Outpatient Clinics, Hospital: Organized services in a hospital which provide medical care on an outpatient basis.Ambulatory Care: 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.Ambulatory Care Facilities: Those facilities which administer health services to individuals who do not require hospitalization or institutionalization.Ambulatory Surgical Procedures: Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.Treatment Outcome: 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.Retrospective Studies: 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.Prospective Studies: 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.Hospitalization: The confinement of a patient in a hospital.United StatesReferral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Questionnaires: 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.Health Care Costs: 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.Appointments and Schedules: The different methods of scheduling patient visits, appointment systems, individual or group appointments, waiting times, waiting lists for hospitals, walk-in clinics, etc.Cross-Sectional Studies: 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.Inpatients: Persons admitted to health facilities which provide board and room, for the purpose of observation, care, diagnosis or treatment.Patient Satisfaction: 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.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Substance Abuse Treatment Centers: Health facilities providing therapy and/or rehabilitation for substance-dependent individuals. Methadone distribution centers are included.Risk Factors: 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.Drug Utilization: The utilization of drugs as reported in individual hospital studies, FDA studies, marketing, or consumption, etc. This includes drug stockpiling, and patient drug profiles.Patient Compliance: Voluntary cooperation of the patient in following a prescribed regimen.Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Surgicenters: Facilities designed to serve patients who require surgical treatment exceeding the capabilities of usual physician's office yet not of such proportion as to require hospitalization.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Aftercare: The care and treatment of a convalescent patient, especially that of a patient after surgery.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Office Visits: Visits made by patients to health service providers' offices for diagnosis, treatment, and follow-up.Psychiatric Status Rating Scales: Standardized procedures utilizing rating scales or interview schedules carried out by health personnel for evaluating the degree of mental illness.Cost-Benefit Analysis: 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.Health Expenditures: 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.Hospitals, University: Hospitals maintained by a university for the teaching of medical students, postgraduate training programs, and clinical research.Hospitals, Veterans: Hospitals providing medical care to veterans of wars.Continuity of Patient Care: Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.Urology Department, Hospital: Hospital department responsible for the administration and provision of diagnostic and therapeutic services for the urologic patient.Anti-Bacterial Agents: Substances that reduce the growth or reproduction of BACTERIA.Outcome Assessment (Health Care): 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).Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Veterans: Former members of the armed services.Medicine: The art and science of studying, performing research on, preventing, diagnosing, and treating disease, as well as the maintenance of health.Comorbidity: The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Patient Education as Topic: The teaching or training of patients concerning their own health needs.BrazilAmbulatory Care Information Systems: Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of ambulatory care services and facilities.United States Department of Veterans Affairs: A cabinet department in the Executive Branch of the United States Government concerned with overall planning, promoting, and administering programs pertaining to VETERANS. It was established March 15, 1989 as a Cabinet-level position.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Utilization Review: 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.Patient Discharge: The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.Mental Disorders: 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.Chronic Disease: Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Day Care: Institutional health care of patients during the day. The patients return home at night.Patient Dropouts: Discontinuance of care received by patient(s) due to reasons other than full recovery from the disease.Medicare: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)Hysteroscopy: Endoscopic examination, therapy or surgery of the interior of the uterus.Primary Health Care: 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)Substance-Related Disorders: Disorders related to substance abuse.Mental Health Services: Organized services to provide mental health care.Health Services Accessibility: 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 Records: Recording of pertinent information concerning patient's illness or illnesses.Home Infusion Therapy: Use of any infusion therapy on an ambulatory, outpatient, or other non-institutionalized basis.Drug Costs: The amount that a health care institution or organization pays for its drugs. It is one component of the final price that is charged to the consumer (FEES, PHARMACEUTICAL or PRESCRIPTION FEES).Psychometrics: Assessment of psychological variables by the application of mathematical procedures.Health Services Research: 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)Schizophrenia: A severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, HALLUCINATIONS, emotional disharmony, and regressive behavior.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Depression: Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.Specialization: An occupation limited in scope to a subsection of a broader field.Drug Prescriptions: Directions written for the obtaining and use of DRUGS.Health Services: Services for the diagnosis and treatment of disease and the maintenance of health.Cost of Illness: The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, or QUALITY OF LIFE. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Logistic Models: 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.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.Insurance Claim Review: Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.Double-Blind Method: A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.GermanyHospital Costs: The expenses incurred by a hospital in providing care. The hospital costs attributed to a particular patient care episode include the direct costs plus an appropriate proportion of the overhead for administration, personnel, building maintenance, equipment, etc. Hospital costs are one of the factors which determine HOSPITAL CHARGES (the price the hospital sets for its services).Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.Guideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Schizophrenic Psychology: Study of mental processes and behavior of schizophrenics.Pharmacy Service, Hospital: Hospital department responsible for the receiving, storing, and distribution of pharmaceutical supplies.Medical Records Systems, Computerized: Computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Cost Savings: Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.Depressive Disorder, Major: Marked depression appearing in the involution period and characterized by hallucinations, delusions, paranoia, and agitation.EnglandSocioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Anesthesia, Dental: A range of methods used to reduce pain and anxiety during dental procedures.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Fever: An abnormal elevation of body temperature, usually as a result of a pathologic process.Pain: An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Hospitals, Teaching: Hospitals engaged in educational and research programs, as well as providing medical care to the patients.Recurrence: The return of a sign, symptom, or disease after a remission.Prospective Payment System: A system wherein reimbursement rates are set, for a given period of time, prior to the circumstances giving rise to actual reimbursement claims.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Hospital Departments: Major administrative divisions of the hospital.Alcoholism: A primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. The disease is often progressive and fatal. It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial. Each of these symptoms may be continuous or periodic. (Morse & Flavin for the Joint Commission of the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine to Study the Definition and Criteria for the Diagnosis of Alcoholism: in JAMA 1992;268:1012-4)Predictive Value of Tests: In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.Fees and Charges: Amounts charged to the patient as payer for health care services.Physician-Patient Relations: The interactions between physician and patient.Neoplasms: New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Community-Acquired Infections: Any infection acquired in the community, that is, contrasted with those acquired in a health care facility (CROSS INFECTION). An infection would be classified as community-acquired if the patient had not recently been in a health care facility or been in contact with someone who had been recently in a health care facility.Cognitive Therapy: A direct form of psychotherapy based on the interpretation of situations (cognitive structure of experiences) that determine how an individual feels and behaves. It is based on the premise that cognition, the process of acquiring knowledge and forming beliefs, is a primary determinant of mood and behavior. The therapy uses behavioral and verbal techniques to identify and correct negative thinking that is at the root of the aberrant behavior.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Depressive Disorder: An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent.Sensitivity and Specificity: Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)Physical Therapy Modalities: Therapeutic modalities frequently used in PHYSICAL THERAPY SPECIALTY by PHYSICAL THERAPISTS or physiotherapists to promote, maintain, or restore the physical and physiological well-being of an individual.Health Maintenance Organizations: Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)Bacterial Infections: Infections by bacteria, general or unspecified.Infant, Newborn: An infant during the first month after birth.Waiting Lists: Prospective patient listings for appointments or treatments.Hospitals, General: Large hospitals with a resident medical staff which provides continuous care to maternity, surgical and medical patients.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Medicaid: 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.JapanCommunity Mental Health Services: Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.Treatment Refusal: Patient or client refusal of or resistance to medical, psychological, or psychiatric treatment. (APA, Thesaurus of Psychological Index Terms, 8th ed.)Community Mental Health Centers: Facilities which administer the delivery of psychologic and psychiatric services to people living in a neighborhood or community.Internal Medicine: A medical specialty concerned with the diagnosis and treatment of diseases of the internal organ systems of adults.International Classification of Diseases: A system of categories to which morbid entries are assigned according to established criteria. Included is the entire range of conditions in a manageable number of categories, grouped to facilitate mortality reporting. It is produced by the World Health Organization (From ICD-10, p1). The Clinical Modifications, produced by the UNITED STATES DEPT. OF HEALTH AND HUMAN SERVICES, are larger extensions used for morbidity and general epidemiological purposes, primarily in the U.S.Home Care Services: 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.Patient Care Team: 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.Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Insurance, Health, Reimbursement: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)Emergency Services, Psychiatric: Organized services to provide immediate psychiatric care to patients with acute psychological disturbances.Insurance Claim Reporting: The design, completion, and filing of forms with the insurer.Drug Administration Schedule: Time schedule for administration of a drug in order to achieve optimum effectiveness and convenience.Case-Control Studies: Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.Multivariate Analysis: A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.Health Services Needs and Demand: 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.Pediatrics: A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.Anxiety: Feeling or emotion of dread, apprehension, and impending disaster but not disabling as with ANXIETY DISORDERS.Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.Netherlands: Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.Psychotic Disorders: Disorders in which there is a loss of ego boundaries or a gross impairment in reality testing with delusions or prominent hallucinations. (From DSM-IV, 1994)Psychotherapy: A generic term for the treatment of mental illness or emotional disturbances primarily by verbal or nonverbal communication.Consultants: Individuals referred to for expert or professional advice or services.HIV Infections: Includes the spectrum of human immunodeficiency virus infections that range from asymptomatic seropositivity, thru AIDS-related complex (ARC), to acquired immunodeficiency syndrome (AIDS).Hospitals, Public: Hospitals controlled by various types of government, i.e., city, county, district, state or federal.Patient Admission: The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.Patient Readmission: Subsequent admissions of a patient to a hospital or other health care institution for treatment.Correspondence as Topic: Communication between persons or between institutions or organizations by an exchange of letters. Its use in indexing and cataloging will generally figure in historical and biographical material.Heart Failure: A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.Managed Care Programs: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.Private Practice: Practice of a health profession by an individual, offering services on a person-to-person basis, as opposed to group or partnership practice.Patients: Individuals participating in the health care system for the purpose of receiving therapeutic, diagnostic, or preventive procedures.SwitzerlandInsurance, Health: Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.Electronic Health Records: Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.Rehabilitation Centers: Facilities which provide programs for rehabilitating the mentally or physically disabled individuals.Outcome and Process Assessment (Health Care): 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.Propanidid: An intravenous anesthetic that has been used for rapid induction of anesthesia and for maintenance of anesthesia of short duration. (From Martindale, The Extra Pharmacopoeia, 30th ed, p918)Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Activities of Daily Living: The performance of the basic activities of self care, such as dressing, ambulation, or eating.Antipsychotic Agents: Agents that control agitated psychotic behavior, alleviate acute psychotic states, reduce psychotic symptoms, and exert a quieting effect. They are used in SCHIZOPHRENIA; senile dementia; transient psychosis following surgery; or MYOCARDIAL INFARCTION; etc. These drugs are often referred to as neuroleptics alluding to the tendency to produce neurological side effects, but not all antipsychotics are likely to produce such effects. Many of these drugs may also be effective against nausea, emesis, and pruritus.Professional-Patient Relations: Interactions between health personnel and patients.Counseling: The giving of advice and assistance to individuals with educational or personal problems.Ophthalmology: A surgical specialty concerned with the structure and function of the eye and the medical and surgical treatment of its defects and diseases.Case Management: A traditional term for all the activities which a physician or other health care professional normally performs to insure the coordination of the medical services required by a patient. It also, when used in connection with managed care, covers all the activities of evaluating the patient, planning treatment, referral, and follow-up so that care is continuous and comprehensive and payment for the care is obtained. (From Slee & Slee, Health Care Terms, 2nd ed)Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Pharmacoepidemiology: The science concerned with the benefit and risk of drugs used in populations and the analysis of the outcomes of drug therapies. Pharmacoepidemiologic data come from both clinical trials and epidemiological studies with emphasis on methods for the detection and evaluation of drug-related adverse effects, assessment of risk vs benefit ratios in drug therapy, patterns of drug utilization, the cost-effectiveness of specific drugs, methodology of postmarketing surveillance, and the relation between pharmacoepidemiology and the formulation and interpretation of regulatory guidelines. (Pharmacoepidemiol Drug Saf 1992;1(1); J Pharmacoepidemiol 1990;1(1))Academic Medical Centers: Medical complexes consisting of medical school, hospitals, clinics, libraries, administrative facilities, etc.Databases, Factual: Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.LondonCommunication: The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.Anesthesia, Local: A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.Cancer Care Facilities: Institutions specializing in the care of cancer patients.Psychiatric Department, Hospital: Hospital department responsible for the organization and administration of psychiatric services.Antidepressive Agents: Mood-stimulating drugs used primarily in the treatment of affective disorders and related conditions. Several MONOAMINE OXIDASE INHIBITORS are useful as antidepressants apparently as a long-term consequence of their modulation of catecholamine levels. The tricyclic compounds useful as antidepressive agents (ANTIDEPRESSIVE AGENTS, TRICYCLIC) also appear to act through brain catecholamine systems. A third group (ANTIDEPRESSIVE AGENTS, SECOND-GENERATION) is a diverse group of drugs including some that act specifically on serotonergic systems.Mass Screening: Organized periodic procedures performed on large groups of people for the purpose of detecting disease.Cardiology: The study of the heart, its physiology, and its functions.Conscious Sedation: A drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway. (From: American Society of Anesthesiologists Practice Guidelines)Vomiting: The forcible expulsion of the contents of the STOMACH through the MOUTH.Pneumonia: Infection of the lung often accompanied by inflammation.Opioid-Related Disorders: Disorders related or resulting from abuse or mis-use of opioids.Drug Therapy, Combination: Therapy with two or more separate preparations given for a combined effect.Clinical Protocols: Precise and detailed plans for the study of a medical or biomedical problem and/or plans for a regimen of therapy.Statistics, Nonparametric: A class of statistical methods applicable to a large set of probability distributions used to test for correlation, location, independence, etc. In most nonparametric statistical tests, the original scores or observations are replaced by another variable containing less information. An important class of nonparametric tests employs the ordinal properties of the data. Another class of tests uses information about whether an observation is above or below some fixed value such as the median, and a third class is based on the frequency of the occurrence of runs in the data. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed, p1284; Corsini, Concise Encyclopedia of Psychology, 1987, p764-5)Acute Disease: Disease having a short and relatively severe course.Personality Inventory: Check list, usually to be filled out by a person about himself, consisting of many statements about personal characteristics which the subject checks.Methadone: A synthetic opioid that is used as the hydrochloride. It is an opioid analgesic that is primarily a mu-opioid agonist. It has actions and uses similar to those of MORPHINE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1082-3)Physicians: Individuals licensed to practice medicine.Single-Blind Method: A method in which either the observer(s) or the subject(s) is kept ignorant of the group to which the subjects are assigned.Cost Control: The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)Cost Allocation: The assignment, to each of several particular cost-centers, of an equitable proportion of the costs of activities that serve all of them. Cost-center usually refers to institutional departments or services.Hospitals: Institutions with an organized medical staff which provide medical care to patients.Medication Systems: Overall systems, traditional or automated, to provide medication to patients.Data Collection: 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.Analysis of Variance: A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.Reimbursement Mechanisms: Processes or methods of reimbursement for services rendered or equipment.Evaluation Studies as Topic: Studies determining the effectiveness or value of processes, personnel, and equipment, or the material on conducting such studies. For drugs and devices, CLINICAL TRIALS AS TOPIC; DRUG EVALUATION; and DRUG EVALUATION, PRECLINICAL are available.Interviews as Topic: 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.

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*  Armstrong County VA Outpatient Clinic - Locations

Armstrong County VA Outpatient Clinic. Skip links , View the Web Site , Parent Facility ... VA » Locations » Facilities by State » Pennsylvania » Armstrong County VA Outpatient Clinic Search in Facility Directory:. ...
https://va.gov/directory/guide/facility.asp?id=5271&dnum=ALL

*  Outpatient Clinician Jobs | Glassdoor

Get the right Outpatient Clinician job with company ratings & salaries. 1,353 open jobs for Outpatient Clinician. ... Title OutpatientClinician FFS City Everett State MA Description Fee for Service OutpatientClinician Eliot Outpatient… Eliot ... Title OutpatientClinician FFS City Everett State MA Description Fee for Service OutpatientClinician Eliot Outpatient… Eliot ... FFS OutpatientClinician City Worcester State MA Description Bi lingual OutpatientClinician Eliot Outpatient Services… Services ...
https://glassdoor.com/Job/outpatient-clinician-jobs-SRCH_KO0,20.htm

*  Tighter scrutiny for outpatient surgery centers - LA Times

Outpatient surgery centers in California that perform Lap-Band operations and other procedures will face new scrutiny under a ... D-Los Angeles), said he became interested in the safety of outpatient centers after singer Kanye West's mother died in 2007 ... The legislation requires private accrediting firms to inspect outpatient centers at least once every three years and allows for ... In addition, the law prohibits outpatient centers that run into trouble from shopping for accreditation among several firms ...
latimes.com/health/la-fi-surgery-centers-20111010-story.html

*  Outpatient Spine Surgery More Prevalent and Safer Than Ever

Tips on benefits of outpatient spine surgery From the patient's vantage point, the prevalence of outpatient spine surgery ... Array of innovations led to more outpatient spine operations Constantly advancing technology has fueled outpatient spine ... "The trend toward outpatient spine surgery will only continue to surge," Dr. Liu says. "More and more surgeons are learning and ... The trend toward outpatient spine surgery will only continue to surge. More surgeons are learning and improving their ...
prweb.com/releases/atlanticspine/outpatientsurgery/prweb13461541.htm

*  Pediatric Outpatient Clinic

Frequently asked questions and answers about our Pediatric Outpatient Clinic, such as the types of visits available, patient ... We can see local or out-of-town patients (depending on each patient's situation) in the Outpatient Clinic. ... View all (16) doctors specializing in Outpatient Clinic (Pediatric) Find a Doctor ...
https://nationaljewish.org/treatment-programs/directory/outpatient-clinic

*  UPMC Senior Care - Outpatient Services

UPMC Senior Care - Outpatient Practice. Our Approach to Care. At UPMC Senior Care, we provide primary care to older adults who ... Request an Appointment Pay My Bill UPMC Hospitals Find UPMC Urgent Care Centers Outpatient Facilities Find a Class or Event ...
upmc.com/services/seniors/geriatrics/services/Pages/outpatient-care.aspx

*  MedPAC Votes on Outpatient Therapy Payment Reform Recommendations

MedPAC Votes on Outpatient Therapy Payment Reform Recommendations. Yesterday, the Medicare Payment Advisory Commission (MedPAC ... These recommendations will be included in a report to Congress that may be used to inform future policy related to outpatient ... MedPAC also voted to direct HHS' secretary to prohibit the use of V codes as a principal diagnosis on outpatient claims. ... Overall, MedPAC commissioners expressed appreciation of the value of outpatient therapy services for Medicare beneficiaries and ...
apta.org/PTinMotion/NewsNow/2012/7/17/PostAcuteCompliance/?blogid=10737418615&id=10737428458

*  Detroit Institute for Children closes outpatient clinics | Crain's Detroit Business

The Detroit Institute for Children last week shut down three outpatient clinics serving 250 special needs children to focus ... The Detroit Institute for Children last week shut down three outpatient clinics serving 250 special needs children to focus ... Some 27 employees, including 17 therapists, who staffed the outpatient clinics were laid off, said Marge Resmer LaRuffa, the ...
crainsdetroit.com/article/20140620/NEWS/140629986/detroit-institute-for-children-closes-outpatient-clinics?CSAuthResp=1:773541627070274:246601:512:24:approved:01AA9A7C19C0529505FA0CFE4612A778

*  Improving Quality With Outpatient Decision Support - Full Text View - ClinicalTrials.gov

Improving Quality With Outpatient Decision Support. Further study details as provided by Agency for Healthcare Research and ... All physicians in on-site and satellite adult outpatient clinics with the Brigham and Women's Hospital and Massachusetts ... Design and implementation of a comprehensive outpatient Results Manager. J Biomed Inform. 2003 Feb-Apr;36(1-2):80-91. ... Assesses physician compliance with paper-based and electronic guidelines, reminders, and alerts for outpatient settings. Target ...
https://clinicaltrials.gov/show/NCT00225628

*  The impact of dry versus moist heat on peripheral IV catheter insertion in a hematology-oncology outpatient population.

To determine whether dry versus moist heat application to the upper extremity improves IV insertion rates. Two-group, randomized, controlled clinical design. An academic cancer infusion center in the western United States. 136 hemat
biomedsearch.com/nih/Impact-Dry-Versus-Moist-Heat/19581223.html

*  Prospective Study of Active Pain Management in Lung Cancer Outpatients (APM) - Full Text View - ClinicalTrials.gov

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
https://clinicaltrials.gov/ct2/show/NCT01310387

*  Outpatient Medicine Flashcards - Cram.com

Study Flashcards On Outpatient Medicine at Cram.com. Quickly memorize the terms, phrases and much more. Cram.com makes it easy to get the grade you want!
cram.com/flashcards/outpatient-medicine-423333

Therapy cap: In 1997 the Balanced Budget Act established annual per-beneficiary Medicare spending limits, or therapy cap, for outpatient therapy services covered under Medicare Part B. Medicare Provisions in Balanced Budget Act of 1997.PinnacleHealth System: $1 billion (2013)List of Parliamentary constituencies in Kent: The ceremonial county of Kent,Referral (medicine): In medicine, referral is the transfer of care for a patient from one clinician to another.García Olmos L, Gervas Camacho J, Otero A, Pérez Fernández M.Closed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Henry Whitelock Torrens: Henry Whitelock Torrens (1806–1852), son of Major Henry Torrens, was born on May 20, 1806. He received his B.Temporal analysis of products: Temporal Analysis of Products (TAP), (TAP-2), (TAP-3) is an experimental technique for studyingShanghai Drug Abuse Treatment Centre: The Shanghai Drug Abuse Treatment Centre, or SDATC (), is a governmental organization providing drug abuse treatment and rehabilitation services in Shanghai, China. SDATC is the only government-supported centre in Shanghai and was established in 1997 on the approval of Shanghai Narcotic Control Commission and Shanghai Public Health Bureau.QRISK: QRISK2 (the most recent version of QRISK) is a prediction algorithm for cardiovascular disease (CVD) that uses traditional risk factors (age, systolic blood pressure, smoking status and ratio of total serum cholesterol to high-density lipoprotein cholesterol) together with body mass index, ethnicity, measures of deprivation, family history, chronic kidney disease, rheumatoid arthritis, atrial fibrillation, diabetes mellitus, and antihypertensive treatment.Pavement life-cycle cost analysis: In September 1998, the United States Department of Transportation (DoT) introduced risk analysis, a probabilistic approach to account for the uncertainty of the inputs of the cost/benefit evaluation of pavement projects, into its decision-making policies. The traditional (deterministic) approach did not consider the variability of inputs.Time-trade-off: Time-Trade-Off (TTO) is a tool used in health economics to help determine the quality of life of a patient or group. The individual will be presented with a set of directions such as:National Correct Coding Initiative: The National Correct Coding Initiative (NCCI) is a CMS program designed to prevent improper payment of procedures that should not be submitted together. There are two categories of edits:Fourchette piercing: A fourchette piercing is a female genital piercing. It is a piercing done at the rear rim of the vulva, in the area of frenulum labiorum pudendi.Incremental cost-effectiveness ratio: The incremental cost-effectiveness ratio (ICER) is a statistic used in cost-effectiveness analysis to summarise the cost-effectiveness of a health care intervention. It is defined by the difference in cost between two possible interventions, divided by the difference in their effect.Soonchunhyang University Hospital: Soonchunhyang University Hospital is a hospital in Bucheon, South Korea. It is affiliated with Soonchunhyang University.Canandaigua Veterans Hospital Historic DistrictTransitional care: Transitional care refers to the coordination and continuity of health care during a movement from one healthcare setting to either another or to home, called care transition, between health care practitioners and settings as their condition and care needs change during the course of a chronic or acute illness. Older adults who suffer from a variety of health conditions often need health care services in different settings to meet their many needs.Federico Ortiz QuezadaBacitracinAge adjustment: In epidemiology and demography, age adjustment, also called age standardization, is a technique used to allow populations to be compared when the age profiles of the populations are quite different.Veterans benefits for post-traumatic stress disorder in the United States: The United States provides a wide range of benefits for veterans with posttraumatic stress disorder (PTSD), which was incurred in, or aggravated by, their military service. The United States Department of Veterans Affairs (VA) will provide benefits to veterans that the VA has determined suffer from PTSD, which developed during, or as a result of, their military service.Comorbidity: In medicine, comorbidity is the presence of one or more additional disorders (or diseases) co-occurring with a primary disease or disorder; or the effect of such additional disorders or diseases. The additional disorder may also be a behavioral or mental disorder.Senior Emergency Department: The senior emergency department is a recent hospital innovation to build separate geriatric emergency rooms for older adults akin to pediatric emergency rooms designed for children. The trend comes in response to the nation's rapidly growing population of older adults and overcrowding of emergency departments.Online patient education: Online Patient Education also known as Online Patient Engagement is a method of providing medical information and education to patients using Learning Management Systems delivered through the Internet.Evaluation of bariatric Centers of Excellence Web sites for functionality and efficacy.University of CampinasBio Base EuropeMental disorderNon-communicable disease: Non-communicable disease (NCD) is a medical condition or disease that is non-infectious or non-transmissible. NCDs can refer to chronic diseases which last for long periods of time and progress slowly.Generalizability theory: Generalizability theory, or G Theory, is a statistical framework for conceptualizing, investigating, and designing reliable observations. It is used to determine the reliability (i.Isabella Geriatric Center: Isabella Geriatric Center is a non-profit, non-sectarian organization that has provided residential and community-based services for elderly residents of New York City since 1875. The main campus is located in the Washington Heights neighborhood of Manhattan at 515 Audubon Avenue at the corner of 190th Street.Themis MedicareHyalobarrier: Hyalobarrier is a substance to keep tissue apart post surgery and therefore prevent adhesions. It contains autocross-linked hyaluronan.Halfdan T. MahlerSubstance-related disorderNational Collaborating Centre for Mental Health: The National Collaborating Centre for Mental Health (NCCMH) is one of several centres of the National Institute for Health and Care Excellence (NICE) tasked with developing guidance on the appropriate treatment and care of people with specific conditions within the National Health Service (NHS) in England and Wales. It was established in 2001.Loader (computing): In computing, a loader is the part of an operating system that is responsible for loading programs and libraries. It is one of the essential stages in the process of starting a program, as it places programs into memory and prepares them for execution.David Budescu: David Budescu is a psychologist and academic. He is the Anne Anastasi Professor of Psychometrics and Quantitative Psychology at Fordham University.Religion and schizophrenia: == Background ==Feasibility Study (The Outer Limits): "Feasibility Study" is an episode of The Outer Limits television show. It was first broadcast on 11 July 1997, during the third season.Rating scales for depression: A depression rating scale is a psychiatric measuring instrument having descriptive words and phrases that indicate the severity of depression for a time period. When used, an observer may make judgements and rate a person at a specified scale level with respect to identified characteristics.Placebo-controlled study: Placebo-controlled studies are a way of testing a medical therapy in which, in addition to a group of subjects that receives the treatment to be evaluated, a separate control group receives a sham "placebo" treatment which is specifically designed to have no real effect. Placebos are most commonly used in blinded trials, where subjects do not know whether they are receiving real or placebo treatment.Baden, Lower Saxony: Baden is a town near Bremen, in Lower Saxony, Germany. It is known to Africanists and Phoneticians as the place where Diedrich Hermann Westermann was born and died.Pain scale: A pain scale measures a patient's pain intensity or other features. Pain scales are based on self-report, observational (behavioral), or physiological data.Incidence (epidemiology): Incidence is a measure of the probability of occurrence of a given medical condition in a population within a specified period of time. Although sometimes loosely expressed simply as the number of new cases during some time period, it is better expressed as a proportion or a rate with a denominator.Precautionary savings: Precautionary saving is saving (non-expenditure of a portion of income) that occurs in response to uncertainty regarding future income. The precautionary motive to delay consumption and save in the current period rises due to the lack of completeness of insurance markets.BrexpiprazoleRed Moss, Greater Manchester: Red Moss is a wetland mossland in Greater Manchester, located south of Horwich and east of Blackrod. (Grid Reference ).International Federation of Dental Anesthesiology Societies: The International Federation of Dental Anesthesiology Societies (IFDAS) is a professional association established in 1976. IFDAS is devoted solely to promoting the safe and effective use of sedation and anesthesia by educationally qualified dentists for their patients.Rabbit feverCancer pain: Pain in cancer may arise from a tumor compressing or infiltrating nearby body parts; from treatments and diagnostic procedures; or from skin, nerve and other changes caused by a hormone imbalance or immune response. Most chronic (long-lasting) pain is caused by the illness and most acute (short-term) pain is caused by treatment or diagnostic procedures.

(1/1541) A management information system for nurse/midwives.

The experiences of nurse/midwives with a simple management information system in the private sector are reported from four facilities in Nigeria. When such a system is being introduced, special attention should be given to strengthening the ability of health workers to record and collate data satisfactorily.  (+info)

(2/1541) Assessment of serum thyroxine binding capacity-dependent biases in free thyroxine assays.

BACKGROUND: Free thyroxine (FT4) assays may exhibit biases that are related to serum T4 binding capacity (sBC). We describe two tests that can be used to assess the presence and magnitude of sBC-dependent biases in FT4 assays. METHODS: We used a direct equilibrium dialysis FT4 assay as the reference method and compared the results obtained with those of the FT4 assays under investigation, in patient sera having a wide range of sBC. We then compared the expected and observed FT4 results for sera diluted with an inert buffer. Because serum dilution causes a predictable decrease in sBC, an increasingly negative bias on progressive dilution is indicative of a sBC-dependent bias. RESULTS: The automated FT4 assay investigated (Vitros FT4) showed no demonstrable sBC-dependent bias by either test. CONCLUSION: These two tests can be used to screen for sBC-dependent biases in FT4 assays.  (+info)

(3/1541) User fees and patient behaviour: evidence from Niamey National Hospital.

Evidence is presented on the effects of price changes on the delay before seeking care and on referral status in a sample of hospital patients in Niger. Price changes are measured as differences across patients at one hospital in whether or not they pay for care, rather than as differences in prices across several hospitals. User fees are charged, but the fee system allows exemptions for some payor categories such as government employees, students, and indigent patients. Evidence is also presented on the effect of income on the delay before seeking care and referral status. The analysis demonstrates a technical point on whether household consumption or current income is a more appropriate measure of income. The analysis shows that user fees affect patient behaviour, but the effects are not the same for outpatients and inpatients. Outpatients who pay for care wait longer before seeking care, but inpatients do not. Inpatients who pay for care are more likely to be referred, but outpatients are not. Patients with more income wait less time to seek care and are less likely to be referred than other patients. Further, household consumption explains patient behaviour better than current income.  (+info)

(4/1541) Willingness to pay for district hospital services in rural Tanzania.

This paper describes a study undertaken to investigate the willingness of patients and households to pay for rural district hospital services in north-western Tanzania. The surveys undertaken included interviews with 500 outpatients and 293 inpatients at three district level hospitals, interviews with 1500 households and discussions with 22 focus groups within the catchment areas of the primary health care programmes of these hospitals. Information was collected on willingness to pay fees for certain hospital services, willingness to become a member of a local insurance system, and exemptions for cost-sharing. The willingness to pay for district hospital services was large. Furthermore, most respondents favoured a local insurance system above user fee systems, a finding which applied at all places and in all the surveys. More female respondents were in favour of a local insurance scheme. The conditions needed for the introduction of a local insurance system are discussed.  (+info)

(5/1541) Day surgery; development of a questionnaire for eliciting patients' experiences.

OBJECTIVE: To develop a single, short, acceptable, and validated postal questionnaire for assessing patients' experiences of the process and outcome of day surgery. DESIGN: Interviews and review of existing questionnaires; piloting and field testing of draft questionnaires; consistency and validity checks. SETTING: Four hospitals, in Coventry (two), Swindon, and Milton Keynes. PATIENTS: 373 patients undergoing day surgery in 1990. MAIN MEASURES: Postoperative symptoms, complications, health and functional status, general satisfaction, and satisfaction with specific aspects of care. RESULTS: Response rates of 50% were obtained on field testing draft questionnaires preoperatively and one week and one month after surgery. 28% of initial non-responders replied on receiving a postal reminder, regardless of whether or not a duplicate questionnaire was sent; a second reminder had little impact. Many patients who expressed overall satisfaction with their care were nevertheless dissatisfied with some specific aspects. Outcome and satisfaction were related to three aspects of case mix; patient's age, sex, and type of operative procedure. The final questionnaire produced as a result of this work included 28 questions with precoded answers plus opportunities to provide qualitative comments. Several factors (only one, shorter questionnaire to complete, fewer categories of nonresponders, and administration locally) suggested that a response rate of at least 65% (with one postal reminder) could be expected. CONCLUSION: A validated questionnaire for day surgery was developed, which will be used to establish a national comparative database.  (+info)

(6/1541) Day surgery: development of a national comparative audit service.

OBJECTIVES: To develop software for hospitals to analyse their own survey data on patients' experiences of day surgery and to create and test the feasibility of a national comparative audit service. DESIGN: Software development and testing; database analysis. SETTING: Eleven general hospitals in England. PATIENTS: 1741 day surgery patients undergoing procedures during 1991-2. MAIN MEASURES: Postoperative symptoms, complications, health and functional status, general satisfaction, and satisfaction with specific aspects of care. RESULTS: Software for data entry and analysis by hospitals was successfully used at the pilot sites. The overall response rate for the 11 hospitals using the questionnaire was 60%, ranging from 33% to 90% depending on the way the survey was managed. Data from all 11 hospitals were included in the national comparative audit database. Hospitals showed little variation in measures of patients' overall satisfaction (around 85%), but significant differences were apparent for specific aspects such as receiving adequate written information before admission (range 50%-89%), provision of adequate parking facilities (14%-92%) and experiencing a significant amount of postoperative pain (8%-42%). The proportion of day case patients undergoing procedures that could have been performed in outpatient departments varied from 0 to 27% between hospitals. Further comparisons of outcome, in particular measures of effectiveness, must await the development of validated case mix adjustment methods. CONCLUSION: Establishing a comparative audit database is feasible but several methodological problems remain to be resolved.  (+info)

(7/1541) Effects of fluoxetine on the polysomnogram in outpatients with major depression.

This study investigated the effects of open-label fluoxetine (20 mg/d) on the polysomnogram (PSG) in depressed outpatients (n = 58) who were treated for 5 weeks, after which dose escalation was available (< or = 40 mg/d), based on clinical judgment. Thirty-six patients completed all 10 weeks of acute phase treatment and responded (HRS-D < or = 10). PSG assessments were conducted and subjective sleep evaluations were gathered at baseline and at weeks 1, 5, and 10. Of the 36 subjects who completed the acute phase, 17 were reevaluated after 30 weeks on continuation phase treatment and 13 after approximately 7 weeks (range 6-8 weeks) following medication discontinuation. Acute phase treatment in responders was associated with significant increases in REM latency, Stage 1 sleep, and REM density, as well as significant decreases in sleep efficiency, total REM sleep, and Stage 2 sleep. Conversely, subjective measures of sleep indicated a steady improvement during acute phase treatment. After fluoxetine was discontinued, total REM sleep and sleep efficiency were found to be increased as compared to baseline.  (+info)

(8/1541) Mortality remains high for outpatient transplant candidates with prolonged (>6 months) waiting list time.

OBJECTIVES: The study aimed to determine the risk of death or urgent transplant for patients who survived an initial 6 months on the outpatient heart transplant waiting list when criteria emphasizing reduced peak oxygen consumption are used for transplant candidate selection. BACKGROUND: Waiting time is a key criterion for heart donor allocation. A recent single-center investigation described decreasing survival benefit from transplant for patients who survived an initial 6 months on the outpatient waiting list. METHODS: Kaplan-Meier survival analyses were performed for 80 patients from the Hospital of the University of Pennsylvania (HUP) listed from July 1986 to January 1991, and 132 patients from Columbia-Presbyterian Medical Center (CPMC) listed from September 1993 to September 1995. Survival from the time of outpatient listing for the entire group (ALL) was compared to subsequent survival from 6 months onward for those patients who survived the initial 6 months after placement on the outpatient list (6M). Both urgent transplant and left ventricular assist device implantation were considered equivalent to death; elective transplant was censored. RESULTS Survival for 6M was not significantly better than ALL at HUP (subsequent 12 months: 60+/-7 vs. 60+/-6% [mean+/-SD]; p = 0.89) nor at CPMC (subsequent 12 months: 60+/-6 vs. 48+/-5%; p = 0.35). Survival for 6M at both centers was substantially lower than survival following transplant from the outpatient list in the United States in 1995. CONCLUSIONS: When high-risk patients are selected for nonurgent transplant listing, mortality remains high, even among those who survive the initial six months after listing. Time accrued on the waiting list remains an appropriate criterion for donor allocation.  (+info)



Clinic


  • Title Outpatient Clinician FFS City Everett State MA Description Fee for Service Outpatient Clinician Eliot Outpatient… Eliot Community Human Services, Outpatient Clinic in Everett is seeking FFS outpatient clinicians . (glassdoor.com)
  • The author of the law, state Sen. Curren Price Jr. (D-Los Angeles), said he became interested in the safety of outpatient centers after singer Kanye West 's mother died in 2007 after liposuction and breast augmentation surgery at a Westside clinic. (latimes.com)
  • Among the law's proponents was Betty Brown, whose sister, Tamara Walter, died in December after Lap-Band surgery at an outpatient clinic in Beverly Hills. (latimes.com)
  • We can see local or out-of-town patients (depending on each patient's situation) in the Outpatient Clinic. (nationaljewish.org)
  • Lists of outpatients who were scheduled for appointments at the rheumatology clinic were sent to an external randomizer, to randomly elect patients who were asked to participate. (clinicaltrials.gov)

ambulatory surgery


  • Criteria for fast-tracking outpatients after ambulatory surgery. (omicsonline.org)

clinics


  • Price's legislation attracted broad attention because of the recent deaths of five patients after Lap-Band weight-loss surgeries at outpatient clinics affiliated with the 1-800-GET-THIN marketing company, according to lawsuits and coroner's records. (latimes.com)
  • The Detroit Institute for Children last week shut down three outpatient clinics serving 250 special needs children to focus more resources on the institute's larger school program that provides services to more than 4,500 children. (crainsdetroit.com)
  • Some 27 employees, including 17 therapists, who staffed the outpatient clinics were laid off, said Marge Resmer LaRuffa, the institute's COO. (crainsdetroit.com)
  • All physicians in on-site and satellite adult outpatient clinics with the Brigham and Women's Hospital and Massachusetts General Hospital. (clinicaltrials.gov)

patient's


  • From the patient's vantage point, the prevalence of outpatient spine surgery offers many benefits, Dr. Liu says. (prweb.com)

surgeries


  • But health experts are now predicting that 50% of all spine surgeries will be performed on an outpatient basis within the next five years, according to a 2014 study in Global Spine Journal. (prweb.com)

clinical


  • Outpatient clinical experience preferred. (glassdoor.com)
  • Youth & Family Outpatient Clinician City Holyoke State MA Description Child,Youth & Family Outpatient Wraparound… license eligible clinicians to provide clinical services in our Child, Youth and Family Center in Holyok. (glassdoor.com)
  • The clinical team in the outpatient department includes the consultants and their team of doctors, nurses and other support staff. (newcastle-hospitals.org.uk)

Services


  • Position includes providing outpatient services to consumers with mental… required. (glassdoor.com)
  • FFS Outpatient Clinician City Worcester State MA Description Bi lingual Outpatient Clinician Eliot Outpatient Services… Services, Outpatient Services is seeking either fee for service hourly or salaried bi lingual outpatient clinicians . (glassdoor.com)
  • NAFI RI's Enhanced Outpatient Services Program is looking for a Home and Community Based Clinician . (glassdoor.com)
  • These recommendations will be included in a report to Congress that may be used to inform future policy related to outpatient therapy services. (apta.org)
  • Overall, MedPAC commissioners expressed appreciation of the value of outpatient therapy services for Medicare beneficiaries and recognized that a "hard cap" with no exceptions would be detrimental and severely impede access to medically necessary therapy services. (apta.org)
  • To avoid capping therapy services without an exceptions process, MedPAC recommends that Congress reduce the therapy cap for physical therapy/speech-language pathology combined to $1,270 in 2013 and occupational therapy to $1,270 in 2013, and permanently include hospital outpatient therapy departments under the cap. (apta.org)
  • Other recommendations include applying a multiple procedure payment reduction (MPPR) of 50% to the practice expense component of therapy services provided to the same patient on the same day and reducing the certification period for the outpatient therapy plan of care from 90 to 45 days. (apta.org)
  • MidState's Outpatient Infusion services provides care to patients who require short-term intravenous treatments, as well as tests that can be performed in an outpatient setting. (midstatemedical.org)

physicians


  • Constantly advancing technology has fueled outpatient spine surgery's emergence as a popular option among physicians and patients in recent years, Dr. Liu says. (prweb.com)

rehabilitation


  • The outpatient pulmonary rehabilitation program is a small group class that meets twice weekly. (burke.org)
  • Burke's outpatient pulmonary rehabilitation program aims to help you gain these benefits through therapist-monitored exercise sessions. (burke.org)
  • The outpatient pulmonary rehabilitation program is located in the outpatient building, building 8, on Burke's main campus in White Plains. (burke.org)
  • HSC enjoys certification from The Joint Commission and the Commission on Accreditation of Rehabilitation Facilities for Outpatient Medical Rehabilitation and Brain Injury Rehabilitation. (hfsc.org)

expense


  • She said that many insurance programs, including Medicare, will pay for part of the expense of an outpatient program. (prweb.com)
  • But the explosion of ambulatory surgical centers in the United States since the 1980s - combined with increasingly sophisticated, minimally invasive spine surgery techniques - has led to many of these operations being done on an outpatient basis, saving patients time and money at no expense to safety, says Kaixuan Liu, MD, PhD, founder and president of Atlantic Spine Center . (prweb.com)

Therapy


  • Yesterday, the Medicare Payment Advisory Commission (MedPAC) voted to adopt several recommendations on outpatient therapy payment reform. (apta.org)

care


  • Work experience must include… prevention and educational approaches to intensive on-site/in-home outpatient care. (glassdoor.com)

patients


  • A huge driver of the move toward outpatient spine surgery is the growth of ambulatory surgical centers, where patients go home the same day surgery is performed. (prweb.com)
  • We also educate patients better these days about the realities of surgery and recovery and work with anesthesiologists to use a variety of pain control methods that allow outpatient spine surgery to be done more safely. (prweb.com)
  • The Maximilian E. & Marion O. Hoffman Foundation Outpatient Center is designed to meet the needs of patients that require assistance but do not require hospitalization. (hfsc.org)

surgery


  • Outpatient surgery centers in California that perform Lap-Band operations and other procedures will face new scrutiny under a law signed by Gov. Jerry Brown . (latimes.com)
  • The trend toward outpatient spine surgery will only continue to surge. (prweb.com)
  • Not everyone is a candidate for outpatient spine surgery, Dr. Liu notes - it depends both on the patient and the exact procedure they're undergoing. (prweb.com)
  • The trend toward outpatient spine surgery will only continue to surge," Dr. Liu says. (prweb.com)

offers


  • The outpatient program offers a complete evaluation by John Hodgkin, MD, the medical director of the Smoke-Free Life® program, and James Peters, MD, preventive medicine specialist. (prweb.com)

program


  • Individuals can now take advantage of this world-class program with six to eight weeks of outpatient visits. (prweb.com)
  • Creation of the outpatient Smoke-Free Life® program is supported by a gift of $500,000 from the family of Marjorie Mondavi in her honor. (prweb.com)

growth


  • individuals we serve, Outpatient Clinicians at VHS have a lot of potential for growth! (glassdoor.com)

require


  • If you require ambulance transport to your outpatient appointment, please contact your GP who can arrange this for you. (newcastle-hospitals.org.uk)

Location


  • Outpatient & Recovery Location: Gainesville, FL Salary Range: Master… professional or certified addictions professional. (glassdoor.com)

needs


  • Outpatient Clinicians have access to a number… based on Outpatient Clinician's individual needs. (glassdoor.com)

Settings


  • Assesses physician compliance with paper-based and electronic guidelines, reminders, and alerts for outpatient settings. (clinicaltrials.gov)

pain


  • To prove superiority of active pain management group compared to control group by the percent of pain intensity difference of outpatients with lung cancer pain. (clinicaltrials.gov)

meet


  • The legislation requires private accrediting firms to inspect outpatient centers at least once every three years and allows for surprise inspections to ensure the centers meet safety standards for such things as cleanliness and proper use of medication. (latimes.com)