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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 19 recordsLinked to original sources
PubMed1978

Epidemiology and health services administration: future relationships in practice and education.

Florence Nightingale's mid-nineteenth century proposals for standard classification of diseases were a model for assessing quality of hospital care. A century later, health planning, management, and evaluation are still in pursuit of her unrealized--and imperfect--objectives. Historical, statistical, and epidemiological limitations to linking the cost and outcome of treating patients and populations are examined; an integrated model is offered for operational rapprochement between medical and administrative services.

Aged↗
PubMed1992

Public health service administration and academia. A joint venture.

Joint ventures between service and academia are designed to enhance the quality of client services, enrich faculty teaching experiences and skills, and strengthen communication channels. The joint venture described in this article is an example of how public health nursing services and academia can be united through faculty participation in administration. Included in the discussion are the impetus for the project, the contract negotiations, the positive outcomes and disadvantages of the venture, and questions that should be raised when a similar venture is considered.

Cost Savings↗
PubMed1990

[Reorganization of public health services and the lessons from the past].

The paper addresses the issues related to the restructuring of health services at the present stage of society development, improvement of forms and methods of management. A historical background of new reforms is given. It is shown that not always the restructuring of the existing public health management system leads to positive results.

Adult↗
PubMed1978

Planning and administrative perspectives on adequate minimum personal health services.

Public resistance to equal distribution of medical care resources is supported by a union of usually contradictory forces--sophisticated science and superstitious credulity. In a field saturated with ethical imperatives and professional ambiguities, definitions of need become political weapons. Improvement in health policy will involve political doctrine, reorganization of knowledge, and more leverage in state and local government.

Delivery of Health Care↗
PubMed1992

[Performance appraisal of internal health services].

In the present context of scarce resources, satisfying at best essential needs in the area of health care leads gradually towards a new conception of the management of health services and towards the development of information tools designed to evaluate performance. This paper presents a general framework for that purpose; it can be adapted to more specific and contextual problems. The authors review the difficulties involved in the measure of performance, the basic data required by the methods as well as some indicators that can be derived from their application, all exemplified in a case study.

Consumer Behavior↗
PubMed1991

The Risk Approach: unassailable logic?

The Risk Approach (RA) is a framework for selective provision of health care services advocated by the World Health Organization (WHO). Although the potential utility of RA is stressed in the WHO literature, the framework remains largely untested as a basis for resource deployment. Despite this, advocates claim the logic of RA is 'theoretically unassailable'. The purpose of this paper is to challenge this claim by critically examining some of the assumptions and proposed methods contained in the WHO literature concerning RA. Two areas of concern are discussed, relating to (i) prediction and the nature of relations between markers and outcomes, and (ii) marker measurement and scoring.

Calibration↗