies may be available.

Cost Control↗
PubMed1994

Will sophisticated MIS lead to increased legislation of medicine?

If the healthcare industry automates clinical practices and links them along critical care pathways, will it be providing Federal regulators with data they may use to legislate how hospital care should be delivered? This article examines the implications of expanded use of increasingly sophisticated information systems in health care.

Clinical Protocols↗
PubMed1996

Impact of the Federal Budget on nursing homes.

Most members would be aware from media reports that the Federal Budget introduced important changes to funding and regulation of aged care and in particular to nursing homes. Most newspaper reports have concentrated on the introduction of an entry contribution. However this has diverted attention from other fundamental changes to the system.

Australia↗
PubMedDate not supplied

The need for technology assessment in voluntary cost containment.

Health care cost containment is a national concern. This concern is displayed through extensive regulations controlling hospital operations. Regulation has spread to include the purchase and usage of technology. Unfortunately, the extensive regulations are costly, with questionable effectiveness. The environmental influences on health care must be considered. In addition, better management and planning by individual institutions must be encouraged. Since the development and utilization of technology play a critical role, the Voluntary Effort to cost containment by hospitals must include provisions for the assessment of technology.

Cost Control↗
PubMed2006

Quality control in tissue banking--ensuring the safety of allograft tissues.

DESPITE FEDERAL REGULATIONS for tissue-banking practices, inadequate quality control led to the largest allograft tissue recall in history in October 2005. THE RECALL INCLUDED all allograft tissues obtained from 761 donors and distributed by five tissue banks. Many of these tissues already had been implanted and were unrecoverable. THIS ARTICLE DESCRIBES the many tissue-banking industry variables, including donor selection and testing and tissue recovery, processing, and preservation. QUESTIONS THAT HEALTH CARE providers can ask to determine which tissue banks' quality control measures best ensure the safety of the allografts they provide also are included.

Communicable Disease Control↗
PubMed1996

Remote clinic/patient monitoring for multicenter trials. Optic Neuritis Study Group.

Clinic monitoring is essential for the quality control of multicenter clinical trials. In studies of eye diseases, certification of visual function testers is integral to such monitoring. Routine site visits, while useful for evaluating clinic performance and certifying visual function testers, are expensive and not suitable for every study. As part of the Longitudinal Optic Neuritis Study (LONS), a follow-up study of the patients entered into the Optic Neuritis Treatment Trial (ONTT), we established a central system for clinic monitoring and visual function tester certification in lieu of performing site visits. We also established a centralized and well-defined system for maintaining patient contact in an attempt to enhance follow-up visit compliance. Both have been used over the first three years of the LONS. Coordinators at two of the participating clinical centers were selected to serve as regional coordinators; each was responsible for overseeing seven or eight clinics and 200 patients. Annually by phone these coordinators perform certification of each technician's visual function testing. Clinic monitoring is performed by monthly phone calls. Conference calls involving each clinic's personnel, the regional coordinator, and Data Coordinating Center personnel are held one or two times per year. Patient phone contact at four-month intervals between annual patient exams is done to evaluate visual and general health status, to review study information, and to coordinate and encourage annual protocol exams at the respective centers. This system has helped achieve a visit completion rate of over 90% for active study patients. Patient phone contact by the regional coordinators has been well received. Telephone certification of visual function technicians by the regional coordinators appears to be as effective as on-site certification. Clinic performance appears to be continuing at the same high level as during the period of annual site visits. Although site visits are valuable for clinical trials, if routine site visits are not feasible the methods we have implemented for remote monitoring may be useful.

Appointments and Schedules↗
PubMed1986

Health maintenance organizations: improvements in the regulatory environment.

Health maintenance organizations (HMOs) can help slow rising health care costs. State regulatory statutes are needed that will protect critical interests of HMO members while freeing HMOs from needless statutory requirements. A model HMO regulatory law is designed to strike a balance between protection of members and freedom for HMOs to deliver programs that can reduce health care costs.

Cost Control↗
PubMed1979

Sick hospitals.

Explore the source record for details and available documents.

Cost Control↗