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At least 19 recordsLinked to original sources
PubMed1989

Rural America. Unique opportunities for health care delivery and health services research.

A general deterioration is occurring in the quality of life of rural Americans, and it is affecting the quality of health and mental health service delivery. About 24% of the U.S. population lives in nonmetropolitan areas where the citizens are older, less well educated, have lower incomes, and are more homogeneous in terms of race and ethnicity. Medicare and private insurance discriminate against rural services in their reimbursement policies, and there is a shortage of health personnel in rural areas. However, there has been renewed congressional action to meet rural needs. Both the House and Senate have established rural caucuses, and an Office of Rural Health Policy has been established in the federal executive branch. Legislative successes were achieved between 1985 and 1988. Rural initiatives will provide psychology with unique opportunities in the next several years.

Delivery of Health Care↗
PubMed1989

Assurance of quality vision care in alternative health care delivery systems.

The continuing evolution of competitive arrangements in the marketing and delivery of health care services can have an adverse effect upon the quality of care. Traditional modes of health care delivery are being replaced by the more competitive alternative delivery and managed care systems. Practitioners, consumers, administrators and legislators are finding it increasingly difficult to balance the various issues that surround the desire for quality and the necessity of cost containment. Optometry must be able to establish its own standards and methods of evaluation for the assurance of quality eye care within the alternative delivery and managed care systems.

Delivery of Health Care↗
PubMed1988

Health-care delivery in Cuba: nursing's role in achievement of the goal of 'Health for All'.

The findings of a study of the delivery of nursing care in noninstitutionalized settings in Cuba are presented. The study investigated factors associated with change in health status and the role of nursing in the community to bring about that change since the time of the 1959 revolution. Recommendations of the World Health Organization's 'Goal of Health For All by the Year 2000' provided guidelines for the study. In the pursuit of Health for All, the World Health Organization specifically called for universal coverage with primary health care to include the following essential elements: education covering the prevention and control of major health problems; adequate food, safe water and nutrition; maternal and child health including family planning; immunization against infectious disease; prevention and control of endemic diseases; and treatment of diseases and injuries. Findings of the study suggest that nursing can play an important role in the delivery of health care that meets the World Health Organization's goal of Health for All through universal coverage of primary health care to the defined population.

Cuba↗
PubMed1990

[Evaluation of the technology of health care delivery under new economics].

The development and improvement of technology in health care delivery and its utilization in applied public health is a prerequisite for improving the quality of curative and diagnostic process, rational use of material and technical resources and medical personnel of curative and preventive establishments under new economic methods of public health management. The volume standards of health care delivery comprising the standard, optimum sets of measures for patients including the list of diagnostic and treatment procedures can be considered as the main instrument and the major criteria in evaluating the completeness and quality of health care delivery at hospital stage and at different regional levels.

Delivery of Health Care↗
PubMed1989

Occupational prestige in the health care delivery system.

In this study ethnic and gender differences in occupational prestige of health care workers are used to measure the extent of inequality in the health care delivery systems of large SMSAs. Aggregate characteristics of these communities and of their health care delivery systems are used to explain variations in occupational prestige among health workers. The analysis is guided by Blau's macrostructural theory of intergroup relations. It employs 1980 U.S. Census information on the number of men, women, whites, blacks, and Hispanics in 19 health occupations in the 31 largest SMSAs. The results include a description of the size of the health care delivery systems and the proportions of women and minority workers in the systems, as well as the average occupational prestige of categories of respondents, their level of concentration among the occupations, and the relative presence of respondents in the occupations of physicians and registered nurses. Multivariate regression analysis is used to explore intergroup differences in occupational prestige. As deduced from Blau's theory, groups with greater relative occupational dispersion, greater political participation, advanced education, and higher sex ratios have greater relative occupational prestige in the health care delivery system.

Delivery of Health Care↗
PubMed1988

Alternative health care delivery systems--nursing opportunity or threat?

Alternative health care systems, organizationally and financially, pose a potential threat to the growth of autonomous nursing practice. Support of a system of health care delivery that retains the physician as sole "primary provider" restricts direct access to professional nursing services. Nurses must take the responsibility for becoming knowledgeable about health policy-making in order to assure that their services remain available to all consumers who seek them. This article presents an overview of the current alternative health care systems, and suggests strategies to assure that nursing does not remain in a dependent position in the hierarchy of health care.

Delivery of Health Care↗
PubMed1990

The impact of HIV on health care delivery in haemophilia.

The impact of HIV infection on health care delivery in haemophilia has been enormous and epoch making. Essential modifications and developments in blood product preparation have led to a shortage of FVIII concentrates and an increased cost to the consumer of the final product. The complexity and extent of the clinical complications in HIV positive haemophiliacs has opened up entirely new medical approaches to haemophilia care. The impact of the antibody positive haemophiliac on his immediate and extended family has been deeply emotional. Health care workers initially developed a negative and hostile approach to the haemophiliac group. This attitude has softened but there has been a drop-out of medical and paramedical staff involved in health care delivery in haemophilia. Finally, because of current viral safety and increased purity of factor VIII and IX concentrates, non infected haemophilic families may look to the future with increased optimism.

Blood Banks↗
PubMedDate not supplied

Innovations in health care delivery for patients with end-stage renal disease (ESRD).

Increasing requirements for dialysis treatment, financial restraints, quality control and the need to increase the efficiency of professionals involved in the delivery and supervision of chronic dialysis services have stimulated the development of innovative techniques in dialysis health care delivery. The Regional Kidney Disease Program, located at Hennepin County Medical Center, has pioneered the development and application of several innovations to achieve more effective regional delivery of dialysis therapy. Three of the major innovations we have developed are described. They include a computerized automated medical information system, an unique multimedia modified programmed learning training program for allied health personnel and a dialysis nurse practitioner program. Several of these innovations have potential application as models for other developments in modern health care delivery.

Community Health Services↗
PubMed1988

Linking the geographical, the medical and the political in analysing health care delivery systems.

The models and methodologies used by medical geographers for analysing health care delivery systems are critically reviewed. As a result, it is argued that an intellectual cul-de-sac has been reached because of the lack of linkage in these models and methodologies that explicitly recognize the socio-cultural and political-economic influences in the environment, where the health care delivery system under study exists. Using the example of abortion services in Canada in general, and Ontario specifically for illustrative purposes, a general model for linking the geographical, the medical and the political aspects of health care delivery is proposed.

Abortion Applicants↗