Organized services to provide immediate psychiatric care to patients with acute psychological disturbances.
Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.
Services specifically designed, staffed, and equipped for the emergency care of patients.
Situations or conditions requiring immediate intervention to avoid serious adverse results.
A vehicle equipped for transporting patients in need of emergency care.
The specialty or practice of nursing in the care of patients admitted to the emergency department.
The branch of medicine concerned with the evaluation and initial treatment of urgent and emergent medical problems, such as those caused by accidents, trauma, sudden illness, poisoning, or disasters. Emergency medical care can be provided at the hospital or at sites outside the medical facility.
First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured.
Paramedical personnel trained to provide basic emergency care and life support under the supervision of physicians and/or nurses. These services may be carried out at the site of the emergency, in the ambulance, or in a health care institution.
Brief therapeutic approach which is ameliorative rather than curative of acute psychiatric emergencies. Used in contexts such as emergency rooms of psychiatric or general hospitals, or in the home or place of crisis occurrence, this treatment approach focuses on interpersonal and intrapsychic factors and environmental modification. (APA Thesaurus of Psychological Index Terms, 7th ed)
Legal process required for the institutionalization of a patient with severe mental problems.
The sorting out and classification of patients or casualties to determine priority of need and proper place of treatment.
The use of communication systems, such as telecommunication, to transmit emergency information to appropriate providers of health services.
Hospitals controlled by the county government.
Fixed-wing aircraft or helicopters equipped for air transport of patients.
Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.
The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.
Medical care provided after the regular practice schedule of the physicians. Usually it is designed to deliver 24-hour-a-day and 365-day-a-year patient care coverage for emergencies, triage, pediatric care, or hospice care.
A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.
Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.
Organized services to provide mental health care.
An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services and promote their most efficient use.
Special hospitals which provide care to the mentally ill patient.
The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.
Services for the diagnosis and treatment of disease and the maintenance of health.
The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.
Elements of limited time intervals, contributing to particular results or situations.
Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.
Health care programs or services designed to assist individuals in the planning of family size. Various methods of CONTRACEPTION can be used to control the number and timing of childbirths.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The seeking and acceptance by patients of health service.
Parliamentary democracy located between France on the northeast and Portugual on the west and bordered by the Atlantic Ocean and the Mediterranean Sea.
The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)
Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.
The confinement of a patient in a hospital.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
Diagnostic, therapeutic and preventive health services provided for individuals in the community.
A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.
Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.
Organized services to provide health care for children.
Organized services to provide health care to expectant and nursing mothers.
Health care services related to human REPRODUCTION and diseases of the reproductive system. Services are provided to both sexes and usually by physicians in the medical or the surgical specialties such as REPRODUCTIVE MEDICINE; ANDROLOGY; GYNECOLOGY; OBSTETRICS; and PERINATOLOGY.
Services designed for HEALTH PROMOTION and prevention of disease.
Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.
Health services, public or private, in urban areas. The services include the promotion of health and the delivery of health care.
Organized services to provide health care to adolescents, ages ranging from 13 through 18 years.
A general concept referring to the organization and administration of nursing activities.
Outside services provided to an institution under a formal financial agreement.
Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.
The concept concerned with all aspects of providing and distributing health services to a patient population.
Organized services for the purpose of providing diagnosis to promote and maintain health.
Services offered to the library user. They include reference and circulation.
Contraceptive substances to be used after COITUS. These agents include high doses of estrogenic drugs; progesterone-receptor blockers; ANTIMETABOLITES; ALKALOIDS, and PROSTAGLANDINS.
Means of postcoital intervention to avoid pregnancy, such as the administration of POSTCOITAL CONTRACEPTIVES to prevent FERTILIZATION of an egg or implantation of a fertilized egg (OVUM IMPLANTATION).
The organization and administration of health services dedicated to the delivery of health care.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
Procedures outlined for the care of casualties and the maintenance of services in disasters.
A cabinet department in the Executive Branch of the United States Government concerned with administering those agencies and offices having programs pertaining to health and human services.
Organized services to provide health care to women. It excludes maternal care services for which MATERNAL HEALTH SERVICES is available.
Conveying ill or injured individuals from one place to another.
Organized services to provide diagnosis, treatment, and prevention of genetic disorders.
Services designed to promote, maintain, or restore dental health.
Excessive, under or unnecessary utilization of health services by patients or physicians.
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
A component of the Department of Health and Human Services to oversee and direct the Medicare and Medicaid programs and related Federal medical care quality control staffs. Name was changed effective June 14, 2001.
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
The use of community resources, individual case work, or group work to promote the adaptive capacities of individuals in relation to their social and economic environments. It includes social service agencies.
Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.
A way of providing emergency medical care that is guided by a thoughtful integration of the best available scientific knowledge with clinical expertise in EMERGENCY MEDICINE. This approach allows the practitioner to critically assess research data, clinical guidelines, and other information resources in order to correctly identify the clinical problem, apply the most high-quality intervention, and re-evaluate the outcome for future improvement.
Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.
Health care provided to specific cultural or tribal peoples which incorporates local customs, beliefs, and taboos.
Professional medical personnel approved to provide care to patients in a hospital.
Hospitals located in metropolitan areas.
Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.
Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.
Health services for employees, usually provided by the employer at the place of work.
Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.
A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)
Social and economic factors that characterize the individual or group within the social structure.
Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.
Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.
Personnel trained to provide the initial services, care, and support in EMERGENCIES or DISASTERS.
Components of a national health care system which administer specific services, e.g., national health insurance.
Health care workers specially trained and licensed to assist and support the work of health professionals. Often used synonymously with paramedical personnel, the term generally refers to all health care workers who perform tasks which must otherwise be performed by a physician or other health professional.
The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.
Application of marketing principles and techniques to maximize the use of health care resources.
A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)
Health care provided to individuals.
Preventive emergency measures and programs designed to protect the individual or community in times of hostile attack.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
Those facilities which administer health services to individuals who do not require hospitalization or institutionalization.
Total pharmaceutical services provided by qualified PHARMACISTS. In addition to the preparation and distribution of medical products, they may include consultative services provided to agencies and institutions which do not have a qualified pharmacist.
An infant during the first month after birth.
The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Management of public health organizations or agencies.
Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)
The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.
Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.
A geographic area defined and served by a health program or institution.
The capability to perform acceptably those duties directly related to patient care.
Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.
Federal, state, or local government organized methods of financial assistance.
Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.
A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.
Disease having a short and relatively severe course.
Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.
Major administrative divisions of the hospital.
Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.
Planning for needed health and/or welfare services and facilities.
A direct communication system, usually telephone, established for instant contact. It is designed to provide special information and assistance through trained personnel and is used for counseling, referrals, and emergencies such as poisonings and threatened suicides.
The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.
Pressure, burning, or numbness in the chest.
A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.
Insurance providing benefits for the costs of care by a physician which can be comprehensive or limited to surgical expenses or for care provided only in the hospital. It is frequently called "regular medical expense" or "surgical expense".