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Results for “Facility Regulation and Control”

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 73 records · Page 4Linked to original sources
PubMed1980

Award-winning design for special care.

A five-year planning and design effort resulted in an award-winning health sciences building for Chicago's Northwestern Memorial Hospital and Northwestern University.

Academic Medical Centers↗
PubMed1995

Japanese authority GLP inspections for pharmaceuticals and agrochemicals. Preparing for and handling agency inspections.

This presentation covers the essentials of recent Good Laboratory Practice (GLP) inspections conducted in Japan, after applications have been made for new ethical drugs to be authorized by the Ministry of Health and Welfare (MHW) or for agricultural chemicals by the Ministry of Agriculture, Forestry, and Fishery. Recently, the functions of MHW/GLP inspections were, for the most part, transferred from MHW to "The Organization for Drug ADR Relief, R&D Promotion and Product Review" ("Drug Organization," in short). This organization is now responsible for the audit and facility inspections for GLP compliance, both for new drug applications and for animal safety tests conducted at contract laboratories. The methods of inspection are expected to be the same as those used by MHW. A recent inspection audited by the Ministry of Agriculture, Forestry, and Fisheries is also reviewed here, for comparison.

Agrochemicals↗
PubMed1997

Revolution or evolution in hospital management?

Hong Kong began to reform its public hospital administration in 1991. The development and implementation of policy, and the negotiation of a new management structure, are discussed below. Health professionals have been contracted as managers, and front-line carers have largely accepted the changes that have occurred. The evolutionary approach to reform which has been adopted may be preferable to the more drastic measures introduced in some other jurisdictions.

Cost Control↗
PubMed1998

What has the IPS wrought?

Explore the source record for details and available documents.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed2002

Relationship between regulatory status, quality of care, and three-year mortality in Canadian residential care facilities: a longitudinal study.

OBJECTIVES: To compare the mortality rate in regulated and unregulated facilities, controlling for confounding variables, and investigate the effect of care quality on residents' length of survival. DATA SOURCES/STUDY SETTING: At baseline, subjects were assessed in their living environment with respect to their functional autonomy, cognitive abilities, and quality of care. Vital status, disease-related information, and hospitalization data were retrieved three years later from the subjects' medical files. STUDY DESIGN: A three-year follow-up study of 299 residents from 88 long-term care facilities located in the province of Quebec, Canada. The effect of regulatory status and quality of care on length of survival was investigated by means of multivariable Cox proportional hazards regression models, from both traditional and competing risks perspectives. PRINCIPAL FINDINGS: Controlling for age, comorbidity, and baseline functional abilities, a resident's length of survival is not significantly influenced by the regulatory status of the facility in which he or she lived at baseline. However, residents with poor quality ratings at baseline had shorter survival times than those provided with good care. Median survival was 28 months among residents classified as receiving inadequate care compared to 41 months for those adequately cared for (p = 0.0217). CONCLUSIONS: The study suggests that quality of care has a much stronger influence on resident outcomes than regulation per se. This finding underscores the relevance of testing innovative interventions aimed at improving the quality of care provided in long-term care facilities, regardless of their regulatory status.

Activities of Daily Living↗
PubMed1984

Regulation and accreditation: the pros and cons for psychiatric facilities.

Psychiatric hospitals must be regulated, and someone must write the rules, says the author. But the rules of such agencies as the Joint Commission on Accreditation of Hospitals and Medicare are rarely subjected to rigorous testing, either for efficacy or for cost-effectiveness. The author discusses the problems of expense, inconsistency, and excessive documentation created by the regulatory process, plus positive aspects such as the stimulus for improvement. One urgent need, he believes, is to reconcile more closely the views of the cost-cutters and the standard-setters before they inflict irreparable damage on some segments of the hospital system.

Accreditation↗