A comparative study of health delivery systems of India and China. The medical systems which most of the developing countries have, are ad hoc adoptions inherited from their colonial masters and have met with little success in making health planning as part of their national planning. Very few countries have been able to overcome the resistance of the medical profession and the bureaucratic inertia which is a major obstacle in the transformation of this system to a broad based social service and integrating it with the process of socio-economic development planning. The adoption of this system by developing countries is a typical example of technological misfit. A cheap and labour intensive model for developing countries shall be a proper solution for the development of a health care delivery system for the masses. A solution to this problem is a mix or hybrid of the traditional and modern medicines which very recently have been exploited both in India and China. How far India and China have been successful and what is needed to be done is the subject matter of this paper. The medical systems of most developing countries are ad hoc adoptions inherited from the colonial period and have met with little success in making health planning a part of national planning.  Few countries have been able to overcome the resistance of the medical profession, and bureaucratic inertia is a major obstacle to creation of a broad based social service integrated into the socioeconomic development process.  A cheap and labor intensive model of health care delivery is needed among developing countries, based on a mix of modern and traditional medical practices as has recently been attempted in India and China.  Efforts by these 2 countries in this direction are explored.


Contain hospital liability with strict credentialing for registry nurses.


AHA/IAHS: toward confirming healthcare teamwork.


Patient participation in consent helps minimize liability.


What is the status of the law on the use of bed rails and side rails to restrain patients?


Guidelines for maintaining high-quality medical records.


Understanding differences between medical staff and administration.


Comprehensive tuberculosis surveillance and control program: ten-year study.


A methodology for display of antimicrobial utilization data in ambulatory patients.


Why is there resistance to change and how can it be minimized? The ability to implement change, as an administrative skill, is essential in effectively promoting progressive pharmacy practice. Often, pharmacy managers want to implement change but do not know how to approach the process without encountering much resistance from the staff. There are various sources of resistance that need to be recognized, including lack of trust, inaccurate or incomplete information, and potential loss. A pharmacy manager can take different approaches to minimize this resistance, depending on the organization and his or her management style. A pharmacy manager can use the techniques cited to turn the uncertainties of change into established gains and employee commitment.


Trends in cost containment: where do we cut? The current emphasis on cost containment and its impact on pharmacy practice is reviewed. Methods by which existing standards of practice can be maintained are presented. Strategies for increasing the pharmacist's role in patient care within this climate are discussed. Examples of cost-effective approaches to pharmacy management and practice are outlined. Specific approaches include fiscal management of inventory, efficient use of personnel, and developing programs that reduce health-care cost.


Prescription for nursing-pharmacy relations: a pharmacist's viewpoint.


Project: Micheal Reese Hospital and Medical Center Administrative Services Center.


Teenage volunteers make mealtime more personal for profoundly handicapped teenagers in an institution.


Management and community factors affecting the financial viability of rural health initiative sites.


Marketing strategies in rural areas.

Marketing strategies in rural areas.


Coaching and counseling: keys to continued growth.


Community hospice program: factors to consider when planning to provide interfacing home and inpatient care options.


Alcoholism quality assurance project in the health maintenance organization.


Emergency medical Technicians' perception of acceptance by nurses and physicians.


The crisis of control.

The crisis of control.


Medical control and the volunteer rescue squad.


Ambulance cots: familiar friends--with forgotten hazards.


EMS in Dallas: a fresh look at the system selected the best in the country.


Physician staffing in the emergency department: criteria considerations and evaluation techniques.


The contribution of social science research to health policy: the Royal Commission on the National Health Service. This article adopts a case study approach to examine the contribution of social science research to health policy. It concentrates exclusively on the recent Royal Commission on the National Health Service. After describing its background and modus operandi the paper goes on to assess the Report's utilization of social science research, both in its diagnosis and recommendations. This assessment suggests that while the Commissioners made relatively little use of research-based evidence in their diagnosis, their recommendations provide the basis for a substantial increase in the contribution of social scientists, particularly in the field of health services evaluation.


Continuing competency for health professionals: caveat emptor. Continuing competency presents a challenge for professionals in the environmental health field and other public heath disciplines. It is argued that traditional continuing professional education alone is inadequate and other alternatives need to be developed which are complementary. Issues and concerns related to mandatory vs. voluntary continuing professional education are discussed. Communities of interest in the process are described which include practitioners, employers, faculty and consumers, each of whom contribute to a definition of competence. A format for increasing interaction among these communities and a credentialing--continuing competency model is presented. The model addresses the notion that obtaining and maintaining competency is an on-going dynamic process.


A smooth linen operation depends on cooperation with nursing units.


Nursing: a profession in need of intensive care.


Reader-printers for libraries: introductory comments on the LTR test program.


Little errors that mean big malpractice trouble.


How good a deal could you get from a big group today?


How and where hospitals will bear down on you.


A decade of economic challenges to pharmacy.


Canon Canorama Printer 380 reader printer.


Freestanding hospices uneconomical?

Freestanding hospices uneconomical?


Diabetic self-management is aim of two new centers.


A decade of changes.

A decade of changes.


Oral Roberts' medical center: merging medicine and prayer.


A fifty-year report from the American Association for the Advancement of Medical Technology, 1980-2030 A.D.


Auxilians as hospital trustees.

Auxilians as hospital trustees.


Blues plunge into financial straits.

Blues plunge into financial straits.


Communications: gatekeeper of the future.


Illinois hospitals pull out of contracts with Blues.


More hospitals planning to drop Social Security.


Hospitals reap benefits from unions.

Hospitals reap benefits from unions.


Employers use various remedies to slash surging healthcare costs.


New tax act incentives boost leasing's appeal.


Micron RP 700 reader printer.

Micron RP 700 reader printer.


Micro Design DC580 AE reader printer.

Micro Design DC580 AE reader printer.


Datagraphix 1500DL reader printer.

Datagraphix 1500DL reader printer.


Public hospitals straining to survive federal assault on healthcare costs.


Monitoring of hazards in hospitals lax.

Monitoring of hazards in hospitals lax.


Hospitals innovate to stem closures.

Hospitals innovate to stem closures.


Religion, medicine join hands at Oral Roberts' City of Faith.


Compensation survey.

Compensation survey.


Government blunts competitive edge of federal employees' health benefits.


Changing values, aggressiveness, bureaucracy lead to R.N. discontent.


Government is unseen party when sale of healthcare facility negotiated.


Integrating a concern for health promotion/disease prevention with the clinical practice of medicine and dentistry.


Criticism: the other side of nursing.

Criticism: the other side of nursing.


Health care organization: evolving toward wellness.


Manager behavior in a social context: the impact of impression management on attributions and disciplinary actions. Two experimental studies were run to test the effects of subordinate impression management on the appraisals and responses of a manager, following an incident of poor performance. Two common impression management tactics, accounts and apologies, were manipulated in each of the studies. Subjects in both studies were experienced nursing supervisors. On the basis of the "discounting effect" reported in the attributional literature it was hypothesized that accounts of external causes for poor performance, i.e., excuses, would lead subjects to (1) attribute less responsibility to the subordinate, (2) be less personal in their responses, and (3) be less punitive in their responses. Apologies, because of their "equity restoration" effects, were expected to influence subjects' disciplinary responses to the poor performance, without necessarily affecting their attributions of responsibility. Experiment 1. which employed written stimulus materials and a repeated-measures design, provided strong support for all hypotheses. Experiment 2. which employed a film stimulus and between-subjects design, provided strong support for the accounts hypotheses but only minimal support for the apology hypotheses. The results highlight the importance of social information cues in the appraisal of performance.


Adam Smith revisited? All about those competition health plans.


From Bismarck to cost containment.

From Bismarck to cost containment.


Availability of standard and certified reference materials.


What pathologists should know and be able to do in laboratory data processing and computers: software.


How the FDA looks ahead while celebrating its 75th anniversary.


A money-back guarantee for healthcare: it works for HCA.


The parchment badge of courage: an ER award for kids.


Looking for nurses?

Looking for nurses?


Who skinned the CAT? Comments on advertising by a physician who did.


Patient handbooks.

Patient handbooks.


How to give away your money: a fund raising brochure that works.


The day the headlines went wild: PR strike checklist.


The hospital as a major TV advertiser: Deaconess Hospital sponsors 160 shows in a year.


A gift certificate for health care? It raised the census more than 300%.


Patient interviews aid quality control.

Patient interviews aid quality control.


An annual report that saved both time and money.


Booster booklets.

Booster booklets.


A do-it-yourself market audit.

A do-it-yourself market audit.


A daily newsletter.

A daily newsletter.


A fundraiser's Christmas list.

A fundraiser's Christmas list.


There are many reasons for giving kids a coloring book.


Once you have found her, never let her go.


Planning a readership survey? Mayo has mastered both the art and the science.


The opening bid. How to promote a new hospital.


Seven approaches to annual reports.

Seven approaches to annual reports.


The speakers' bureau lives again.

The speakers' bureau lives again.


Wellness: an apple a day.

Wellness: an apple a day.


Booking babies: this guidebook's the key to sold-out prenatal classes.


CAT scanners: we shall overcome.

CAT scanners: we shall overcome.


Turn donors into "investors" by acknowledging gifts with "stock certificates".


The case of reluctant residents: studies in residency recruitment.


How to raise $2 million for a new ER.

How to raise $2 million for a new ER.


Run for fun...and PR mileage.

Run for fun...and PR mileage.


Something big in Petoskey: PR program sells unpopular merger.


Keep the kids on file: a public service that helps sell the ER.


Super sitters create super support.

Super sitters create super support.


Hazardous materials seminar produces healthy PR fallout.


Why market? An interview with a marketing administrator.


These gardens grow money.

These gardens grow money.


A "friend raising" comes up roses.

A "friend raising" comes up roses.


Eight common misconceptions about hospital marketing.


Absentee ballots for patients.

Absentee ballots for patients.


A press conference portfolio. Have news? Here's how to share it.


Postcard PR.

Postcard PR.


Advertising maternity savings.

Advertising maternity savings.


Put a calendar to work for you.

Put a calendar to work for you.


The quarter-million-dollar phone call: a phone-in financial planning service stimulates large gifts.


Leave the driving to us: a $50,000 holiday gift to the community.


Nursenapper!

Nursenapper!


Promoting wellness in Wisconsin.

Promoting wellness in Wisconsin.


The (grand) parenting center.

The (grand) parenting center.


Heart center publication: a beautifully effective image builder.


Patient pointers.

Patient pointers.


Weekend nursing: a successful recruitment alternative.


$84,000 worth of hard sell: it brought 3500 members and 2100 contracts to D.C. HMO.


Employee crisis counseling.

Employee crisis counseling.


Acupuncture for smoking.

Acupuncture for smoking.


Look up! An air ambulance service takes off fast.


Call, then mail: direct-mail follow-up to phone campaign produces excellent results.


Pre-natal classes...for grandparents?!

Pre-natal classes...for grandparents?!


Newsletter critique.

Newsletter critique.


Employee stress control: a priority "profit center.".


All-out fundraising.

All-out fundraising.


Specialized literature for departments.

Specialized literature for departments.


A do-it-yourself market audit: Part II.

A do-it-yourself market audit: Part II.


Encouraging volunteers: an interview with a hospital management consultant.


PR with a wooden nickel? It brings a cup of coffee and lots of smiles.


The patient's paper: a newspaper-style patient handbook.


A hospital cookbook.

A hospital cookbook.


Nurse recruitment section: the decision process.


Nurse recruitment section: reaching out.


Nurse recruitment section: an illustrated employment application.


Nurse recruitment section: keep 'em posted.


Media PR: special PR treatment for broadcast media.


Instant birth announcements: postcards for parents, press and profit.


A hospital magazine with ads.

A hospital magazine with ads.


It's back to school for these young patients.


Family care card.

Family care card.


Dialing for PR: TEL-MED's medical fact service makes the phone ring.


Five Hospital Homebound Elderly Program.


Phlebotomist on wheels.

Phlebotomist on wheels.


How to distribute 300,000 brochures: a single trauma center piece doubles helicopter calls, boosts census 20%.


Eye-catching development mailing.

Eye-catching development mailing.


Case study: an ER marketing plan.

Case study: an ER marketing plan.


Instructional placemats.

Instructional placemats.


Not another calendar: permanent growth and development chart.


After the marketing audit.

After the marketing audit.


An industrial volunteer committee rolls up its sleeves.


Media log.

Media log.


Photo gallery: children in the hospital.


Trends in physicians' incomes, expenses, and fees: 1970-1980.


Health regulation: some ideas on how to improve it.


Prospects for regulation of the health care sector in the 1980s.


It's housekeeping employee appreciation day! Every day.


The American Medical Association's periodic survey of physicians.


Organizational structure and medical practice in health maintenance organizations.


The economic status of resident physicians: results from the survey of resident physicians.


An integrated pest management concept for hospitals.


You can take outstanding medical photographs.


Informed consent: for whose benefit?

Informed consent: for whose benefit?


Music therapy: tune-up for mind and body.


Detergency--or making water work!

Detergency--or making water work!


A bright future awaits the hospital educator.


The A.S.S.M. education award 1979: micro-wave systems.


The nurse as manager: a role that is proving its worth.


Employee health programs.

Employee health programs.


Room at the top: provision for management succession in the NHS.


Medication technicians: one approach to filling in the gaps.


NHS management education and training in the last five years.


The current interests and activities of the King's Fund College.


The how to's of setting up a part-time nursing pool.


The deluge of doctors.

The deluge of doctors.


Leicester Polytechnics Centre for Health Services Management.


Developments at the Health Services Management Centre.


Balancing education and research at the Nuffield Centre for Health Services Studies.


Growing our own: the answer to solving personnel shortages may be found in our own backyards.


The patient's right to privacy.

The patient's right to privacy.


The employee of today and tomorrow.

The employee of today and tomorrow.


When patients know what's good for them.


Task analysis of surgical technology occupations.


Computers in hospitals: can they pay their way?


Community planning success rests on new definition of trustee leadership.


The consultant dietitian--professionalism.


Orientation brings new trustees up to speed.


The birth of a trustee association.

The birth of a trustee association.


New AF field shelters not CBW-proof.

New AF field shelters not CBW-proof.


Growing pains underlie transition of Panama.


DoD defends intention of hospital plan.

DoD defends intention of hospital plan.


The ever changing health care environment: the uncommon solutions of tomorrow.


How to reduce the cost of medical care.

How to reduce the cost of medical care.


Substitutes for leadership: test of a construct. The study reported here examined the impact of leadership substitutes on subordinate job satisfaction and organizational commitment. Leadership substitutes, as suggested by Kerr (1977), replace or "act in the place of" a specific leader behavior. Multiple regression was used to test the validity and strength of potential substitutes. Results indicated mixed support for the substitutes construct.


Organizational innovation: the influence of individual, organizational, and contextual factors on hospital adoption of technological and administrative innovations.


Off-air copying update: guidelines, advice to educators.


The challenge of moving.

The challenge of moving.


Constant attention keeps costs at manageable level.


Day care centers for the old: doctoring and dignity for the partly disabled.


Soviet Union: in the psychiatric ward.

Soviet Union: in the psychiatric ward.


Consolidated permit regulations and hazardous waste management system: Environmental Protection Agency. Notice of issuance of regulation interpretation memorandum. The Environmental Protection Agency (EPA) is issuing today a Regulation Interpretation Memorandum (RIM) which provides official interpretation of the issue of whether a generator who accumulates hazardous waste pursuant to 40 CFR 262.34, may qualify for interim status after November 19, 1980. This issue arose when the requirements for submitting a Part A permit application (one of the prerequisites to qualifying for interim status) were amended on November 19, 1980. The provisions interpreted today are part of the Consolidated Permit Regulations promulgated under Subtitle C of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act, as amended (RCRA).


A social structure that works: the case of Green Nursing Home.


Limitation on federal participation for capital expenditures; policy on lack of timely notice: Public Health Service. Final rule. This notice revises the Policy on Lack of Timely Notice under section 1122 of the Social Security Act, published in the Federal Register on January 26, 1977 (42 CFR part 4847).


Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). Withdrawal of proposed rule.


Cost of hospital and medical care and treatment furnished by the United States; certain rates regarding recovery from tortiously liable third persons.


Hospital fire may have been arson, MD says.


Privacy Act system of records; amendment of a routine use and change in locations. Public Health Service. Amendment of a routine use and change in locations for Privacy Act system of records 09-15-0007. In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing this notice of a proposal to amend a routine use and change the listing of locations for the "Patients Medical record System PHS Hospitals/Clinics," HHS/HSA/BMS. We are taking these actions in order to comply with the provisions of the Omnibus Budget Reconciliation Act of 1981 (Pub. L.97-35) which requires that the PHS hospitals and clinics be closed by October 31, 1981, or converted to community use by September 30, 1982.


Growing old in Britain.

Growing old in Britain.


Donations to be shared: blood banking groups reach an agreement.


Institutional living for the elderly in Denmark: a model for the United States.


Hospital antitrust suit settled.

Hospital antitrust suit settled.


National Institutes of Health; statement of organization, functions, and delegations of authority.


Hazardous waste management system; standards applicable to generators of hazardous waste; state program requirements. Environmental Protection Agency. Final rule. On February 26, 1980 and May 19, 1980, under the Resource Conservation and Recovery Act (RCRA), the Environmental Protection Agency (EPA) published regulations establishing a system to manage hazardous waste. Those regulations allowed hazardous waste generators to accumulate hazardous waste on-site without obtaining a permit or meeting financial responsibility requirements if they shipped the waste off-site within 90 days. On November 19, 1980, the Agency published an interim final rule which expanded the scope of the provision to include generators who treat, store or dispose of hazardous waste on-site. The final rule published today retains this change. As a result of public comments, the Agency is making several changes to the interim final rule. These changes (1) Clarify that the provision is applicable to all generators, including those who accumulate hazardous waste for the purpose of use, reuse, recycling and reclamation, (2) remove the requirement for use of DOT containers, (3) revise the labelling and marking requirements for wastes accumulated in containers and tanks; and (4) allow an extension to the 90-day accumulation limit in certain circumstances.


Cooperative care unit cuts costs 40% at NYU hospital.


Iowa firms team up to trim hospital costs.


Small Illinois city proving it can beat big health costs.


Girl may get $13 million in claim against hospital.


The past, present and future of Canadian medical technology.


The Workload Recording Method for the clinical laboratory--a dynamic and ever (continually) evolving system. Problems relating to remaining valid and coping with significant reductions in unit values in clinical chemistry.


A self help group for burn victims.

A self help group for burn victims. It has been found that social withdrawal is common among burn victims following discharge from hospital. This may be indicative of a lack of professional follow-up services and counselling. Self help groups may be effective in helping such individuals adjust to the implications of their injury and community re-integration by offering support and information. A student's experience with such a group is related and the role of an occupational therapist as a consultant to the group is described. It is advocated that occupational therapists provide a complete rehabilitation program by becoming involved in group program for burn victims prior to and after discharge.


Drug usage review. Part two: Implementing the ambulatory program.


Realistic development of clinical pharmacy services in a community hospital.


Policy and procedure manual.

Policy and procedure manual.


Productivity measurement using the programmable calculator.


Hospital cost containment.

Hospital cost containment.


Quality assurance--a hospital pharmacy management perspective.


The quality assurance of professional staff.


Managing an antibiotic surveillance program: written criteria and data collection.


Dialogues with hospital pharmacists: William H. Hotaling, III, Ph.D.


Upward mobility for pharmacy directors.

Upward mobility for pharmacy directors.


Career advancement paths for the director of pharmacy.


Basic concepts to consider before computerizing a hospital pharmacy.


Participation: a management style.

Participation: a management style.


Radiological imaging--2000 A.D.

Radiological imaging--2000 A.D.


Utilization of an appraisal system in conjunction with preestablished behavioral objectives.


". . . Move over!": a message from self-help groups.


THA's national partner of the American Hospital Association.


Security of Tennessee hospitals: a comparative study.


Coping after relocation in a new hospital.


Tours boost community interest and health careers.


Practically speaking . . . public relations & security: a cooperative effort.


Is it work or play?

Is it work or play?


Who can consent to treatment?

Who can consent to treatment?


The Morristown-Hamblen Berkline Corporation connection.


The surgicenter experience.

The surgicenter experience.


Study finds resentment, not greed is key factor in employee pilferage.


The VE enters its fifth year.

The VE enters its fifth year.


Microfilming puts a silver lining on radiology files storage problem.


Ohio's Children's Hospital takes step-by-step approach to office automation.


Operation of prescription drugs plans varies, depending upon the type of system being used.


Employee choice, monetary incentives are used in innovative approaches to health care cost control.


Hospital computer planning: beyond rhetoric.


The evolution of health care computer systems.


Selection management is more than a committee responsibility.


Hazardous materials incidents and the EMT.


EMS practical examinations: principles and procedures.


Growth contracts: tool for professional development.


EMT telephone triage.

EMT telephone triage.


American Medical Association, Commission on Emergency Medical Services. Excerpts from provisional guidelines for the optimal categorization of hospital emergency capabilities.


Child abuse: duty to report.

Child abuse: duty to report.


Role conflict and ambiguity: an empirical investigation of nursing personnel. A review of the nursing literature provides a number of hypotheses regarding levels among nurses of role ambiguity (uncertainty regarding others' expectations) and role conflict (incompatible demands from various role senders or from multiple roles held simultaneously). Questionnaire data collected from 504 registered staff nurses, licensed practical nurses, nurses aides and head nurses/supervisors in five hospitals failed to provide much support for these hypotheses. Although levels of role conflict and ambiguity were low for most nurses, they were significantly related to job stress, organizational commitment, job satisfaction, and intentions to quit.


Clinical pharmacy activities: a quantitative assessment at Sunnybrook Medical Centre. Levels of clinical pharmacy activity were assessed at Sunnybrook Medical Centre using levine et al's concept of Patient Care Units. Data from pharmacist-initiated log sheets (for two four-week periods) were collated and described under the headings of: "Average Clinical Time Per Day", "Number of Specific Clinical Encounters Per Month", "Average Percentage of Total Clinical Time Per Encounter", and "Average Time Per Specific Clinical Encounter". It was noted that only 21.7 to 26.0% of working time was spent on clinical interactions and that many of these activities did not involve patients. For example, clinical non-distributive interactions with professionals (other than physicians or nurses) and attendance at pharmacy educational functions, accounted for the largest portion of clinical time. Most of the patient encounters that did occur consisted of the indirect activity of chart review, instead of the more direct-discharge interviews, allergy verifications, and medication histories, it was apparent from the log sheet results that there was an individual prioritization of clinical activities by the Sunnybrook pharmacists. However, a departmental assumption that direct patient encounters had priority was not evident.


Health promotion programs warrant effective marketing.


Fast response sprinklers in patient room fires.


Use of resident physicians: an evaluation of the effects of a significant increase. Medical school graduates have become increasingly dependent on former community hospitals for residency programs because charitable institutions attached to medical schools are disappearing. It is not known what impact residencies have on hospitals that were community hospitals. We interviewed private practice physicians, residents, nurses, patients, and other groups in a large former community hospital. Overall, the interviews indicated good support for the hospital's new teaching function. Furthermore, the residents were viewed in very favorable terms by all groups. There were two problem areas. One, some residents seem less sensitive to human relations than private practice physicians and other hospital groups. Two, many private practice physicians are concerned over the number of hospital-salaried physicians and the outpatient care offered by residents supervised by hospital-salaried physicians. This research suggested several recommendations that, if followed, would serve to increase the value of the residency in meeting patient needs in the most effective manner.


Emergicenters: the next wave.

Emergicenters: the next wave.


Private nursing homes: keeping up with regulations.


Dallas EMS system.

Dallas EMS system.


For nurses, a bigger voice in healthcare management.


Combining financial and clinical data for up-to-the-minute decision making.


Flexible benefits: tailoring the package to suit your needs.


Materials handling: bins, bags or boxes?


Private nursing homes: public control of the private.


Private nursing homes: with the patient in mind.


Standards of Canadian hospital pharmacy practice.


Role development for senior pharmacy managers.


Clinical pharmacy services: Part II--the issues. The development of clinical pharmacy programs over the past decade has been both dramatic and satisfying as well as divisive and frustrating. In our experience the broad spectrum of possible clinical activities is responsible for both situations as it concerns the individual pharmacist. At Sunnybrook, liaison pharmacists have accepted departmentally prioritized clinical activities as their primary focus while removed from the distribution system. Documentation for each individual staff member, satellite and departmental achievements for patient counselling, adverse reaction and drug information programs was undertaken to provide visible endpoints for both staff and administration. Hospital Pharmacy visibility to the lay public, a need expressed by several prominent practitioners, has been addressed by the production of a Pharmacy Services Brochure which helps to educate in-patients about our many programs. Lastly the attempt by several colleagues to evaluate the profession's clinical impact by means of a quality assurance program illustrates the difficult task ahead of us if we are to indeed demonstrate an improved patient care program through our efforts.


Northern Ireland: ring of steel.

Northern Ireland: ring of steel.


Using inter-group training methods to break down barriers.


Restructuring: some considerations.

Restructuring: some considerations.


The rise of emergency medicine.

The rise of emergency medicine.


Can group purchasing survive the 1980's? Part 2.


Perspective: EMS training in the fire department.


The Maryland emergency medical services communications system.


Check list for strike action.

Check list for strike action.


Emergency transport in retrospect.

Emergency transport in retrospect.


Federal EMS legislation.

Federal EMS legislation.


The nurse's role in EMS.

The nurse's role in EMS.


What are you spending for supplies & equipment?


Centralized food buying means savings.

Centralized food buying means savings.


The maturing of EMS management.

The maturing of EMS management.


Health-related articles in the six leading women's magazines: content, coverage, and readership profile.


Toward the definition of concepts of health and disease, wellness and illness.


Understanding the contract to purchase goods.


'Nonprofits' need surplus too.

'Nonprofits' need surplus too. By definition profit refers to the difference between revenue and expenses. In for-profit organizations profit or surplus gives a return to the owners of the company and serves as a source of financing for capital acquisitions and working capital. Nonprofit organizations, which are not allowed a surplus, don't suffer on the first count because they have no owners. But they do suffer on the second count because, if expected to grow, they need to finance asset replacement and growth. In these days when funds for long-term debt are becoming scarcer, this author asserts, the need for regulators to allow 'nonprofits' to keep a surplus is increasing. In this article, he argues for a surplus and then discusses how managers and regulators can determine how much a nonprofit organization should be allowed. He presents a combination of a modified version of the return-on-asset pricing model used in for-profit organizations and a model for assessing working capital needs associated with growth.


An application for private beds in Shetland.


Implications of strengthening unit administration.


Diluted povidone-iodine kills bacteria faster.


The development of a management information system and a preventive maintenance system.


Separate tracheostomy patients.

Separate tracheostomy patients.


Nonslip devices for bathtubs pose few infection risks.


Viruses cause major problems for IC and employee health.


The role of the physician in home care.

The role of the physician in home care.


Risk and reliability techniques applied to design and maintenance management decisions.


Home health audit tool--at last!

Home health audit tool--at last! Dissatisfied with the use of an audit tool not applicable to home health nursing, administrators of the Missoula Home Health Agency formed a special audit committee to review audits used by agencies around the country. After examining 50 audit tools, the committee agreed that the Phaneuf public health nursing audit did not adequately emphasize nursing care and charting specific to home health agencies but did fit most of their criteria. After redesigning the Phaneuf audit and testing it through two quarterly audits, the new Missoula Home Health Audit tool has been found very satisfactory. The Missoula Audit emphasizes: 1. home health's goal of independent living and/or self-care; 2. service provider-family-patient relationship; 3. nurse-physician relationship; 4. charting and recording; 5. coordination of careproviders. Unlike many existing audit tools, the Missoula Audit is specific to home health nursing, covers the spectrum of home health services, has sensitive scoring which reflects true differences in quality of care, and initially, at least, appears to be consistent from audit to audit.


The financial viability of home health agencies: findings from the federal grant program.


Industries use preadmission screening to cut hospitalization.


Physicians' participation essential for adequate quality assurance.


Projecting need for home health services: analysis of need and demand.


Nursing home housekeepers: indigenous agents of psychosocial support.


Hundreds of hospitals victimized by phony ad scheme; postal service is investigating.


How to establish a computer security program.


Allied Association health planning policy development and implementation activities, January 1982.


1981 tax wrap-up: new developments have mixed impact on hospitals.


Md federal district court interprets 1980 Equal Access to Justice Act Amendments; Act's utility to hospitals may be limited.


Hospice care: two health care facilities take a unique approach.


Data tracking, management system produces better QA/RM activities.


Outpatient IV therapy program decreases cost for hospitals.


Treatment integrated with building.

Treatment integrated with building.


ART pilot project: Part II.

ART pilot project: Part II.


Medical record discharge data provides basis for practical drug reaction screening program.


Targeting home care services to vulnerable elders: Massachusetts' Home Care Corporations. This investigation evaluates how successfully the Massachusetts model of home care targets services to vulnerable elders. It compares data from a random sample of home care recipients with a probability sample of non-institutionalized elders in Massachusetts. The data indicate that the Massachusetts statewide system developed under minimum regulation and decentralized management has successfully reached the vulnerable elders, particularly those living alone and the widowed. The demand for home services exists but is neither excessive nor uncontrollable. These findings support the continued use of a social model of home care delivery instead of a more restrictive medical model.


Reagan signs Social Security minimum benefits law including sick pay tax.


Health promotion budget halved to $2 million by House.


Corporate design: the health factor.

Corporate design: the health factor.


Central service: eliminating the third shift!


FDA's dual standards for biological indicators post threat.


Materials strike contingency plan relies on detailed planning.


Computer bits: the computer and change.

Computer bits: the computer and change.


Inventory: your hospital's financial investment.


HCA's computer "genie" aids equipment buying.


Lighting: the way to energy cost reductions.


Computer bits: word processing -- Part I.


Internal indicators--a 'rationale'.

Internal indicators--a 'rationale'.


New management style strives for consensus.


Tompkins Community Hospital cuts 27 forms, saves $8K annually.


Hospital care in crisis: part 2.

Hospital care in crisis: part 2.


The purchaser's role in food buying.

The purchaser's role in food buying.


Has the proliferation of groups caused problems?


Nader group calls for lower EtO standards.


N.J. hospitals institute water conservation measures.


Capital equipment buying: don't forget the basics.


Computer bits: the structure of data.

Computer bits: the structure of data.


An organizer tells how it can be done.

An organizer tells how it can be done.


A General accepts major improvements.

A General accepts major improvements.


Strike contingency planning can help insure supply continuity.


Word processing -- Part II.

Word processing -- Part II.


Cost of excess beds questioned by study.


Mental health is hard work.

Mental health is hard work.


Professional resources in health: issues and solutions.


Vendor usage analysis.

Vendor usage analysis.


Health costs and the insatiable demand for health care--can rationing be far behind?


Nursing: executive summary--and executive challenges.


Whither Medicare?

Whither Medicare?


Managing resources on a shrinking budget.


Home care programs in Canada: a review.

Home care programs in Canada: a review.


Bond market forecasting: what can hospitals expect in 1982 financial market?


Cut losses at reasonable cost: improving parking lot revenue control.


The St. Joseph's experience. Reducing backlogs with contract billers.


Cutting usage and costs. How CFOs can conserve energy resources.


Payment patterns: deductions and contractual allowances.


Professional certification--a goal of HFMA membership.


Protect your investment: a vote for career planning.


Want action information? Use work sampling.


The design of a citywide HMO: the Newark Comprehensive Health Services Plan.


Marketing and accountability in health care.


Hospital-sponsored ambulatory care: a national survey.


A framework for management assessment in health service organizations.


Hospitals "can't lose" with self insurance, RM attorney says.


Active strategies for combating stress.

Active strategies for combating stress.


Safeguard employees, save money with waste anesthetic gas controls.


A clinical pharmacy program for cardiac patients. Through efficient staff scheduling our 481-bed community teaching hospital has been able to expand its pharmacy services. This paper describes how a clinical pharmacy service program for cardiology and cardiac surgery patients was developed and defines the service components. After over two years of experience with the cardiology program, we have found this pharmacy service area to be very successful and well received. Various forms and proposals are provided to assist other pharmacists interested in expanding into this area of practice.


A multidisciplinary effort to influence and improve antibiotic utilization.


Controlled substances system change provides increased accountability. The distribution and control systems for controlled substances were evaluated. A mail survey of other hospitals was conducted to obtain samples of control substance systems and the associated procedures. From these samples of existing programs and previous experiences with the current program, a system was designed to meet the needs of an 800-bed hospital with a decentralized pharmacy distribution system. The new distribution and control system completely replaced the prior system. Therefore, new forms and procedures were generated. The total system was implemented in a stepwise procedure in two-week increments over approximately 14 weeks until the entire hospital was converted. The new system has increased control as well as identified workload, inventory utilization, and problem areas.


Community perceptions of natural disasters and post-disaster mental health services. This research was designed to examine the cognitive and affective responses of residential dwellers in the aftermath of a natural disaster (a flood). In a 2 X 3 factorial design, the effects of fear (High, Medium, and Low) and sex on perceptions of the disaster were assessed. The results indicated that respondents who were highly fearful of the disaster were more likely than moderate or low fear respondents to believe that: a) additional flooding would occur in their vicinity, and b) that they resided closer to the flood zone than they actually did. The policy implications of the results suggested that post-disaster mental health services might have to be extended to include residents of geographical areas not directly affected by natural or man-made disasters.


Method or madness: on the alienation of the professional. Burnout has affected a significant number of professionals in research and in clinical practice. The Marxian theory of alienation is insufficient to account for the phenomenon among professional workers. A critical factor in professional alienation is, paradoxically, the very factor which distinguishes the professional from the layman, namely the reliance on method and concept to develop knowledge. The alienating character of professional method may be observed in varying degrees in all human service professions. Method alienates the professional from the subject matter of interest, and to some degree from his or her own perceptions and interests. In the course of attempting to solve problems, too often the emphasis changes from understanding the substantive problem to checking and correcting artifacts of method, losing the focus on the original substantive problem, as the work turns in on itself. The cure requires professional social support for studies better suited to illuminate the human condition and to enlighten and intrigue the professional worker.


A critical look at the new ambulance specifications.


Provision of mental health services during a disaster: the Cuban immigration of 1980. The recent (1980) immigration of 125,000 Cubans to the U.S. presented health workers with a situation bearing many of the characteristics of a disaster. Some of the organizational, clinical, and ecological issues which are inherent in providing mental health care in disaster situations are discussed. Ultimately, the development of an effective response to the situation depended on an understanding not only of the individuals involved, but also on an appreciation for the characteristics of the different phases of disaster situations.


Salary survey.

Salary survey.


How many are there?

How many are there?


City survey: the profile of EMS in America's 100 most populous cities.


Long-term bed needs for long-term care.

Long-term bed needs for long-term care.


The way we see them: an independent lab tests emergency vehicles.


Automatic noninvasive blood pressure monitors: analog/manual adaptation of Dinamap (TM). This paper describes some of the features and limitations of the newly-developed, automatic, noninvasive blood pressure monitors. In particular, an analog/manual modification is presented which can be adapted to a variety of such devices. The manual/automatic adaptation of the Critikon Dinamap (TM) blood pressure monitor is specifically described. This modification provides continuous observation of cuff pressure and permits the option of manual cuff inflation and deflation. The analog/manual adaptation is useful in special patient conditions and as a teaching aid.


Whatever happened to intermediate care?

Whatever happened to intermediate care?


Improved digital thermometer design.

Improved digital thermometer design. A simple digital thermometer design using a self-contained 3 1/2 digit LCD meter module is presented. The Celsius-reading (Centigrade) thermometer is powered by a single 9-V battery, has very low power drain, and uses an inexpensive NPN silicon transistor for the temperature sensor. A short bibliography on temperature measurement instrumentation is included.


Retirement communities: assessing the liability of alternative health care guarantees.


Adolescent inpatient treatment "failures": subtypes and treatment implications.


On the primary prevention of critical mass: a systems strategy for adolescent units.


Collective bargaining in the health sector: a focus on nurses.


Affiliate relationship and methods of cooperation between a community mental health center and religious counseling agency.


Hospital collective bargaining: issues and impact.


Strikes in the health care industry.

Strikes in the health care industry.


Collective bargaining for health facilities: the management response.


On the implementation of change in national health delivery systems: a model and an application.


Efficacy of three versions of one burn-out measure: MBI as total score, sub-scale scores, or phases?


Determining appropriate bargaining units in health care institutions--the gap widens.


Controlling the number of outpatient accounts.


A laundry manager's input is crucial in the selection of hospital textiles.


Implementing effective linen control: a five-part program for managers.


Aqua vitae: the health spas of Europe.

Aqua vitae: the health spas of Europe.


Shared services--a recipe for cost-cutting in hospitals.


Lifeline: a new way of caring.

Lifeline: a new way of caring.


Confidence in linen system is vital, according to hospital administrator.


Business and advertising trends in the clinical laboratory market.


Biotechnology--the growth market for laboratory products.


Whittaker General Medical's new team sets high goal.


HIMA, AHA, call for caution in lowering EtO exposure levels.


Home health agency associations have common roles, conflicting goals.


Task forces study impact of medical manpower shifts.


AMA considers assessing medical technologies itself.


Winning business at a home health agency.


Health fair highlights community services.


Hospital sales to physicians.

Hospital sales to physicians.


Committee holds hearings on competition proposals.


Federal group health rates jump 31%, but benefits drop.


Health insurance has unhappy 1981.

Health insurance has unhappy 1981.


Anatomy of a campaign to create public awareness through radio.


Memo to the board: how to back not buck your chief executive.


Public affairs programming is getting better.


A national trend? Patient charge audits cause long payment delays.


Cash flow and the internal auditor.

Cash flow and the internal auditor.


PNHA quietly calls it quits.

PNHA quietly calls it quits.


Dragons, iron men, and utopia: a housestaff leader talks candidly about residency training and housestaff organizing. Interview by Peter Rabinowitz.


Antitrust in health care.

Antitrust in health care.


Positioning: getting your share of the business.


Lessons to be learned from the SAFECO HMO experience.


"Hazardous" wastes of the clinical chemistry laboratory. The authors of this article highlight recent government initiatives in the field of hazardous waste management, and present data on the hazardous wastes of a representative clinical chemistry laboratory. They cite a number of reasons why pathologists should begin addressing this issue, and hope that the results of the study will stimulate the much needed discussion.


Linking personal computers to a hospital laboratory computer. In the Department of Pathology, Norwood Hospital, a number of individual microcomputers in the home and throughout the laboratory have been connected to a central hospital laboratory computer. The microcomputers are connected to the central computer over standard telephone lines via the autoanswer modem for any telephone. Here, the author describes the system and its benefits, and explains why this type of application is a major potential use of computers in medicine in the future.


New directions for group practice.

New directions for group practice.


Changes in the Workload Recording Method? What they mean and how to cope. The 1982 edition of the Laboratory Workload Recording Method manual will reflect a reduction in unit values assigned to some clinical chemistry procedures. In this article, the author explains why the changes have been made, what they mean, and offers guidelines on coping with the ever changing but valuable Workload Recording Method.


The Emergency Medical Centre of Flint, PC.


What every pathologist should know and be able to do in laboratory data processing and computers: systems analysis and planning. This article is the fourth in a five part series on laboratory data processing and computers. Preceding the article are enabling and performance objectives, defined by the Laboratory Computer Applications and Data Processing Committee, for the systems analysis and planning competency area. Following the article are questions with which readers can test their understanding of the material.


Canadian manpower surveys in pathology.

Canadian manpower surveys in pathology.


Getting down to basics in microbiology.

Getting down to basics in microbiology.


Viewing radiology's new images.

Viewing radiology's new images.


Physical examinations and company liability: a legal update.


Occupational health in organizations: strategies for personnel effectiveness.


HMOs: the financial picture.

HMOs: the financial picture.


Feasibility and implementation of a hospital-based group practice.


How & why 3 pharmacy-edited bulletins contribute to good patient care.


Evaluation and follow-up: what is appropriate for this prisoner.


Illiterate patients.

Illiterate patients.


Informed consent: a surgeons qualifications?


Thrombosis: arterial lines and monitoring.


Medical errors and the 'sick role': a speculative inquiry.


Solar heating meets expanded energy demands at hospital.


Hospital learns the hard way how to design programs for business and industry.


The competitive model: a collection of caveats.


Leisure education: meeting the challenge of increasing independence of residents in psychiatric transitional facilities.


Activity therapy and leisure counseling for the schizophrenic population.


Computers and health care.

Computers and health care.


An automated approach to medical record tracking.


Master tracking system: internal medical record control.


Clinical engineering in the Southeast.

Clinical engineering in the Southeast.


Confidentiality in data consortia.

Confidentiality in data consortia.


Medical record control and the computer.


Capturing outpatient diagnostic and operative data.


Cancer unit for teens.

Cancer unit for teens.


Performance appraisal blues: who should get the pink slip? While there are no standard methods for evaluating the work of respiratory therapists, supervisors agree that periodic evaluation is essential. Some institutions base merit raises or step increase on the results of the yearly appraisal. Others merely want to ensure that respiratory therapists are performing effectively. Methods range from an evaluation form which can be filled out by the supervisor or both the supervisor and the employee to an on-the-job evaluation by hospital personnel.


The human services management task: a time allocation study.


Licensure: pathways and pitfalls.

Licensure: pathways and pitfalls. Licensing laws are an exercise of the policing powers of the state to protect the public health, safety, and welfare by preventing the unqualified from practicing. This basic principle is often misunderstood. This article neither advocates nor challenges the need for licensure but rather examines the forces determining if the time for respiratory therapy licensure has arrived.


Promotions, firings, and layoffs: bearing tidings glad and bad. Disciplining employees in a proper manner takes great skill and respect for others' feelings; dismissals must be effected for just cause and with objectivity. Conveying good news about promotions or raises is certainly more pleasant, and this must also be handled graciously.


AART and NSCPT: a comparison of credentialing avenues.


The Medical College of Georgia's new Radiation Therapy Center at Augusta provides its patients with sophisticated treatment.


The development and use of a computerized cancer data system.


Hospital incident reports.

Hospital incident reports.


Innovation: management's answer to making it in the '80s.


Third time around for hyperbaric oxygen therapy. Hyperbaric medicine, which was called compressed air therapy prior to 1956, began in the 1830s in England and France. After initial enthusiasm for this treatment, interest began to wane because of a lack of documentation of benefit. The medical community became skeptical, and use of the modality diminished. In the 1900s there was a resurgence of interest, but again, due to a lack of data and because conferences on the therapy were devoted more to the research aspects of complications than to clinical uses, less and less attention was given to potential applications. During the past 15 to 20 years, interest in hyperbaric medicine has reemerged. However, despite the facts that its uses are now well documented and that eminent professionals are involved in hyperbaric research and application, the field has never quite recovered from the equivocal role it once played.


Computerized medical records: legal problems and implications.


Employee opinion surveys: ask them what they think.


Unions are here to stay: the implications of labor-management activities in the health care professions.


How cost efficient is your laundry?

How cost efficient is your laundry?


Interview: Robert L. English.

Interview: Robert L. English.


A Texas Hospital cures its energy ills.

A Texas Hospital cures its energy ills.


A new duty to remember?

A new duty to remember?


Hello--there's a bomb . . . if a caller said those words to you, how would you react?


Management development: putting the concept to work.


The impact of technological advances.

The impact of technological advances.


A creative solution to RN scheduling.

A creative solution to RN scheduling.


The psychology of management.

The psychology of management.


The financial exchange: increasing pressures on expenses put premium on good management.


As I see it: trustee involvement in AHA affairs.


Needed: a new kind of trustee.

Needed: a new kind of trustee.


Ethics and technology: crossroads in decision making. Few institutional controls exist on the development and application of new biomedical technology. Possible methods of technology control include the use of peer review, an institutional approach, the establishment of a hospital committee to review new and existing technologies, or a rationing system imposed by the federal government or local health planning agencies.


Small hospitals and the great technology debate. Nontertiary hospitals are often portrayed as being unable to use sophisticated technology effectively, and thus they may make technology decisions that are not in the best interests of their patients or the institution itself. Actually, small institutions not only can participate actively in the technological revolution; they also can teach the biggest hospitals a lesson or two.


The nursing home as to a depressed patient.


Beyond simple survival: facility's head injury rehabilitation program returns patients to the community.


Managing your money: saving on health insurance.


Navy's are not: Marine units funded.

Navy's are not: Marine units funded.


The year in review.

The year in review.


Project Hope launches a think tank.

Project Hope launches a think tank.


Health services in Australia.

Health services in Australia.


Hospital without walls.

Hospital without walls.


Primary health care in India: the role of a medical college.


Hospitals without walls: Costa Rica.

Hospitals without walls: Costa Rica.


Wellness in primary care.

Wellness in primary care.


Hospital and health service management in Nigeria: problems and possible solutions.


New approaches to improving hospital management.


Management development: the key to hospital effectiveness.


The contribution of the hospital association to energy conservation.


Energy conservation and innovation experience in New South Wales hospitals.


Towards lower energy hospitals.

Towards lower energy hospitals.


Hospital climate control in developing countries: the "growing open system".


3M-Rene Sand memorial lecture--primary health care: requirements and implications for hospitals and community.


1979 summary: National Ambulatory Medical Care Survey.


Patient rights and mental health.

Patient rights and mental health. In an era of strong concern for patients' rights in medical care, particularly where mental health-related services are involved, it is useful for the health professional--the physician in particular--to have meaningful guidance in understanding the difficult legal, ethical and policy issues they face in their daily practice. This article discusses the patients' rights provisions of the recently enacted federal Mental Health Systems Act as one important source of such guidance.


Headache as the reason for office visits, National Ambulatory Medical Care Survey: United States, 1977-78.


Office visits for preventive care, National Ambulatory Medical Care Survey: United States, 1977-78.


Visits to family planning clinics: United States, 1979.


A descriptive study of the status of therapeutic recreation at the seven state-operated comprehensive rehabilitation centers in the United States. The intent of this article is to present a systematic overview of therapeutic recreation services at the seven state-operated Comprehensive Rehabilitation Centers. These seven Centers are located in Hot Springs, Arkansas; Warm Spring, Georgia; Thelma, Kentucky; Baltimore, Maryland; Johnstown, Pennsylvania; Institute, West Virginia; and Fisherville, Virginia. This paper is a result of a study which was conducted from October 1978 to May 1979. The study showed that each of the Centers provided recreation and leisure activities: however, none of the Centers utilized therapeutic recreation as the title of their specific department. In general, the Centers have difficulties in the following areas: 1. defining therapeutic recreation; 2. structuring their department; 3. delivery of therapeutic recreation services; 4. conception of therapeutic recreation as part of the rehabilitation process; 5. inadequately trained personnel in leadership and supervisory positions; 6. staff training; 7. assessment and evaluation instruments for clients; 8. discharge planning; and 9. recreation therapy as a treatment component within the delivery of therapeutic recreation services, All of which need resolution. The research demonstrated that most of the recreation directors saw a need for therapeutic recreation services to be refined further to meet the needs and abilities of the clients.


Intravenous infusion motor artifact.

Intravenous infusion motor artifact.


Eisenhower Medical Center: 'medicine for the 21st century'.


Private psychiatric hospitals--a new boom?


Linen utilization: part IV.

Linen utilization: part IV.


Changing minds on changing beds.

Changing minds on changing beds.


Curbing antibiotic abuse: a tough pill to swallow.


Advantages of a computer-based treatment plan in the alcoholism treatment program.


Antitrust laws and the duty to treat.

Antitrust laws and the duty to treat.


The new competition: maladies of its own?


After the revolution: medicine in China.


MDs' legal obligations go beyond health care.


Characteristics of man in a life cycle in the development and allocation of medical care resources.


ACP reps testify on technology assessment.


How "strict liability" affects MDs.

How "strict liability" affects MDs.


Physicians feeling the pinch of diminished hospital authority.


A physician's view of the government, from within and without.


Point of view: rights language must be examined carefully.


How the courts view medical records.

How the courts view medical records.


Commentary: physicians should control the use of biomedical technology.


Sexual harassment in the workplace.

Sexual harassment in the workplace.


Reagan's approach to health care: why it may--or may not--work.


The courts have a new view of nursing.

The courts have a new view of nursing.


Brooke Shields, health advocate--why not?


Truth in health or show-biz fluff?

Truth in health or show-biz fluff?


Courts to MD: treat disruptive patient.

Courts to MD: treat disruptive patient.


Look for the silver lining: making the most out of silver-recovery programs.


Spotlight on portable x-ray equipment.

Spotlight on portable x-ray equipment.


Preventing and coping with radiation accidents: crying over spilled isotopes.


"No Dr. Blue/do not resuscitate".

"No Dr. Blue/do not resuscitate". A friend of Sharon Siebert's describes her efforts leading to the issuing of a restraining order (Hoyt v. St. Mary's Rehabilitation Center) to prevent the nursing home from implementing a "do not resuscitate" order written by the physician of the brain-damaged Siebert.


Radiology of Ochsner Medical Institutions.


CT-assisted treatment planning systems in radiotherapy. Part 1. Comparison of conventional and CT-assisted systems.


Video disk improves sector scanner.

Video disk improves sector scanner.


Critical analysis of occupational dose limits for radioactive xenon.


Confirmatory tests in the diagnosis of brain death: the role of the radioisotope brain scan. Brain death can be determined by clinical examination and the diagnosis confirmed by a variety of laboratory studies.  While the most widely used has been the EEG, newer tests are playing an increasingly important role in confirming brain death.  The authors discuss the role of one of these tests, the radioisotope brain scan (RIBS), which measures cerebral blood flow.  Advantages and limitations of this procedure are outlined and compared with those of the EEG.


1982 -- what's new in surgery?

1982 -- what's new in surgery?


Regulators' view of the CON.

Regulators' view of the CON.


Doing ethics and reforming health law--a Canadian experience. A brief description of the Law Reform Commission of Canada and its health law project is followed by a general discussion of the challenges facing a national commission concerned with the reform of health policy and law.  Drawing on his experience as coordinator of the Law Commission's Protection of Life Project, the author considers basic questions about the nature, composition, responsibilities, and mode of operation of such a commission.


The ten-year test: what makes a good radiology administrator?


Minimizing the risk of infectious diseases in the radiology department.


Accreditation of graduate medical education: the AAMC position.


Accreditation of graduate medical education: the background for change.


Orderly closure, transfer, and financial self-sufficiency of Public Health Service hospitals and clinics; delegation of authority.


Accreditation of graduate medical education: the CMSS position.


Accreditation of graduate medical education: the AMA position.


Shopping for health care.

Shopping for health care.


Reckless homicide in a nursing home.

Reckless homicide in a nursing home.


Privacy Act of 1974; report of altered system. Health Care Financing Administration. Notice of altered system. In accordance with 5 U.S.C. 552a(e)(4), we propose to amend the following notice of system of records: Health Insurance Master Record, HHS/HCFA/BPO, No. 09-70-0502. We have provided background information about the proposed alteration in the "Supplementary Information" section below.


Funding reductions in fiscal year 1982. Health Services Administration. Notice. This notice announces: (1) Factors that the Health Services Administration (HSA) will use in determining which Community Health Center (CHC) projects to fund, and (2) restrictions on the type of project activities that will be eligible for Federal support under the CHC program. a reduced level of authorization of appropriations for section 30 of the Public Health Service (PHS) Act in the recently enacted Omnibus Budget Reconciliation Act of 1981 (Pub. L 97-35) is the reason for the announcement of these factors and restrictions.


Health Systems Agencies: Public Health Service. Amendment to final rule. This regulation amends the Department's regulation governing the designation and funding of health systems agencies (HSAs) to provide that HSAs will no longer be required to conduct appropriateness reviews, conduct reviews of the proposed uses of Federal funds, or collect, and make available to the public, the rates charged for each of the twenty-five most frequently used hospital services in their States. The intended effect of this regulation is to reduce the functional burden on HSAs during a period of reduced funding.


Occupational exposure to ethylene oxide; Occupational Safety and Health Administration. Advance notice of proposed rulemaking. Notice is given that OSHA is undertaking, through rulemaking procedures under section 6(b) of the Occupational Safety and Health Act of 1970 (the Act), 29 U.S.C. 655(b), a reevaluation of the current occupational health standard regulating employee exposure to ethylene oxide (EtO), 29 CFR 1910.1000, Table Z-1. This notice summarizes the information currently available to OSHA concerning the production and use of EtO, estimates of employee exposure, and the potential health effects of employee exposure to EtO. The notice also invites interested parties to submit data, views and comments regarding the development of a new standard for EtO and the appropriate scope of coverage.


Ultrasound in nonradiologic private practice.


Supplemental Security Income for the aged, blind, and disabled; eligibility; amount of benefits; residence and citizenship. Social Security Administration. Final rules. We are revising and reorganizing our general rules on eligibility (Subpart B) under the Supplemental Security Income (SSI) program. These rules describe who may get SSI benefits, how long a person's eligibility lasts, and the reasons why a person who would otherwise be eligible for SSI benefits might not get them. We have also established a new Subpart P in which we state our rules on residence and citizenship. We have determined that these regulations do not meet the criteria for a major regulation specified in Executive Order 12291.


Spelling out bid specifications for film purchase.


Receipt of petition of rulemaking from the American Association of Physicists in Medicine. Nuclear Regulatory Commission. Publication of a petition for rulemaking. The Nuclear Regulatory Commission is publishing a petition for rulemaking submitted by the American Association of Physicists in Medicine. The petition requests an interval longer than the two years between required calibrations of a dosimetry system used to perform full calibration measurements on a teletherapy unit--as long as suitable dosimetry system verification checks are carried out. The suggested amendments are intended to reduce the current six month waiting period for instrument calibration without adversely affecting dosimetry system reliability.


Drug usage review. Part three: implementing the long-term care program.


Spotlight on cardiac ultrasound.

Spotlight on cardiac ultrasound.


CT-assisted treatment planning systems in radiotherapy. Part 2. Comparison of conventional and CT-assisted systems.


Spotlight on radiotherapy.

Spotlight on radiotherapy.


CON as more than a CT pinch: filing for other equipment.


Digital video angiography system evaluation.


Setting the records straight: the need for a central registry of medical-dental radiation exposure.


Walter Reed's CCTV channels for patient education.


D.C. crash problems magnified by snow, traffic snarl & EMS snafu.


EMS in China still fragmented by cultural revolution.


The financial reporting practices of Ontario hospitals.


Job stress figures in controllers' strike.


Cash incentives for staying healthy put to the test.


Stress management programs: a guide for selecting the best.


Developments in genetic and metabolic screening.


Pediatric residency training: adapting to current and future child health needs.


Adolescent health care: sharing the responsibility.


The school as a setting for health education, health promotion, and health care.


Safeguarding your social responsibility--Part II.


Child health and the problem of access to care.


Government control: the other solution.

Government control: the other solution.


The health care educator: an emerging professional.


Determinants of children's health-related beliefs and behaviors.


The learning center: what to do until the librarian is hired. By providing a self-instructional learning resources center to employees, a health care institution can expand the training and education function without initially adding to the education staff. This article describes the basic procedures for setting up and managing the learning resources collection until such time as a librarian can be hired.


Value for money audit: how to do it.

Value for money audit: how to do it.


Managing clinical dietitians.

Managing clinical dietitians.


Mission builds hope, faith, income for polio hospital. A massive outbreak of polio in Bethlehem, Israel was the impetus that led the Holy Land Christian Mission to spark a drive to build a hospital facility there. Through a carefully planned direct mail campaign, face-to-face solicitation, and commitment, the overall total cash income for the campaign's first three months was up 161%.


Hospital finds donors by computer galloping success. Having relied on manual help for the past 12 years to keep track of 140,000 prospects was a big, expensive job for this hospital. But a new computerized system upgraded donors and allowed for successful direct mail acquisitions with copy, design changes.


Congress will receive a new opportunity to explore health care in competition debate.


BHP to enforce staffing level requirements; half of HSAs may fold.


Computerized purchasing, inventory system developed by Humana Inc.


An open letter to hospital vendors.

An open letter to hospital vendors.


Antitrust issues in health care planning.


Getting a hand on gloves.

Getting a hand on gloves.


Pre-planning: the key to surviving a strike.


Industrial satellites: Detroit clinic goes to the workers.


Hospital expands successful forms exchange system.


Governors' chairman-elect says cuts in budget too much too soon, urges moratorium for states.


The health care industry analyzes impact of cuts, girds for more in 1982 budget battle.


New program offers ICPs master's degrees.


Use strict aseptic technique when inserting arterial catheters.


Varied public relations program promotes hospital's wellness center.


Objective pastoral care plan ensures accountability.


Nebraska forms network to provide IC education.


Looking back on group practice: from pioneering days to unparalleled opportunity.


The Administration's health policy -- a quiet revolution.


Seven students chosen as FAH Foundation scholarship winners.


Center treats sleep disorders.

Center treats sleep disorders.


Certain problems in evaluating health education.


The Church in health care: reflections and projections.


Nurse counselor: new strategy to retain nurses.


Sickness, healing, and redemption.

Sickness, healing, and redemption.


Surrogate grandmothers bolster family coping skills.


Housekeeping team enjoys task selection, increases output.


Programs prepare children for hospital procedures.


Procompetition: some second thoughts, old issues, new directions.


Personal electrical devices: a hazard or a patient's right?


The Catholic health care facility: its role as Church.


Business leaders building strategies to counter Reagan's cost shifting.


Tax-exempt bond financing consideration for Catholic hospitals.


New corporate structures: a solution for financial pressures?


Solicitation-distribution rules: a developing doctrine.


Earned time policy aims to improve RN attendance.


Court says patient has right to decide future care.


Dazed patient not responsible for complying with treatment.


Hospital's outreach class assists widely scattered population.


"Lifecare" communities: independence, security for older Americans.


Hospital-level rehabilitation overcomes hurdles in LTC facility.


What makes a successful group purchasing program?


Minimizing the antitrust risks of group purchasing.


Selecting the right group purchasing program.


Is group purchasing only for small hospitals?


How to win commitments for group purchasing.


Use of the management engineer: a group or individual hospital decision.


Viewpoint: purchasing from minority business.


A comparative analysis of a cost-plus purchasing system and a pricing service program.


Group purchasing of meat.

Group purchasing of meat.


The growing influence of hospital group purchasing.


Total capital equipment programs: a new direction for group purchasing.


Overcoming barriers to group purchasing.


Nursing point of view--productivity: a much needed parameter.


The physician as trustee: assisting his peers.


Hospital administration and engineering maintenance.


Central patient transfer systems: a 'move' in the right direction.


Hospital topical law: "A certificate of need".


Solving the nursing shortage--a wholistic approach.


Hospital vindicated in sexual discrimination charge: gender can be a bona fide occupational qualification.


Important hospital confidentiality interests are strengthened through Illinois court's denial of staff privileges material discovery in malpractice action.


AMRA Code of Ethics and Bylaws (Bylaws amended October 1981).


Court of Appeals rules municipal hospital's abortion ban in unconstitutional.


Initial competence education.

Initial competence education.


Individualizing your continuing education.


Confidentiality of patient health information. A position statement of the American Medical Record Association.


One state association's experience: hiring a lobbyist.


Hemoccult screening: detecting the cancer nobody talks about.


The comprehensive data base: a risk management tool.


Some relationships among the subtests of the registration examination.


Consultant's corner: nursing turnover has increased dramatically.


A pilot study of risk management programs in large hospitals.


Selecting E-codes for classifying external causes of poisonings.


Review of antibiotic prescribing patterns in a university hospital emergency room.


How to "C" your way through being a material manager.


Quality circles in nursing.

Quality circles in nursing.


How to preserve the union-free status of your facility by practicing preventive labor relations.


Construction claims can be prevented.

Construction claims can be prevented.


Health fair provides 1,417 with free tests and "lifestyle" counseling.


EtO quality assurance Q's and A's.

EtO quality assurance Q's and A's.


St. Michael's Hospital, Hayle--new theatres and audiology unit.


Central Services Q and A's: packaging.

Central Services Q and A's: packaging.


Marketing/public relations--a new arena for hospital conflict.


The antitrust status of health planning.


Evaluating the impact of ambulatory care on health care costs.


Interior design trends.

Interior design trends.


Forecasting health services demand: timeframes and data requirements.


A general framework for family impact analysis.


The development and evaluation of a model referral mechanism for primary care clinics.


NIH lauds CAT scanner use.

NIH lauds CAT scanner use.


The Health Policy Institute of the University of Pittsburgh.


Assessment of hospital services and patient reactions. This paper deals with the study of assessment of hospital services and patient reactions carried out amongst 473 respondents, both in-door (3 wards) and out-door patients in M.L.B. Medical College Hospital, Jhansi (Uttar Pradesh). The patients were from three wards medical, surgical and gynaecological wards and consisted of 373 discharged and 100 out-door patients.


CS leaders tackle the tough issues facing the profession. Interview by Dan Dildine and Glenn Runnells.


A comparison of organisational climates of public and private hospitals abroad. Are organisational climates in private hospitals compared to public hospitals, more favourable? To assess the differences, motivational orientations, perceived satisfaction with intrinsic aspects of the job, professional commitment orientations and perceived organisational climates by the medical professionals, senior administrative and professional nursing personnel are compared. All the groups in the public hospital tended to be higher in motivational orientations. On the other hand, all the groups in private hospital showed higher satisfaction with intrinsic aspects of the job, professional commitment orientations, and perceived favourableness of the organisational climate. The differences were found to be not significant.


The 'solution' for parenteral solutions.


The auditor's triangle.

The auditor's triangle.


Reductions in hospital capacity: physicians' behavior and the administrators' challenge.


Healthcare productivity: operations analysis is the first step in planning.


The pyramid approach: increasing the usefulness of flexible budgeting.


Healthcare without borders: Canadian Medicare at work with Maine hospital.


A case study: implementing cash management and investment programs.


Do you have a financial disaster plan?

Do you have a financial disaster plan?


Using re-order points: ROP discussion helps EOQ article.


Equations link professionalism to meaningful contributions.


Practitioners' educational efforts rise with demands.


Charging interest is equitable!

Charging interest is equitable!


Conceptual framework of planning a people-oriented hospital and peripheral health maintenance services. For development of a people-oriented hospital and primary care facilities in its peripheral health maintenance services, a rethinking of the planning concepts of the roles, attributes and various components, viz. user, provider, institutional, social and financial control is required. The emphasis in discussion of the various elements of the planning process is on need-orientation for the rural disadvantaged and availability of limited resources.


Payment patterns: getting to know one's payors.


MBO--management by objectives (or objections).


Turn indifference into enthusiasm.

Turn indifference into enthusiasm.


Thinking conceptually about hospital efficiency.


The quest for greater hospital productivity: problems and issues.


Hospital information systems and quality assurance.


The economic and professional legitimacy of nursing services.


Strategic marketing planning in nonprofit organizations: a case study of the Red Cross Blood Program.


Computerized incident reporting and risk management.


Operator error causes most biomedical incidents, expert says.


Hospitals and physicians -- partners or competitors?


Malpractice in the '80s -- what lies ahead, what can be done. To weather the stormy malpractice environment that lies ahead, hospital medical staffs will need to cooperate more actively with risk management and quality assurance programs than they have in the past. One barrier to more active physician cooperation has been fear that the confidentiality of medical staff committee findings will be breached. This article describes how the California Medical Association and the California Hospital Association worked to promote an organized approach to quality assurance built around legislation that removes quality assurance data and records from legal discovery.


Improving patient care by changing physician behavior. Problems of individual and organizational performance require knowledge of and skill in the application of specific behavioral change techniques. This article discusses principles of adult behavior change and methods for changing individual behavior that may be inconsistent with high-quality care.


The benefits of a hospital cancer program.


Point of law: what are the legal implications of prescribing and administering FDA-approved drugs in nonapproved ways?


Experience with a new small-volume infusion system in pediatric patients.


Prepaid and fee-for-service practice within a multispecialty group practice.


Pharmacist impact on hematopoietic and vitamin therapy in a geriatric long-term care facility.


Observations of the efficiency of pediatric ambulatory care in a teaching clinic.


Word processing in ambulatory care.

Word processing in ambulatory care.


Use of a medical information network for practice management.


Psychiatric emergency patients in ambulatory treatment: pattern of referral and compliance.


Hospital utilization: estimation and stimulation tools for the development of systematic plans and marketing strategies.


Management of health manpower in rural ambulatory care programs: responding to the trends.


Guest editorial: health care marketing.

Guest editorial: health care marketing.


Health care marketing minicase.

Health care marketing minicase.


Discriminating high and low drug prescribers among physicians in an HMO.


Controlling bad debt through an emergency admission and application tracking system.


Federal requirement for hospital washing might be revised to allow 120 degrees F. water.


Nine different factors contribute to chemical disinfection of linen.


A hospital's linen-control program is only as good as its linen committee.


When the push comes, who'll get shoved?

When the push comes, who'll get shoved?


When it comes to making rounds, later is better.


The importance of good first impressions.


Planning for a single specialty in a health district. This paper discusses planning in the National Health Service. An outline of a general method for planning at the district level is illustrated with a case study in which a strategic plan was produced for the maternity services in Cambridge Health District. Some of the problems of ensuring implementation of proposals are then discussed.


Friend--or friendly foe?

Friend--or friendly foe?


Pulmonary outreach links satellite hospitals with pulmonary function center.


Static problems in the medical environment.


Lithium-iodine batteries for cardiac pacemakers.


Out-patient workload--another look.

Out-patient workload--another look.


Tracing of medical records.

Tracing of medical records.


Monitoring patient movement using simple probability theory.


Occupational health training of local health department personnel: a curriculum model and implications of training. The Occupational Safety and Health Act of 1970 assigns to the federal government specific responsibilities for regulating safety and health in industry. At the same time, occupational health programs have traditionally been, and continue to be, one responsibility of local and state health agencies. In California, local health agencies are required to provide occupational health services in larger jurisdictions. Professional level positions which may be required include: Occupational health physician, occupational health nursing consultant, industrial hygienist or occupational health sanitarians, industrial hygiene engineer, and industrial hygiene chemist. Frequently a local health agency may satisfy its occupational health requirements by training a registered sanitarian to become an occupational health sanitarian.


HMOs in the Twin Cities have fallen on hard times and are laying off doctors.


New program trains hospital-infection controllers.


Joint study looks at quality of patient education programs.


A smoking cessation program that works.

A smoking cessation program that works.


Weight management program promises and delivers.


How to establish a hospital-based stress management center.


Health risk appraisal: it's good for business.


Physicians teach patients to "do for themselves".


Physical activities improves employee attitudes.


Survey reveals extent of patient education activities.


Auxilians recommend no sale of tobacco on hospital premises.


Smallness as an advantage for rural hospitals.


Communicating through graphics.

Communicating through graphics.


The annual report: one hospital's journey.


Public relations under stress: how a small community hospital met state bureaucracy head-on.


The basics of good media relations.

The basics of good media relations.


Auxilians provide affordable public relations.


Identity, style, image: a discourse on public relations.


Refugees, illegal aliens weigh on public hospitals.


"Implied repeal" of antitrust laws no longer protects hospital-HSA actions.


Freestanding centers vie for hospital patients.


New systems taking over as field's keystone.


HMO enrollment will increase 12% in '82.


Nonprofits begin '82 stable but uneasy ... while for-profits expect more growth.


'Comparable worth' rally will spur lawsuits, union demands.


Supply price increases will pull ahead of 1982 inflation rate.


Newer manufacturers peg hopes on unproven NMR scanner over CT.


Hospitals' competitive bidding hikes coverage, cuts premiums.


Digital imaging makes rapid gains.

Digital imaging makes rapid gains.


Heart monitoring has bedside manner.

Heart monitoring has bedside manner.


Hospital executives need marketing tools to meet competition challenges.


Japan's quality-control circles fall flat for American hospital industry.


Circular tower cuts staffing needs, increase patients' sense of security.


Multiunits emphasize ancillary services in new building designs.


Hospitals face ominous '82 Congress.

Hospitals face ominous '82 Congress.


Hospital managers must consider cultural habits of Hispanic workers.


2-board system sparks involvement.

2-board system sparks involvement.


Federal antitrust exemption, state laws combine to protect insurers.


Financing void could close hospitals.

Financing void could close hospitals.


Pharmaceutical prices hold steady.

Pharmaceutical prices hold steady.


Medical advances will cut admissions.

Medical advances will cut admissions.


Hospitals search for critical sites to dispose of low-level nuclear waste.


RNs' 'comparable worth' strike hits San Jose hospitals.


Nursing accountants end conflicts over RN budget.


Cleveland city hospitals aim satellites at suburbs.


Medical school and HMO affiliate; 200 students to enroll in program.


Tax-exempt bond issues hit peak; hospitals bank on interest rate drop.


Hospitals give more work to large design firms.


GAO report: costs of home care in question.


The 'most serious threat'.

The 'most serious threat'.


Corporate restructuring: positioning for future viability.


The benefits of a social service department.


Therapeutic drug monitoring quality control for 1982.


Autopsy pathology storage and coding by microcomputer. Storage and coding of anatomic pathology data usually is accomplished by expensive main frame systems. The authors of this article have developed a microcomputer based program package for autopsy pathology which stores patient demographic data, provisional or final anatomic diagnoses, and coded diagnoses obtained from an on-line Systematized Nomenclature of Pathology (SNOP) code lexicon. The system includes limited text editor functions as well as rapid data retrieval with the generation of final reports. Data files containing SNOP codes and diagnoses are searched easily by a variety of parameters, making data retrieval of autopsy material simple and efficient.


A blood bank in the People's Republic of China. The author of this article recalls his visit to a blood donor center in 700 bed general Red Cross Hospital in Shanghai. Though the blood banking he describes might be viewed as simplistic and devoid of sophistication, the author believes that the report should serve as a stimulus to reevaluate our blood banking procedures. Are they redundant? Are they all necessary? Are they cost effective?


Is patient education alive and well?

Is patient education alive and well?


What every pathologist should know and be able to do in laboratory data processing and computers: relating to consultants.


The Ronald McDonald House: a "home" for families of the seriously ill child.


New frontiers of health care cost containment.


Physician, resident, patient: resolving the conflict.


The breast self-examination practices of high risk women: implications for patient education. The breast self-examination (BSE) behavior of 142 women referred to a large cancer center with malignant or benign breast disease was investigated. The women were interviewed about their BSE practices and variables that may have influenced their BSE behavior. Those reporting prior BSE practice were asked to demonstrate their breast examination to a trained nurse, who rated their performance against a set of standard criteria. Although it might be assumed that these women have had more opportunity to become educated about BSE, results showed the ratings of the women's performances were uniformly poor. Less than half reported having formal instruction by a medical professional. This is of particular consequence considering that those women taught by a doctor or nurse performed significantly more BSE steps than did those taught in other ways. Women who were encouraged to do BSE by friends or relatives also performed significantly more steps. Based on the study findings, specific recommendations are made, which can be applied to the improvement of BSE educational programs.


Helping hypertensive clients help themselves: the nurse's role. Nurses hve an important role in helping hypertensive clients accept, understand, and adhere to a therapeutic plan of self-care. This paper examines the nurses' role in helping hypertensive clients help themselves. Strategies include developing a therapeutic relationship, guiding, supporting, and teaching. The nurse can enhance the client-provider relationship by establishing a good rapport, being nonjudgmental, individualizing care, treating the whole person, and creating an effective clinic structure.


Physiotherapists talking to patients.

Physiotherapists talking to patients. An examination of the validity of Byrne and Long's communication model to analyze a sample of physiotherapists' communication behavior was undertaken. No evidence was found to support the model; instead, a two-dimensional model of communication was strongly supported by the data. It seems that physiotherapists' interactions are best described by one dimension of direction and advice giving and a second, independent dimension of a counseling type of communication.


Touch in the counselling relationship: an exploratory study. There is a continuum of views on the extent to which touch enhances the treatment process of patients. Health professionals must deal with the use of touch in some way, even if their final decision is not to use it. Health professionals were interviewed about personal touch as a part of their professional relationships with patients. Even though the subjects using touch differed in health professions and primary theoretical orientations, a commonality was the belief in a strong person-to-person relationship as an integral part of the helping process. Instruction concerning touch appears to be inconsistent in the curricula of health-professional schools. Thus sensitivity to the use of touch is more likely to develop through professional experience. Touch is more likely to be used in a fee-for-service, private practice setting. The part of the body most likely to be touched is a hand, and possible sexual misinterpretation of touch is best dealt with openly and at once.


Relationship between health locus of control and belief in the relevance of lifestyle to health. The relationship between the Multidimensional Health Locus of Control (MHLC scales) and other beliefs about health behavior were explored in a sample of working-class women living in South Wales, U.K. Contrary to our original hypothesis, those who scored higher on an index measuring salience of lifestyle (i.e., showed awareness that day-to-day behavior influences health status) were not significantly more likely to score high on the internal control scale or low on the belief in chance scale; however, they were significantly less likely to believe that "powerful others" controlled their health. Evidence is presented for the construct validity of the Index of Salience, and the reasons for the low correlations found are discussed. Because the internal HLC scale, in particular, fails to distinguish between health maintenance and illness behavior and between individual behavior and behaviors involving professionals, the value of the MHLC scales in predicting the specific forms that preventive health behavior will take is weakened.


Physiotherapy: art or science?

Physiotherapy: art or science?


Health policy studies at the School for Advanced Urban Studies, University of Bristol.


Graduate training in health economics at the University of York.


Education and training for community medicine.


The work of the health services organisation research unit, Brunel University.


Active strategies for combating stress.

Active strategies for combating stress.


The Institute for Health Studies, University of Hull.


Perinatal coaching--a new beginning.

Perinatal coaching--a new beginning. A hospital-based perinatal coaching program fosters communication between first-time parents and their infants. Support provided includes learning about babies' individual differences, normal responses, bonding principles, modeling techniques, early childhood development, as well as realistic expectations of new parents.


National Council for Therapeutic Recreation Certification--certification standards for therapeutic recreation personnel.


Management training and development: a district perspective.


Community and institutional public social spaces.


Caring for the aging: assessing your role.


Group-oriented behavior management systems to control disruptive behavior in therapeutic recreation settings.


All Saints' "Dry Doc" a winner.

All Saints' "Dry Doc" a winner.


Critical care specialists: expertise for all emergencies. The professional assigned to critical care must be able to respond to a variety of problems--respiratory, heart, renal, neurologic, and others. Advent of critical care medicine will produce much change in personnel functions and will greatly benefit critically ill patients.


Three keys to discharge planning.

Three keys to discharge planning.


Discharge planning and the use of home health care.


The hospital educator and the elderly.

The hospital educator and the elderly.


Hospitals and hospice: do they belong together?


Pulmonary function tests: the telephone connection. Pulmonary function tests have been out of reach of many persons living far from medical centers. Now, new techniques are making remote testing by telephone available to larger and larger numbers of people and are proving to be cost-effective for patients and hospitals alike.


Infections in elderly patients.

Infections in elderly patients.


Texas Agent Orange Act takes effect.

Texas Agent Orange Act takes effect.


Evolution of oxygen delivery systems.

Evolution of oxygen delivery systems. With the development of new materials and with innovations in the design of the cylinder, pressurized oxygen delivery systems have become more reliable and efficient since their introduction in the early 1900s. And in the past two decades, liquid-oxygen systems and oxygen concentrators have become available as alternatives.


The hospital and the problem physician.

The hospital and the problem physician.


Utilization of hospital services by the older adult.


"Good health" teleconference series provides medical education for elderly.


How to make sense of your hospital's financial statements.


Hospital parking lot potential source of income.


Health economics at a glance.

Health economics at a glance.


Financial decisions--governance responsibilities.