What is a hospital's debt capacity?

What is a hospital's debt capacity?


Dibase: a unique online real-time system for storage and retrieval of data from drug information requests.


A guide for calculating tax-exempt bond issue financing costs.


Implement control measures with process surveillance.


Birthing centers receive infection control reviews.


Maley invents wheelchair fender; describes cleaning policies.


QA program wins results by 'looking for trouble'.


The woman as manager.

The woman as manager.


Officials spot inequities in DRG cost control program.


St. Mary's Health Center, St. Louis. Retreat gives employees time to relax, reflect.


Attitude survey on women.

Attitude survey on women.


Study pinpoints consequences of poor discharge planning.


The oversupply of physicians: implications for hospital planning. In the next ten years, hospitals will have to contend with the impact of group practice, which often competes with hospital-based services. How will a new interdependence between hospitals and group practices affect hospitals' strategic planning?


An overview: women in health administration.


St. Mary's Hospital of Richmond (VA), Inc. Hospital-museum agreement brings exhibits to patients, staff.


St. Ansgar Hospital, Moorhead, MN. Volunteer-staffed center supervises visitors', outpatients' children.


The case for a distinct energy conservation policy and a sample document.


Health care manager's notebook: conflict management.


Insulation of mechanical services.

Insulation of mechanical services.


Executive roundtable: diverse routes to success for 12 women on the way up.


St. Mary's Hospital, Rochester, NY. Medical group practice: community service, teaching resources. To improve its outpatient services, one hospital created a medical group practice that functions as an outpatient department extension in two locations. The program meets the health needs of the community's children and the elderly and serves as an important resource for medical education.


Suffering and healing: the process of growth. Professionalism and faith are essential elements in the Christian mission of healing. It is precisely the integration of research and diagnosis with faith in God that constitutes the basic responsibility of the Catholic health care facility.


Eucharistic health care facility transcends professionalism. The members of a Catholic health care facility individually and corporately celebrate Christ's presence in the fullness of eucharistic faith. To be in a Catholic hospital is to have a Gospel experience among Gospel people.


Good Samaritan Hospital and Nursing Home, Inc., Selma, Al. Hospital-affiliated clinics meet health needs of rural poor. How can a hospital meet the health needs of citizens unable to pay for services? One southern hospital founded two rural clinics that are operated by a nurse practitioners and a preceptor-physician. Fees are figured on a sliding scale, and van service is available for patients.


Saint Vincent Health Center, Erie, PA. Employee assistance program conserves human resources. Hospitals, like industry, seek to alleviate employee distress that results in tardiness, absenteeism, and low productivity. With CEO support, employee assistance programs can promote employee effectiveness.


Mercy Hospital and Medical Center, Chicago. Marketing physical exams -- a source of new clients. Commitment to care of the medically indigent requires that an institution be financially viable. To ensure this, one health care facility has inaugurated a health appraisal program to attract privately insured patients.


Excessive noise levels detrimental to patients, staff. Health care institutions create noise levels high enough to cause adverse effects on patients and to reduce employee productivity. Remedial steps to reduce noise are available at moderate cost.


Can state review programs curb costs without harming quality?


Use of land water for low grade heating/cooling source at Bristol Royal Infirmary.


Building management systems in the hospital environment.


Court affirms burden of proof rests with patient.


Psychiatric facility must meet safety standards.


St. Joseph Hospital, St. Charles, MO. Well-planned power shutdown good training for emergency.


Effective hospital purchasing.

Effective hospital purchasing.


Procurement of major equipment.

Procurement of major equipment.


A hospital's application of the debit memo.


Buying diagnostic imaging equipment: points to ponder, pitfalls to avoid.


Effects of the 1980 GAO study on hospital purchasing.


Purchase on your terms, not theirs.

Purchase on your terms, not theirs.


Overcoming economic order quantity limitations.


Approved products lists are imperative to effective purchasing.


Mere purchasing versus effective negotiation.


Interaction: key to effective consultation.


Case history: U. of Texas Medical Branch's new security system.


Cost containment, customer service liaison are two keys to shared hospital laundry success.


An alternate route to quality assurance: a holistic professionally autonomous approach.


Microfilm provides vital access, eases space problems for medical records and radiologic services.


Coping with security for V.I.P. patients.


Murders, shootings attract press to five hospitals.


Case history: NYU Medical Center's "cost-avoidance" security system.


"Operation I.D." becomes "Operation Can't Lose" for Pennsylvania hospital.


Coping with fire and arson.

Coping with fire and arson.


Design dramatically decreases hospital energy needs.


Combined security/safety department brings mixed benefits.


Nurse and aide; a nursing assistant's point of view.


Insuring that role differentiation and performance expectation are understood--how to avoid misunderstandings, and loss of good people.


Water filters solve hospital's maintenance problems--provide quality water.


How Richmond Memorial's computer eases controls and outside reporting demands.


Preventing violent crimes.

Preventing violent crimes.


Laundry linen cost containment study: linen loss prevention=ring around the pocket.


Material management Q's & A's: unit dosing supplies other than drugs.


A quality assurance program for central supply.


Effective security planning for new or remodeled facilities.


The growing scrub suit theft boom and what can be done to stop it.


Selling the security budget.

Selling the security budget.


Women arrive on security scene, and prove to be effective officers.


So you don't like your boss...!

So you don't like your boss...!


Reviewing your disaster plans.

Reviewing your disaster plans.


Hospital malpractice liability increased by Arizona High Court's "negligent supervision" ruling.


Stockman's "black book" proposes options for major federal budget cuts.


Proposed planning rule's granting of controversial "consumer" status to trustees would result in more trustees on HSA.


FCC's deregulation of telecommunication systems could affect 75% of all hospitals.


HCFA withdraws proposed rules on "related organization" status of shared service organizations.


Fifth Circuit rules government's right of recovery under Hill-Burton not barred by statute of limitations.


Is emergency abuse a problem?

Is emergency abuse a problem?


Discouraging break-ins: think like a criminal.


Sixth Circuit rules that indigents lack standing to challenge IRS ruling on hospitals' tax exemption.


Buy Canadian? You may have to.

Buy Canadian? You may have to.


Hospital services all under one roof.

Hospital services all under one roof.


Risk management: threat or opportunity?

Risk management: threat or opportunity?


Hospice care--it's not too expensive.

Hospice care--it's not too expensive.


How fair is your judgement?

How fair is your judgement?


Practical solutions for funding crisis.

Practical solutions for funding crisis.


Interiors awards: Detroit Receiving Hospital/Wayne State University Health Care Institute.


The art of long range planning.

The art of long range planning.


Hospital survives nurses' strike with minimal disruption and no violence.


Health Planning for--or against--innovative and improved maternity care: the case of the closing of obstetrical services at Presbyterian Medical Center in Philadelphia.


The use of nurse-midwives to reduce the atrocious infant morbidity and mortality rates of the poor.


The challenge to primary care nursing.

The challenge to primary care nursing.


Health planning goals.

Health planning goals.


Setting up a hospital community resource committee for family-centered maternity care.


Monthly breast self-examination now practiced by 40 percent of women: more education needed.


Health care prices.

Health care prices.


Employment, hours, and earning in the health care sector.


Selected national economic indicators.

Selected national economic indicators.


The CHC experience.

The CHC experience.


The unkindest cut of all.

The unkindest cut of all.


Fighting for our hospitals.

Fighting for our hospitals.


Consumers union grows in the Bronx.

Consumers union grows in the Bronx.


Community health centers after fifteen years.


The professionalization of neighborhood health centers.


The neighborhood health center: model and federal policy.


Murder in the hospital.

Murder in the hospital.


Fever chart.

Fever chart.


Expanding Sutton's Law.

Expanding Sutton's Law.


The professionalization of neighborhood centers: the view from the community.


Saving the rural community hospital: an endangered species.


The ultimate shared service for hospitals: political synergy.


What motivates people to work effectively?


Management of resources under a CAP reimbursement structure.


Applying strategic marketing.

Applying strategic marketing.


Legal question: effectively handling reference requests regarding former employees who were terminated.


How to deal with the disruptive physician. Hospital medical staffs are beginning to deal with the sensitive problem of the disruptive physician. Courts in 11 states already have allowed hospitals to dismiss physicians who display unprofessional behavior. Hospitals and medical staffs, however, must be careful to document a correlation between a physician's disruptive behavior and interference with patient care.


Physicians pivotal to successful cost containment efforts. Medical staffs are involved in a variety of activities to lower health care costs in their institutions and communities. The various mechanisms for medical staff participation in and accountability for cost-effective management of hospital resources are explored in the following report on the National Symposium on the Role of the Medical Staff in Controlling Costs.


NY court issues 'right-to-die' guidelines. The Eichner case may be as important as the Quinlan case for physicians who deal with irreversibly comatose patients. Physicians in New York state must now follow the guidelines set down by the court in the Eichner case, and physicians in other states should be concerned that these kinds of guidelines could be imposed in their states.


Guidelines for safe handling of cytotoxic drugs in pharmacy departments and hospital wards. The Specialty Practice Committee on Parenteral Services is one of a number of subcommittees of the Federal Council of The Society of Hospital Pharmacists of Australia (SHPA) having responsibility for development of professional practice in particular areas, such as drug distribution, drug information, clinical pharmacy, radiopharmaceuticals, and a number of others. Parenteral Services has been, perhaps, the major area of growth in Australian hospital pharmacy over the last three years. The pattern of growth of Australia has deviated somewhat from that which has emerged in the United States. Whereas the typical I.V. admixture service is relatively uncommon in Australian hospitals, the emphasis is towards specialization into Parenteral Nutrition and Oncology Support Services. Developments in Oncology Support have been particularly rapid, with many pharmacists becoming exclusively involved in this specialty. Concern is felt that operators intensively reconstituting and preparing cytotoxic drugs may be at risk from a variety of factors. Australian hospital pharmacists share the growing international opinion that this work is potentially hazardous and that safety guidelines governing every aspect of handling these substances are urgently required. The Specialty Practice Committee on Parenteral Services has conducted a study of safety aspects of this work as its major project for 1980 and has produced the document presented below. This is an official statement of the Society of Hospital Pharmacists of Australia.


A clinical responsibility: maintaining the confidentiality of patient information. A program to insure the confidentiality of patient information is described along with suggested policies and procedures. Two categories of patient information are discussed. Departmental policies should reflect the institution's policy and specify which employees may have access to the information in a patient's medical record. These policies should relate to professional staff, faculty members, pharmacy students, and supportive personnel. Employees must be made aware that a patient's medical record is confidential and cannot be disclosed without the patient's authorization. The need for maintaining the confidentiality of information on drug usage is also discussed. Specific guidelines are suggested regarding the availability, storage, release, and disposal of records of drug usage. Pharmacy administrators are encouraged to study institutional policies, to develop departmental guidelines for protecting the confidentiality of patient information, and to familiarize employees with established policies.


Evaluation of a computerized digoxin pharmacokinetic consultation service. A pharmacy-conducted digoxin pharmacokinetic consultation service was implemented to determine the influence of the service on patient serum digoxin concentrations. Changes in digoxin dosages and serum levels during a three-week period were compared with a three-week control period in which the consultation was not offered. Of 47 patients evaluated, there was no statistically significant (P > 0.05) difference between the control and the study group in terms of population variables. The study group receiving pharmacokinetic consultations showed a significantly greater (P > 0.05) number of dosage changes resulting in therapeutic serum drug levels than did the control group whose physicians received a report of serum drug level by itself. The number of patients with steady-state serum digoxin levels in the therapeutic range of 1-2 ng/ml increased from 45.5% to 80% as a result of the clinical pharmacokinetic consultations. This study demonstrated that a pharmacy-based clinical pharmacokinetic consultation service can provide potential benefits to the patient by aiding clinicians in optimizing serum drug concentrations.


The pharmacist and disaster planning.

The pharmacist and disaster planning.


The Canada health survey.

The Canada health survey.


Automated information retrieval system for drug and poison information centres.


SPARCS: the New York State health care data system.


Remarks on the issue of privacy and confidentiality as it would pertain to the contemplated computerization of all hospital discharges in the State of New York.


A model for the ethical protection of medical data.


Reduced cost of health care through improved use of technology.


The present state of automated follow-up in Canada--Part I: methodology and files.


The present state of automated follow-up in Canada--Part II: the products.


Use of services for the mentally retarded in the African-American community. Mentally retarded individuals, their families, and professionals in the service delivery system in the African-American community were interviewed concerning the use of services for the mentally retarded. It was found that African-Americans underutilized available services. Reasons for this included aspects of the service delivery system and features of African-American Culture. Recommendations were made for increasing the use of services.


A note on choosing a service provider from telephone listings: focus on community mental health centers. 178 college students searched telephone directories with instruction to find help for a friend with a serious emotional problem. There were no significant differences between white and yellow pages or between fine or bold print in the relative frequency with which CMHCs were found. The most important listing in the white pages was "Mental Health Center" and in the yellow pages was under "Clinics." More than two listings did not increase the relative frequency with which CMHCs were found and listed by a proper name was effective only in the absence of generic names.


Testimony to the House Select Committee on Aging -- drugs in nursing homes.


AHCA members charged with neglect: Who is responsible?


Does the in-hospital BMET face obsolescence? Changes in electronic technology, increased BMET manpower costs, and changes in hospital purchasing procedures are reducing the hospital's need for an in-hospital, bench technician. A new technologist will probably evolve. As repairs decline, greater emphasis will be placed on device-operator education, the device-patient interface, performance assurance and safety inspections, and coordination of device safety and functional problems. In-hospital BMET's should recognize these changes and prepare themselves for this new role. Certification commissions must establish curriculum and procedural requirements that are responsive to rapid technological change.


Communication disorders.

Communication disorders.


The humorous side.

The humorous side.


The professional development degree for biomedical engineers. This paper examines the role of biomedical engineers in terms of their influence on the quality of health care delivery, and their need to continue their education in an effort to keep pace with technological advancements and prepare for career changes. This paper also examines the role of the Professional Development Degree for Engineers as one alternative to traditional degree programs, and describes one biomedical engineer's experience with a PDD program.


Guidelines for clinical engineering programs--Part I: guidelines for electrical isolation; Part II: performance evaluation of clinical engineering programs. This series presents guidelines for: electrically isolated inputs and outputs; measuring the performance of hospital biomedical engineering programs; evaluating the risk of electric shock in hospitals; and for isolated power in anesthetizing locations. In Part I, specific recommendations are given for the use of insulated approach, battery-powered monitors in surgery, and for isolation requirements for devices connected to cardiac leads. In Part II, checklists are provided for the self-evaluation of an in-house, biomedical engineering staff. Parts III and IV, in future issues of this Journal, will include discussion of the theoretical electrical hazard potential in reference to the use of isolated power systems. The question of whether isolated power should be required in all anesthetizing locations will be discussed in Part IV.


Analyze of hospital computer networks.

Analyze of hospital computer networks. Methods for the analysis of hospital computer networks have been developed without the need for a large-scale computer simulation of the queueing events in the problem. A table-driven methodology and a simple computer program are provided for an analysis of the computer utilization and channel utilization for a network of computers supporting hospital tasks. An example, using a DEC 11/780 VAX and six DEC 11/44's is given. The example network is also analyzed by large-scale computer simulation techniques, and the results are compared.


Mouth-to-mouth resuscitation.

Mouth-to-mouth resuscitation.


Heimlich maneuver.

Heimlich maneuver.


Improving services in the long term care facility.


Federal financing programs for nursing homes.


National Nursing Home Week -- your guide to a successful week.


Staff development: counseling/criticism.


Interest free loan from your cooperation.


Is interest your goal?

Is interest your goal?


Nursing home care and the minority elderly.


An administrator's viewpoint of long-term care for the minority elderly: an interview with Houston Baker.


Research in music therapy: a survey of music therapists' attitudes and knowledge. To examine attitudes toward and knowledge of research in music therapy, a three-part survey was administered to 150 randomly selected music therapists, with complete surveys returned by 66 respondents. The survey consisted of a cover page gathering background information, a series of 20 statements assessing attitudes toward music therapy research, and 25 true-false questions examining subjects' knowledge of research terminology and methodology. Analysis of survey responses indicated a generally positive attitude toward research, but dissatisfaction with the current status of research in the field. No relationship was found between research attitudes and research knowledge, and no significant effects on research knowledge were discerned for education, present position, or research background. Results of this study are discussed in terms of implications and issues to be addressed by academicians, clinicians, and researchers in music therapy.


Are you in control?

Are you in control? Overcramped conditions and lack of available storage space are usually the instigating factors for implementation of a micrographics system, but there are many other benefits to be gained, It is critical that a system be well planned and carefully researched to assure that you are indeed in control. If your only goal is to microfilm records to make more space, this space will also be "jammed" within a short period of time and you will have accomplished nothing. A good micrographics system can, and should, improve the integrity of the records, in addition to saving space. It should and will provide control of the records, while at the same time making the information readily available to all users. The system can be combined with an existing computer system within the facility and/or be shared with other departments. An ill-planned micrographics system will ultimately lead to one that is neither cost-effective nor efficient.


FPO--for parents only.

FPO--for parents only.


Emergency social services in a pediatric hospital.


Pillow play with hospitalized children: three case studies.


Negative feelings toward children: their impact on pediatric care.


Advocacy and the professional.

Advocacy and the professional.


Trends in NLRB health care industry decisions.


Equal pay for work of comparable value: a new concept.


Are your managers really managing?

Are your managers really managing?


Health and safety at the 1980 Winter Olympics, Lake Placid, New York. The 1980 Winter Olympics in Lake Placid, New York, were a spectacular demonstration of athletic ability and cooperative international competition. The spectators, athletes and officials were able to participate in the event without incident of preventable illness, injury or death because of extensive planning and work both before and during the games by the New York State Department of Health, other state agencies, and the Lake Placid Olympic Organizing Committee to provide a safe and healthful Olympics.


Fear and productivity: more closely related than we think?


Linen reclamation is the key to reducing replacement costs.


Greenville hospital laundry staff produces record linen poundage.


Medical illustration: fusing art and science.


Those high-earning surgeons: who's faring best?


National health insurance: the debacle Down Under.


Why FMGs are earning less.

Why FMGs are earning less.


Non-surgical practice: what's the key to higher earnings?


Substitution--the New York State experience.


Can doctors rescue this malpractice reform?


Patient education and informed consent: a roundtable.


Patient education -- health promotion in Michigan's hospitals. Part I.


Doctor advertising: here to stay.

Doctor advertising: here to stay.


A joint effort for improving patient education in Michigan.


The stage is set for us to achieve health through new lifestyles.


Evaluation of patient education.

Evaluation of patient education.


Education can effect community appreciation of hospital capability.


The physician's role in health education and promotion.


Dealers, economists take the stand in AHSC trial.


1970-80: a decade that transformed an industry.


Industry real growth 'substantial,' report says.


Electronic sales aids will jolt old habits in the eighties.


Health care policy: winds of competition could lead to major changes.


Hospitals 1980-1990: expanding services?


Fertile ground awaits in clinical lab field.


HMOs: another surge in growth ahead.

HMOs: another surge in growth ahead.


Hospital management market shows growth, strength.


New studies revive doctor glut debate.

New studies revive doctor glut debate.


Home care: solid logic and many advocates spell boom.


A chance to hone health ins. regulation to a fine point.


A predictive study of voting behavior in a representation election using union instrumentality and work perceptions. A literature-based model of the unionization process is presented. The process is defined in terms of instrumentality perceptions, behavioral intent, and actual behavior components. The primary determinant of the process is shown to be the instrumentality perceptions of the potential members. The model is tested via discriminant analysis and step-wise regression in a sample of hospital nurses. The results suggest the overriding importance of instrumentality perceptions in the determination of voting behavior. In excess of 75% of the votes were accurately predicted from knowledge of the respondent's instrumentality perceptions alone. Several avenues for future research were suggested, including an expanded view of personal characteristics and extension of expectancy theory to employee voting behavior.


British Columbia laboratory test cost study--a follow-up.


Brain death--what does that mean?

Brain death--what does that mean?


The LCADP classification of clinical lab data processing--an update. The authors of this article review briefly their original classification for clinical laboratory data (February 1979), which they proposed as an aid in analyzing and solving data processing problems, and recommend some extensions based on recent experience.


A proposal for a department of pathology improvement program. A quality assurance program for Departments of Pathology was first proposed by William Beautyman, MD, while he was a member of the Board of Governors of the College of American Pathologists. Subsequently, this proposal has been reviewed in detail by the CAP Clinical Pathology Committee under the chairmanship of William Cole, MD, and more recently Mario Werner, MD. At this time, the Clinical Pathology Committee believes a thorough discussion of the merits, format, and content of the program is desirable to bring the concept to maturation. Only after being subjected to widespread scrutiny will it be ready for more formal consideration and possible implementation by the College. It is published at this time with such intent.


What's the prognosis for American medicine?


MD choices: political activism or obsolescence.


Bracing the system to care for the elderly.


Employee recognition: a key to motivation. Productivity--why it's low and how to enhance it--is on everyone's mind these days. A major component of productivity is employee satisfaction. If an employee is dissatisfied, feels unappreciated or under-compensated, that employee will not perform to the best of his or her ability. How is the personnel administrator to address this pressing problem? One answer that emerges is employee recognition programs. In many cases, properly run recognition programs can boost awareness of the organization, build employee pride, raise morale and, ultimately, increase productivity. As some of our respondents observed, higher salary is not the best answer. While a larger paycheck is always appreciated, everyone's pride is boosted by a public demonstration of appreciation.


Labor disputes and strikes: be prepared.


A critique of performance appraisal systems.


The use of broadcast advertising for recruitment.


The ineffective subordinate: a management survey.


Charting your staff's potential.

Charting your staff's potential.


Who will dominate health markets in the decade of the 80s?


How 34 pharmacists handle pharmacy services at Walter Reed Army Medical Center.


Recent malpractice decisions on adequate disclosure.


A defense of the physician's position in the spiral of health care costs.


How much future competition from HMOs?

How much future competition from HMOs?


CIT Corporation fourth annual survey, 1980: capital equipment spending by hospitals.


AHRA statistical survey: March, 1980.

AHRA statistical survey: March, 1980.


Health promotion efforts strike at diseases of poverty, neighborhood blight.


Cost containment in radiology.

Cost containment in radiology.


Effective crisis management.

Effective crisis management.


Hospital-sponsored parties bring health education into neighborhood homes.


Make room for emergicenters.

Make room for emergicenters.


Appraising the performance of performance appraisal. This article provides a critical examination of formal performance appraisal systems in organizations. It argues that the role, effectiveness, and validity of appraisal data are limited by a number of organizational factors: the purposes of the appraisal (both avowed and covert), the characteristics of the tasks for which the appraisal is performed, and the location in the structure of the organization of both appraisers and appraisees. The authors conclude that data from formal performance appraisal systems should never be utilized alone and uncritically, without full consideration of the context in which the appraisal is being performed and used.


Social work practice in community mental health.


Person-environment fit as the focus in health care.


Hospital fund usage cut drastically by solar systems.


Emotional support in a pulmonary rehabilitation program.


On lying to the dying.

On lying to the dying.


The selling of the hospital 1980.

The selling of the hospital 1980.


Special-report--Part III: international medical equipment/Germany.


How to handle nursing home business.

How to handle nursing home business.


So your hospital is using disposables!

So your hospital is using disposables!


How to communicate with your hospital customer.


Social work in the emergency room.

Social work in the emergency room.


Roanoke Memorial dedicates cancer center. The Cancer Center of Southwest Virginia in Roanoke, dedicated last September, represents an attempt to "humanize" a cancer treatment facility. The facility is described in this article.


Providing social services in the rural community.


Buggin' around TSICP: getting the job done.


Community resources: expand labor, not cost.


The social worker's importance on the health care team.


Social work in the multi-hospital setting.


Solar energy for the hospital?

Solar energy for the hospital? You can't scrap your boiler and expect solar panels to provide steam for process and heating, but solar systems are cost-effective now for domestic hot water generation, according to a leading solar energy engineering/design/build firm.


Needed: local control over local problems.


Nurses' duties in carrying out doctors' orders.


The way to energy efficiency: not so simple, but profitable. For the average residential, commercial and industrial consumer of energy, adjustments are made very simply to boost energy efficiency. In the hospital, those steps are not so obvious. But you can find possibilities if you dig for them. This article suggests some ways to trim the energy diet, and offers other possibilities for further investigation.


Energy contingency planning: a coordinated effort. The Greensboro/Guildford, NC Emergency Management Assistance Agency, recognized for its planning in severe weather situations, set out to incorporate energy contingency planning into its portfolio some 2 1/2 years ago. From severe weather planning, the agency has branched out to include energy emergencies and peacetime radiation accidents. This article outlines the agency's efforts with the hospitals in its area.


SLC: new patient care classification system.


Va. home achieves savings through group contracts.


PHS sees dawn of 2d 'revolution'.

PHS sees dawn of 2d 'revolution'.


Private-public roles important to AMA.

Private-public roles important to AMA.


Significant strides recorded by Army.

Significant strides recorded by Army.


Navy will expand ongoing programs.

Navy will expand ongoing programs.


Air Force holding optimistic outlook.

Air Force holding optimistic outlook.


NIH tackles cost accounting issues.

NIH tackles cost accounting issues.


Calling all former patients.

Calling all former patients.


Military medicine programs progress.

Military medicine programs progress.


It pays to volunteer.

It pays to volunteer.


Rewarding hospital volunteers.

Rewarding hospital volunteers.


New Jersey auxilians promote health: a report on the state of the state.


Nurse-managed chronic disease clinic opened by Ford Hospital.


Diet and folk remedies: the influence of cultural patterns on medical management.


HMOs: past, present, future.

HMOs: past, present, future.


The making of an HMO city....a case study on the development of HMOs in Detroit. As the option of participating in an HMO is extended in more and more cities, this case study of Detroit, prepared for the Office of Health Maintenance Organizations of the U.S. Public Health Service by ICF, Inc. of Washington, D.C. will provide many useful insights into the wide spectrum of HMO operational activity.


Perspectives on medical service at an urban HMO.


A new electronic sphygmomanometer: testing observer reliability and instrument comparability. A new electronic sphygmomanometer, Visomat II, featuring a new microphone sound chamber and signal light as a substitute for stethoscope use, was tested in two experiments. The study first measured the degree to which two persons observing the same instrument would have similar readings. Standard aneroid and mercury instruments were also tested. This was done to compare readability of the three scales. There were no statistically significant differences in the readings of the three types of units. In the second experiment, pairs of different sphygmomanometers were connected with Y fittings. Technicians compared in random order the similarity of readings of the three possible pairs of units. There were no statistically significant differences in the three pairings. The authors conclude that the new electronic instruments is comparable to the standard aneroid and mercury units.


Is management really generic?

Is management really generic? Four classes of organizations can be identified along the continuum between classical private profit-making firms and strictly governmental agencies: private for-profit, private non-profit, private quasi-public, and public. These four organization prototypes have different management functions because they receive their support from different subsectors of the society. Dependence on different individuals, groups, and organizations in the external environment creates different values, incentives, and constraints for management. The resulting differences in how the basic managerial processes are implemented may be more significant than the generic theory of management had acknowledged.


The compressed work week as organizational change: behavioral and attitudinal outcomes. The results from recent studies on the compressed work week have been compiled and categorized in order to provide some basis for generalizing the effects of the work schedule on employee attitudes and behavior. It appears that attitudes toward the compressed week are favorable, with some generalization to job attitudes. Performance outcomes are ambiguous, although there are no reported decreases; fatigue seems to be the only negative aspect of the longer day. An examination of mediating variables suggests more complex relationships between the implementation of the compressed work week and potential outcomes. These relationships are described and directions are indicated for future research.


One economist's "pro-competitive" plan for health care.


Controlling medical costs: now, patients have to pitch in.


Jury rules for AMA in suit by chiropractors.


What the jurors heard as chiropractic trial concluded.


Public hospitals form association.

Public hospitals form association.


Automated laundry has increased productivity.


The human factor.

The human factor.


Special days for special people.

Special days for special people.


Caveat emptor (let the buyer beware).

Caveat emptor (let the buyer beware).


Accreditation survey findings.

Accreditation survey findings.


Quick quiz for choosing a home for the elderly.


Criteria auditing--early experience & evaluation.


Quick quiz on the elderly planning to enter an old age facility.


Medical manpower--a cause for celebration or alarm?


Hospital attitudes to accreditation.

Hospital attitudes to accreditation.


Integration of private and public hospital sectors--an exploratory programme.


The Australian Hospital Association Reference Centre.


Corporate planning--key to practical rationalisation.


A profile of medical care provision in Australia: whose interest does it mainly serve?


Use of consultants.

Use of consultants.


Relatives' accommodation scheme a huge success.


Joint care: promoting the generalist.

Joint care: promoting the generalist. A new model of personal social service based on primary care and covering every citizen, with or without problems, is suggested by author. This, he feels, would make up for the inadequacies of the present service.


Economics: a triple whammy on charities.


The economics of risks to life.

The economics of risks to life.


A $500.00 dream comes true.

A $500.00 dream comes true.


Corporate restructuring: a special concern for the church hospital.


Regulation and the health care industry.


Quality of life for the chronic lung disease patient. For more than 14 years, Dr. Thomas Petty and Louise Nett have set up rehabilitation programs for people with emphysema and chronic bronchitis. "An organized rehabilitation program dealing with shortness of breath, disability, and despair clearly improves the quality of life," they state. The authors outline the basics of a self-care program which can make the patient more self-sufficient.


Genetic counseling: new opportunities.

Genetic counseling: new opportunities.


Tenth Annual Russell L. Dicks Memorial Lecture: selfhood in health and sickness.


Baptist Medical Center builds office condominiums to attract and retain medical staff.


20/20 retrospection.

20/20 retrospection.


GMENAC, the numbers game.

GMENAC, the numbers game.


FMGs: the training opportunities are few.


Assessing the quality of postdoctoral education.


Management guidelines: the right perspective.


Predoctoral education: disinterest is the diagnosis.


Organizational independence: taking charge.


Childbirth sitting up.

Childbirth sitting up.


Hospital employee protection program: procedures and guidelines--Labor Management Services Administration, Labor. Notice of proposed rulemaking. This proposed rule prescribes guidelines and procedures relating to the Department of Labor's responsibility for reviewing applications for grants filed with the Secretary of Health and Human Services. The purpose of such responsibility is to assure that fair and equitable arrangements have been made to protect the interests of hospital employees against a worsening of their positions with respect to their employment when such employees are affected by the discontinuance of services.


Final regulations amending basic HHS policy for the protection of human research subjects--Department of Health and Human Services. Final rule. The Department of Health and Human Services (HHS or Department) is amending the HHS policy for the protection of human research subjects and responding to the recommendations of the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (National Commission) and the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (President's Commission) concerning institutional review boards (IRBs).


Research activities which may be reviewed through expedited review procedures set forth in HHS regulations for protection of human research subjects--Department of Health and Human Services. Notice. This notice contains a list of research activities which Institutional Review Boards may review through the expedited review procedures set forth in HHS regulations for the protection of human subjects.


Proposed procedural regulations--Equal Employment Opportunity Commission. Proposed regulations; request for comments. The Equal Employment Opportunity Commission is publishing for comment proposed procedural regulations (29 CFR Part 1626). These regulations advise the public as to the procedures the Commission proposes to follow in processing charges and issuing interpretations and opinions under the Age Discrimination in Employment Act. These regulations will complement the Commission's existing procedural regulations under Title VII of the Civil Rights Act of 1964.


Study pegs rates for hospital room around country.


Hospital liability rates will rise.

Hospital liability rates will rise.


Hospital computers ward off lawsuits.

Hospital computers ward off lawsuits.


Survey can win hospitals 15% savings.

Survey can win hospitals 15% savings.


Check HMO's health before signing up.

Check HMO's health before signing up.


Hospital policy wards off risks of contamination.


Reducing plans trim bulky health care costs.


Health tactics slow rate hikes.

Health tactics slow rate hikes.


Can you write a "no code" order?

Can you write a "no code" order?


Getting better in the Bahamas.

Getting better in the Bahamas.


Records, privacy and computer security--a doctor's view.


Frobisher Bay's hospital serves huge area.


Electric wheelchair steering aid.

Electric wheelchair steering aid.


The pharmacist's role in controlling hypertension.


The stresses and the satisfiers of the intensive care unit: a survey.


A hospital-sponsored intensive care nursing course: one perspective.


Infection control in burn care facilities.


In-house quality assurance.

In-house quality assurance.


Should THA help hospitals share nurses?

Should THA help hospitals share nurses?


Keeping staff on the job.

Keeping staff on the job.


How much is a life worth?

How much is a life worth?


Tennessee hospitals energize savings.

Tennessee hospitals energize savings.


Special interests vs. free enterprise health care.


Some thoughts on . . . public relations, fund raising, and the fine art of saying "thanks".


A study we can take pride in.

A study we can take pride in.


New pharmacy emphasizes efficiency.

New pharmacy emphasizes efficiency.


Low dose, low cost fluoroscopy, with a multi-image camera, and pulsed fluoroscopy with intermittent storage.


Carter County involves the community.

Carter County involves the community.


Making Hospital Week work.

Making Hospital Week work.


To cut casual absenteeism: tie benefits to hours worked.


Medical malpractice panels and federal diversity jurisdiction: preserving access to federal courts by analyzing the nature of the panel.


Special program helps reduce cost of 'red bag' waste disposal.


Controlling supply costs: 'best price' doesn't always lead to savings.


'Weekend nursing staff' concept reduces RN vacancies at Baylor.


Doctor's actions that increase costs.

Doctor's actions that increase costs.


Graphics enhance group medics' understanding.


Hexagonal Sinatra Patient Tower maximizes space, improves operations.


Hospital upgrades blighted urban area.

Hospital upgrades blighted urban area.


Medical-facility colors reduce patient stress.


Revamping the hospital menu for nutrition and selection.


Assessing the hospital education and training department.


The values of a hospital CCTV system.

The values of a hospital CCTV system.


Wage incentives and married professional nurses: a case of backward-bending supply?


Six health centers provide care in Arizona plan.


In my opinion ... training administrators and staff development directors.


Financial concerns for employers offering HMOs.


Rape prevention course teaches self-defense.


How federal discrimination laws affect health/welfare and pension benefit plans.


Aspects of prepaid dental plans--cost containment and quality of care.


Teaching the part-time student in the health professions.


Employee benefits in the eighties.

Employee benefits in the eighties.


How to get hospital categorized explained.


'Lifeline' connects isolated patients to emergency dept. help.


Job satisfaction survey of EMS personnel.


The need for an improved ambulance design.


Established rural health systems.

Established rural health systems.


Instructional design: the format for performance.


EMS law forum: Title VII provisions and the Equal Employment Opportunity Commission.


Overcoming the Peter Principle in EMS Management.


National registry of emergency medical technicians.


Developing medical control in a rural EMS system.


"An organized department means motivation".


Miami Fire Department's SWAT/Medic Program.


What the future holds for the housekeeper as manager.


Simulated game show encourages cost awareness: a winning idea at St. Thomas!


Implementing change effectively.

Implementing change effectively.


Changes through the ages: the advancement of housekeeping over the years.


Adjunct to airway management: the esophageal obturator airway.


Lowering energy consumption.

Lowering energy consumption.


A formal approach to planning for a county-level EMS system.


Work sampling procedures.

Work sampling procedures.


High absenteeism.

High absenteeism.


A glowing radioactive waste program.

A glowing radioactive waste program.


Management techniques for housekeeping.

Management techniques for housekeeping.


Adult Health Conference: community-oriented health maintenance for the elderly.


Is health education for the middle-aged and elderly a waste of time?


Meeting human needs of elderly patients.


Is health promotion affordable for the elderly?


Health care maintenance for the elderly.


Family support of the elderly.

Family support of the elderly.


Health care for older women: toward a more humanistic approach.


Inadequate nutrition in the elderly: a stumbling block to good health.


Preventive group interventions for elderly clients: are they effective?


Lifestyle change in elderly hypertensive persons: a multifaceted treatment program.


Contract management.

Contract management.


Wellness: the new employee benefit.

Wellness: the new employee benefit.


Medicine's next decade.

Medicine's next decade. One often hears that the future of medicine is uncertain. Not true, according to Denver consultant Tom Zirkle, whose firm monitors and analyzes trends in medical care delivery. "The future of medicine-group practice in particular-is quite certain," says Zirkle. "Physician incomes will not keep pace with inflation; competition among doctors, delivery systems and with allied health personnel will become far more intense; increasing fees to cover higher overhead costs will not be possible; taxes will continue to rise; and, government regulation is likely to expand into the ambulatory care sector. "These certainties are based not only on intuitive judgments but also on hard facts; things are going to get rough. Unless group practices begin to adopt an operational philosophy oriented toward preservation of their institutional well-being, they simply won't survive."


Contract management: does grafting this hospital concept onto group practice work? Dramatic changes in the health industry during the past two decades should give physicians cause to look at where they are heading in the 1980s. External factors, such as competition, legislation and regulation, cost and expectations by the public urge serious review of whether group practices are planning effectively for the future and providing essential leadership to meet the challenges ahead. This article presents an innovation for group practices expecting to control rather than to be victims of, change.


Sexual harassment: the most sensitive subject in foodservice.


The aging of America: economic woes may dim the elderly's golden years.


The client is more than a patient.

The client is more than a patient.


Malpractice: your day in court.

Malpractice: your day in court.


The 97th Congress: health care and the budget.


Comrades in crisis.

Comrades in crisis.


New marketing tool: the patient handbook.


Problem: how to eliminate long lines in two eating areas. Solution: build a central fast food system.


The search is on productivity in foodservice.


1981 looms as a year of changes in government programs for health care.


How Elscint profits from inside information.


Antitrust and nonprofit entities.

Antitrust and nonprofit entities.


Giving our nurses the responsibility they want.


Putting incentive in physicians' pay.

Putting incentive in physicians' pay.


FSES cuts fire-safety costs in half.

FSES cuts fire-safety costs in half.


Bromberg predicts between political climate for hospital industry.


Alabama prisons using contract services to fulfill court order.


Major pressure of sores.

Major pressure of sores. A survey of 999 patients within the Borders Health Board area showed that 9.4 per cent had at least one pressure sore. J.C. Barbenel, M.M. Jordan and S.M. Nicol of the bioengineering unit, University of Strathclyde, describe how they assessed the extent and distribution of the condition, estimated to cost the NHS pound 150m a year.


Health and safety--5: fire risk and PU mattresses.


A short time for an old hospital in Wales. When a hospital is continually evolving one year brings no dramatic changes but evolution goes on. Stephen Halpern visited a long established hospital in Wales.


Private protection: a year at the Wellington Hospital, London. Outside the financial restrictions and the restructuring changes of the NHS private medicine has had another quiet year. Caroline Howie reports on a year at the Wellington Hospital, London.


Rochester area hospitals launch major cost-containment program.


Meals on wheels: when the face behind the food is needed more.


Hidden treasure: from the days of Wellington, Wesley, and William Prowting. The staff were sure the chairs in the boardroom were Chippendale. And they took it for granted that they were surrounded by antiques and fine paintings. When a team from Bonhams visited St Luke's-Woodside Hospital in north London there was some good news and some bad news. Brian Watkin tells the story of an enjoyable morning, when he learned from the experts.


Working overseas: a bargain from which all sides gain. The advantages of obtaining experience outside one's own health care system are not always fully appreciated. Some employers and senior officers tend to be discouraging. Paul Cooper, district administrator, East Roding HD, and consultant adviser on health planning to the Crown Agents, follows up Pauline Drummond's recent article on working outside the NHS, with a look at the advantages to the individual and the system of a spell of work overseas.


Computer-assisted manpower planning.

Computer-assisted manpower planning. In the next year or two Newham Health District in London is to open phase I of its new nucleus development and close three existing hospitals. Robert Sloane, commissioning officer, describes how the IBM AS system was used to plan the manpower requirements and check the revenue consequences.


Oxygen and suction in hospital wards: how many outlets? Current DHSS guidance assumes a close link between patient dependency and the number of oxygen and suction outlets required. Research now puts a question mark against this assumption, reports Dr Carole Rawlinson, of the Medical Architecture Research Unit, Polytechnic of North London.


Health service computing: putting the patient on line. The potential of computers for speeding up communications and routine decision-making in hospitals is still not being fully exploited. S. E. Harrison, formerly regional management services officer, SW Thames RHA, considers what hospitals need from a patient administration system and how it might be achieved.


World health: grappling with big-city problems. London's big-city health problems are shared by 26 other cities of similar size throughout the world. By the year 2000 there will be many more of them. Miles Hardie, director-general of the International Hospital Federation, reflects on a recent UNFPA conference.


Dean Ammer on group purchasing.

Dean Ammer on group purchasing.


Children in hospital: games to take the strangeness away. 'Despite skilled and dedicated care by hospital staff, many children are bitterly unhappy in hospital, frightened, lonely and homesick.' Pauline Drummond draws on personal experience to corroborate this statement by NAWCH, and describes some developments designed to prepare young children better for the possibility of a stay in hospital.


Art project: painting a picture of care. What has art got to do with treating patients? is a question often asked by administrators. Pauline Drummond has visited Manchester Hospitals Art Project where she found an enthusiastic team which aims to bring to patients the therapeutic quality of art.


Children in hospital: class of its own.

Children in hospital: class of its own. Children in hospital must by statute have two hours' education a day. Pauline Drummond visited the schoolroom at the Brook Hospital, London, to meet Margaret Pemberton, ILEA tutor-in-charge, and some of her pupils.


Hospitals overseas: keeping costs down.

Hospitals overseas: keeping costs down. Britain is far from alone in its attempts to curb the capital costs of new hospitals. David Cowan, leader of the hospitals research group in the South African National Building Research Institute at Pretoria, describes in this paper, based on one originally presented to an IHF congress, how his country has tried to meet the problem.


Administration: steps that need to be taken before a VIP visit. When a public figure decides to visit, the honoured community has the dubious privilege of arranging a programme for the VIP. History was made recently when the Prime Minister announced her intention to visit the Gilbert Bain Hospital, Shetland, the first time a PM in office had been to any of the islands' hospitals. David March, secretary of the Shetland Health Board, describes the preparations and problems of such an event.


Art in hospitals: they're the real thing! Reproductions are all very well, but there is an added excitement about an original painting by a contemporary artist.


Liability for used or borrowed equipment.


Medical-surgical supplies prices now rising at 8-percent annual rate.


How effective are small-hospital PA's?

How effective are small-hospital PA's?


Ethicon sutures continue on . . . '77, '78, '79, '80...


In praise of the debt memo: purchasing's invoice to the supplier.


Sterilization -- it has a role in quality care.


Hospital -- a behavioral perspective.

Hospital -- a behavioral perspective.


Central sterile supply department.

Central sterile supply department.


Reorganisation of the existing health structure in India.


Medical care services of Chittaranjan Mobile Hospital Medical College, Srinagar.


Industrial Disputes Act: An appraisal.

Industrial Disputes Act: An appraisal.


A blue-print for hospital instrument maintenance.


"Conflicts in hospital".

"Conflicts in hospital".


An exploratory study on cost analysis of an urban maternal and child health and family welfare centre.


Some aspects of hospital management requiring personal attention of a hospital administrator.


Sexual harassment . . . some see it . . . some won't. Is sexual harassment a serious issue for managers, and does it occur as much in business as the popular press would have us believe? How difficult will it be to implement the newly issued EEOC guidelines? Out of a joint survey with Redbook magazine, HBR takes a look at these and other questions. Eliza Collins and Timothy Blodgett explore definitions of harassment, analyze respondents' replies, and suggest ways to counter the problem.


Health care in tea grades -- utilization of services of para-medical personnel in community health work.


Six challenges -- for the nursing profession.


Hospital for common man.

Hospital for common man.


Humanizing the pediatric hospital environment.


The nursing component of health care delivery system.


Riverside Methodist Hospital Library Resource Center.


The librarian who has wings.

The librarian who has wings.


Principles of organisation and management.


Library services for those who serve Native Americans: Navajo, Hopi, Pima, Maricopa, Papago, Uintah and Ouray.


Journal usage in a children's hospital library.


Role of voluntary organization in rural health.


Liability and status in the National Health Service.


Personnel management.

Personnel management.


Medical Library Association exchange: a hospital vantagepoint.


Major accident procedure: theory and practice in the Shetlands.


Computers in in-patient information systems--an alternative, local approach.


The use of computers in patient administration systems.


Strategies for rural health.

Strategies for rural health.


Hospital for rural common man.

Hospital for rural common man.


"Marketing to hospital".

"Marketing to hospital".


JCAH most often cites lack of written infection control policies.


What components constitute an effective IC program?


Development of blood bank services in India.


Principles of dry heat sterilization.

Principles of dry heat sterilization.


The International Hospital Federation (IHF) and health services management training.


Hospital infection control machinery.

Hospital infection control machinery.


State TV helps educate hospital employees on IC.


The biomedical engineering department.

The biomedical engineering department.


Progress in laundry heat recovery.

Progress in laundry heat recovery.


Wide area paging at East Birmingham Hospital.


Preventing immature dependence in the community health delivery system.


Microprocessor-based temperature control.


The Visiting Nurse Association's role in mental health.


Developing home health care services in rural areas--a case study of decision points. Although Illinois is considered an urban industrial state it has many rural areas with scant medical, social and public health services. The need to improve these services has been recognized as a priority by the Health Systems Agency and by citizens of those areas. One method of beginning to meet those needs is to extend Home Health Services from a nearby county where Medicare-certified services are already well developed. This article is to share the methodology used by Peoria City/County Health Department in developing a plan to meet the Home Health Care needs of Marshall and Putnam Counties. The presentation will be made in a case study format with identification of decision points within the process. The objective in identifying decision points is to assist home health agencies contemplating expansion into adjoining counties with the process of program development. The goal of the process is to provide Home Health Services to an underserved area.


NICU: intensive education and infant transport capabilities optimize service of Boise's St. Luke's Hospital neonatal IC unit.


Developing a hospital real estate acquisition program.


View from the East.

View from the East.


Credentialing cited as major issue in quality assurance.


Health care manager's notebook: art of negotiating.


The West -- is it really different?

The West -- is it really different?


Perspectives: quality assurance and risk management.


St. Joseph's Hospital, Huntingburg, IN. Rural clinics expand hospital's service area.


PIER program solves internal problems.

PIER program solves internal problems.


Cooperation, competition, regulation: health care system's balancing act. Three strategies--cooperation, competition, and regulation--affect health care delivery in the United States. Incentive systems must be developed and implemented if the three strategies are to achieve synergistic balance.


Voluntary planning forestalls excessive competition, regulation. Overemphasizing competition or regulation to control health care costs jeopardizes improved medical technology, continued specialized medical education, and care for indigent patients. Voluntary planning can help institutions to achieve cost containment without undermining long-range goals.


Georgetown University/Providence Hospital Family Practice Program, Washington, DC. Project test ways to coordinate medical, community services. Fragmented medical care is especially harmful for chronically ill elderly patients. Intervention designed to educate them about their diseases and available resources may result in increased self-care and decreased rates of institutionalization.


The Maria-Joseph Living Care Center, Dayton, OH. Geriatric rehabilitation: using an interdisciplinary approach. Long term care facilities have the personnel and physical resources to implement geriatric rehabilitation units without making major adjustments. A team approach enables patients to achieve personal goals of independent living.


Toward a useful definition of adult day care. Adult day care is one alternative to unnecessary institutionalization of the impaired aged. The service needs to be defined, however, in order to become accepted, effective, and better funded.


McAuley Bergan Center, Omaha, NE. Hospital-affiliated adult day program individualizes care.


Supporting institutional change: guidelines for the CEO. The CEO's support for change within the health care organization is desirable, yet sometimes difficult to achieve. Pinpointing specific problems in communicating such support to employees is the CEO's first step toward accepting and implementing change.


Trusteeship: shared mission for religious and laity. Serving as a trustee requires commitment to a particular congregation's spirit or charism and to the health care apostolate. Vatican Council II urges that laypersons take the responsibility to share with religious as partners in furthering the Church's mission.


Seton Medical Center, Austin, TX. Community groups supplement hospital's auxiliary.


Free care not required of voluntary hospital.


Negligence, errors in judgment upheld as distinct.


St. Francis Hospital, Inc., Memphis, TN. Integrated departments promote efficient staffing.


Nine arrested in hospital food thefts: top administrator forced to resign.


Improving your incident reporting system.


Supreme Court denies HCSC-Laundry shared service tax exemption.


Ohio Probate Court authorized termination of treatment--follows precedent in Eichner.


Office of Health Regulation final report recommends more analysis before regulation.


New Hampshire High Court voids Malpractice Act.


Administration's revised HHS budget elaborates on previously announced cuts, adds new ones.


Special state hospital association dues assessment for capitalization of insurance company held reimbursable by federal appeals court.


Manor Hospital, Nuneaton.

Manor Hospital, Nuneaton.


Attorney-client privilege in corporate context broadened by Supreme Court: corporate hospitals may benefit from greater protection of privileged communication.


EPA decides not to publish infectious waste regulations but publishes other hazardous waste rules.


Florida hospitals successfully challenge electrical code "voluntary" standard as applied to critical care unit.


FY '82 budget item foretells change in hospital-based physician reimbursement.


Perfect attendance: a program to motivate, maintain and reward.


Why be certified--who needs it?

Why be certified--who needs it?


An Olympic Gold Medal for medical record practitioners.


World Health Organization programs.

World Health Organization programs.


Internal quality control as a function of the tumor registry.


Health information: to tell or not to tell.


AMRA bylaws and code of ethics.

AMRA bylaws and code of ethics.


Labour arbitration: assumptions aren't good enough.


Infection control--get a handle on it.

Infection control--get a handle on it.


PR isn't just a game of inches.

PR isn't just a game of inches.


Medical record administration program: Florida International University.


Is value analysis worthwhile?

Is value analysis worthwhile?


Dietary service gets new image.

Dietary service gets new image.


Ancillary services: pathologist best providers of lab services.


Patient's room--let's be reasonable.

Patient's room--let's be reasonable.


Reimbursement for physicians' cognitive and procedural services: a white paper--American Society of Internal Medicine, January 1981.


Ancillary services: radiology by radiologists.


Ancillary services: no valid evidence against self-referral.


Accountability: let me count the ways.

Accountability: let me count the ways.


Accountability: a two-edged sword.

Accountability: a two-edged sword.


Accountability: are patients in the dark about physician competence?


Accountability: not all it's cracked up to be.


An analysis of knowledge, beliefs and behaviour relating to the development of coronary heart disease.


Policy issues in healthcare capital management.


Budgeting for contractual allowances.

Budgeting for contractual allowances.


Reorganization can revitalize hospital finances.


Payment patterns: auditors will be reviewing records.


Boston University offers program in health financial management.


Leadership has a logic all its own.

Leadership has a logic all its own.


Multihospital arrangements--some advantages and disadvantages.


Payment patterns: interest on overdue accounts.


Changes in the sources of capital.

Changes in the sources of capital.


HFMEF and universities--linking to meet graduate education needs.


Can hospitals succeed at self-insuring employees?


Standard costs for healthcare providers.


Tax deferred annuities for nonprofit hospital employees.


Using wholistic principles, promoting employee growth and improving performance.


Social security and nonprofits.

Social security and nonprofits.


Determining costs of employee hours.

Determining costs of employee hours.


Preparing your case for small claims court.


Hospital Financial Management Association code of ethics.


Who's under the safety umbrella?

Who's under the safety umbrella?


Restore dignity to the workplace.

Restore dignity to the workplace.


Supplementary reporting: a new challenge.


Fill the job opening with the right applicant.


Supervising during a disaster.

Supervising during a disaster.


Create a new department with the same employees.


Loss prevention: an inside job.

Loss prevention: an inside job.


Be 'objective' about progress.

Be 'objective' about progress.


Personalize infection control.

Personalize infection control.


Promotion from within.

Promotion from within.


Patient education: a new responsibility?


The eagle has landed: in Vermont.

The eagle has landed: in Vermont.


Chart your way to an effective staff.

Chart your way to an effective staff.


PERT: a simplified version that you can use.


Hospitals not just for the sick.

Hospitals not just for the sick.


Some games subordinates play.

Some games subordinates play.


Work measurement in the hospital.

Work measurement in the hospital.


Expert reveals tactics to take high risk out of ER.


Power failure: incident of the month.

Power failure: incident of the month.


Revised discharge form improves continuity of care. A well-devised patient discharge form can help to alleviate chart retrieval problems at hospital clinics and can get patients involved in their own health care. The discharge form developed at The Mount Sinai Hospital, New York City, has been especially helpful to physicians because the form contains essential information about patients that can be used when a chart is unavailable.


Value analysis: something of value.

Value analysis: something of value.


Executive pay: deciding how much is enough.


Point of law: legal implications of granting patients leaves of absence from hospitals.


Point of law: inform patients of the role that medical students and house staff play in their treatment.


Salary survey: security directors--hospitals.


Establishing the collaborative practice committee. One of the first steps in implementing collaborative practice in the hospital is forming a collaborative practice committee to establish goals, to determine how to attain those goals, and to address any problems that may be encountered. This article offers some suggestions for getting the committee off to a good start.


Implementing the basic elements of collaborative practice. Five activities are essential for effective collaborative practice in the hospital setting--primary nursing, integrated charting, expanded nurses' decision making, joint patient care review, and a collaborative practice committee. This article relates the experience of a large, urban teaching hospital in implementing these activities.


Collaborative practice: new concept has promise and problems.


Using an integrated physician-nurse medical record. Of all the issues surrounding collaborative practice, the integrated medical record perhaps is the most controversial one for physicians. This article explains how a patient record system that integrates the observations, judgements, and actions of both nurses and physicians can facilitate nurse-physician communication and contribute to the care of the patient. It also explains some problems encountered with implementation and some ongoing concerns.


Development and implementation of a P&T committee for state institutions.


Fostering collaborative relationships.

Fostering collaborative relationships. Increasing patient care demands call for more productive working relationships between physicians and nurses. In hospitals where effective collaborative relationships are fostered, patient care is improved and the professional lives of both physicians and nurses are enhanced.


Physician and pharmacist perspectives on drug utilization.


Working with a new hospital administrator.


A satellite pharmacy program in a community hospital. A satellite (decentralized) pharmacy program in a medium-size community hospital is described. The hospital is a private institution consisting of three divisions: an acute-care division, a psychiatric division, and a long-term care division. Pharmacy services are provided on an around-the-clock basis, and the satellites are operational 16 hours daily. Pharmacy services include unit dose distribution, I.V. admixture services, and clinical pharmacy programs. Structurally, the department is divided into four satellite units and a central pharmacy unit to provide care to all areas of the health center. The professional staff is divided into several categories as a means to overcome the difficulties and take full advantage of all of the benefits of the satellite system. The Associate Director and the Assistant Director perform primarily administrative functions in order to maintain overall control, coordination, and quality assurance of the department. The Education Coordinator helps maintain the level of basic competence of the staff and coordinates the development and implementation of new departmental programs. Staff Pharmacists II provide both administrative and professional functions in their roles as team leaders of individual satellite units. Staff Pharmacists I serve the traditional staff functions in a satellite unit or in the central pharmacy.


A computerized on-line key word indexing system for drug information retrieval. The Idaho Drug Information Service has been in operation since 1972. During this time, five different files and manual methods of filing have evolved. As a result of confusion over indexing terms, information became lost within the filing systems, and the files fell into disuse. A reorganization of the files was undertaken in an attempt to develop a filing system that would be functional and efficient. Methods of manual filing are briefly reviewed. A computerized on-line key word indexing system for information storage and retrieval was initiated. The development and operation of the Drug Information Retrieval Terminal System (DIRTS) is described completely. At this time, DIRTS is fully operational. The system has eliminated the previous problems encountered with the manual filing systems, and user response has been good.


Clinical role expectations and performance of dietitians employed in British Columbia hospitals. A mail survey was conducted among a sample of 232 dietitians employed in British Columbia hospitals to investigate their clinical role. An inventory of 40 typical clinical activities was developed, validated and administered to determine role expectations, role performance and role disparity. Questionnaires were returned by 181 (78%) of the dietitians but results are based on the responses of 140 as the others did not meet criteria for inclusion in the study. The majority of respondents were under 33 years of age and employed full time in hospitals with 200 or more beds. Nearly half were generalists and one-third were clinical specialists. Although their role expectations agree with the inventory for 92.5% of the activities, only 62.5% of the activities were actually performed. A moderate or high disparity, indicating a discrepancy between role expectation and role performance, was registered for 60% of the activities. Deterrents cited most frequently as responsible for role disparity were 'opportunity has never occurred' and 'lack of time'. Implications inferred from these results may be of value to dietetic educators and practitioners in British Columbia and elsewhere in Canada.


Results-oriented ambulatory care management.


The primary care initiative. Interview by Thomas R. O'Donovan..


Ambulatory care in the cities: a shift to the hospitals.


Seven principles of organization in ambulatory health care settings.


Patient perceptions of health care at a university-based ambulatory care clinic.


Health hazard appraisal: a tool for health maintenance.


Local organization dedicated to ambulatory care.


Aids to application of the fire safety evaluation system.


More National Nursing Home Week tips.

More National Nursing Home Week tips.


Silver threads among the gold.

Silver threads among the gold.


Health planning law plan development.

Health planning law plan development.


Nursing home legislation reform.

Nursing home legislation reform.


Accounting for the owner's sake.

Accounting for the owner's sake.


Are your charge nurses supervisors?

Are your charge nurses supervisors?


Education in the 1980s.

Education in the 1980s.


Organizational influences on social worker's approaches to self-evaluation.


Paraprofessionals in mental health delivery services.


Transforming data for use in management decisions.


Hospital advocacy programs: an essential exercise in good citizenship.


Performance appraisal challenges in mental health services.


Accountability in the case management of critical incidents.


A consumer-designed model of continuing education for administrators.


Work and nonwork satisfaction, intention to leave and turnover of mental health administrators.


Informant perceptions of rural community mental health program.


Political dynamics and influence upon organizational change.


Motivating the service worker.

Motivating the service worker.


Purchase of mental health services.

Purchase of mental health services.


Management information systems.

Management information systems.


C.E.T.A. personnel as a manpower resource for mental health agencies.


Managerial credentials: the comfort of familiar traps.


Program evaluation data: who needs it? Assessing the need for evaluation.


Adaptive skill training for survival in the community.


Community care and human service responsiveness.


Factors influencing the success of a policy of community care for the chronically ill.


Community response to the deinstitutionalized population.


A community support system using multisource funding.


What is new and different in the treatment and care of the chronic mentally ill?


Informal support for the chronic mental patient.


Medical education and the chronic mentally ill.


Community organization, planning, and the chronic mental patient.


The traveling psychiatrist in outlying areas.


The chronic mental patient: the patient's point of view.


Psychiatric treatment and rehabilitation: what's in a name?


The junior hospital doctors' pay dispute 1975-1976: an analysis of events, issues and conflicts. In late 1975, for the first time in the history of the National Health Service, junior hospital doctors in the United Kingdom took industrial action. Their pay and working conditions were basic issues, but the dispute was complex. The first part of this article describes these complexities - the significant events, and the grievances and their resolution. In the second part the dispute is analysed in terms of its causes, effects and implications, particularly for the medical profession. The ambivalence, confusion and ignorance about the new contract and the question of breaking government pay policy, problems of representation, and conflicts of interests within the profession are highlighted. It is suggested that the significant economic gains of the junior doctors were not achieved by industrial action.


Continuity in social policy behaviours: the case of voluntary blood donorship. Using voluntary blood donation as a case example, the study on which this article is based explored not only the extent, or breadth, of community involvement in social policy behaviours, but also the continuity, or depth, of this commitment. Demographic and motivational data were collected through a postal questionnaire returned by 1,784 persons who had voluntary donated blood at least once in metropolitan Toronto between 1974 and 1978. An empirical distinction was also drawn between the 'active' and the 'lapsed' donor. The study found that while certain sectors of society were probably disproportionately represented among those who close to undertake voluntary social behaviours, the continuity of these actions could not be statistically associated with demographic or socio-economic variables. However, it did find that donors initially motivated by 'external' considerations such as convenience of location were more likely to lapse, while those for whom moral considerations and a sense of community were most important were more likely to continue as active donors. The general conclusion suggests that manipulating the context may be useful to broaden the initial participatory base in voluntary actions, but to produce continuity in this involvement the challenge must be phrased in moral language.


Management's right to loyalty of supervisors.


Pioneers in the fishbowl.

Pioneers in the fishbowl. Emergency physician groups are offering unique lifesaving services to hospitals. Who are these emergency physician groups, why are they necessary, and how are they structured?


Women at the top.

Women at the top. Management has long been male dominated, but recently women have been entering the field in increasing numbers. This influx has required the management establishment to think and behave in new ways.


Is this peer review or revenge?

Is this peer review or revenge?


The Danish Health Service.

The Danish Health Service.


Microcomputer medical data acquisition.

Microcomputer medical data acquisition.


The Muscatine Health Center.

The Muscatine Health Center.


Self-care education.

Self-care education. Is your clinic looking for a way to recruit new patients, reduce clinician's burnout, and receive fewer complaints and more "thanks yous"? Is there a way to improve patient loyalty to your clinic and public trust in the medical profession, and also receive fewer unwarranted malpractice claims? The solution may be found in a self-care education program at your clinic.


Performance testing in the clinical environment.


A community health education program.

A community health education program. Physicians, health educators, businessmen, and concerned citizens of Minnesota have developed a program for increasing community awareness of various aspects of healthy living. This program, based on collaborative effort, has been well received and well attended in the three rural communities in which it already has been presented. Most important of all, it has proven to be valuable for promoting individual responsibility for health.


Some hospitals offer services with a money-back guarantee.


'And now a word from our hospital'.

'And now a word from our hospital'.


Medical supplies.

Medical supplies.


Nurses blame their vanishing act on overwork, low pay--and doctors.


Diagnostic imaging.

Diagnostic imaging.


A nationwide business opportunity for hospitals.


Corporate structures for health promotion activities.


The relationship of clinic managers to consultants. Should a medical group employ the resources of an outside consultant to help solve its problems, and if so, how is the appropriate consultant selected? A practicing consultant gives his opinions.


Auxilian programs that reflect concern for well-being.


Patient education -- health promotion in Michigan's hospitals. Part II.


Wellness care.

Wellness care.


Standing room only.

Standing room only.


Communication climate.

Communication climate. Group practice managers can become more effective communicators through conscious awareness of the verbal and nonverbal messages thay they send and receive.


Summary of the National Healthcare Reform Act.


Cooperation more productive than competition.


Michigan's cost experience compared to rate-regulated states.


Planning and competition in healthcare delivery.


Questions to ask when engaging a management consultant.


Putting time, effort into resume ensures swift search for new job.


Should fee-for-service group practices develop a prepaid component? Many fee-for-service group practices are considering the advantages of developing activities using health maintenance organization concepts. In some cases, the decision to become involved with an HMO as an addition to current fee-for-service activities may become essential because of competition with other medical groups who are also considering an HMO alternative. There are a number of different ways or models for fee-for-service groups to become involved with an HMO.


Innovative background triggered trustees' interest in conglomerate.


Beward of pitfalls of restructuring.

Beward of pitfalls of restructuring.


Right to health.

Right to health.


'Retention,' 'recruitment' buzzwords trap hospitals into narrow thinking.


Patient privacy vs. law enforcement demand for info squeezes managers.


Austere Carter health budget may require supplemental appropriations.


Health as a human right: a challenge.

Health as a human right: a challenge.


Durenburger's finance subcommittee will foster more health competition.


Federal HMO funds may run out.

Federal HMO funds may run out.


Infrequent nurse tests slow foreign recruiting.


Large hospitals drop out of buying groups that lack committed volume.


Consortium wins entrée to groups.

Consortium wins entrée to groups.


Hospital costs highest in 3 states.

Hospital costs highest in 3 states.


Systems growth, new technologies demand new management strategies.


Investment bankers 'wait and see' about future of tax-exempt bonds.


Architect makes mark in healthcare design.


Soften impact of high money cost with short-term construction financing.


HCA hospitals: separate business buildings, more private rooms.


Designs produce competitive boost.

Designs produce competitive boost.


Hospitals build nursing homes.

Hospitals build nursing homes.


Carter's OMB constrains tax-free financing; Reagan may rescind.


Design/construction giants squeeze smaller firms out of healthcare field.


75% of hospital administrators hire architects, not design-builders, CMs.


Are providers losing NFPA clout?

Are providers losing NFPA clout?


Designer-construction manager team needs hard coaching from hospitals.


Schweiker inventories pending regs to weed out overzealous measures.


Hospitals monitor energy plans to get conservation on target.


Memorial Hospital's 'aggressive' trustees keep facility competitive.


Wrestling with pay equity? Design your own merit pay delivery system.


New faces debate crucial health issues on House subcommittees.


Michigan law treats Blues plan like public agency, not private institution.


AHA gets jump on Reagan agenda.

AHA gets jump on Reagan agenda.


Proposed phaseout of federal funds puts planning regulators in turmoil.


Unions not inevitable; hospitals still hold controls, consultants maintain.


Shortage spurs flurry of flextime experiments.


Rival union fights CNA expulsions.

Rival union fights CNA expulsions.


Should federal government share in capital gains on Hill-Burton units?


Competition intense as investors bid up prices of prime hospitals.


Insurers cover dread disease contamination.


DP duties, attitudes must change.

DP duties, attitudes must change.


Leading hospitals restructure, even though benefits may be short-lived.


Near-term rate outlook still bleak, hospitals can't wait for price rally.


Are hospitals getting bad fire info?

Are hospitals getting bad fire info?


Shortages decentralize healthcare.

Shortages decentralize healthcare.


Conversion cuts utility costs 50%.

Conversion cuts utility costs 50%.


MECs offer new access to health care system.


Judge weighs AHSC's motion to dismiss case.


For dealers selling hospital-based home care programs, training is the key.


Internship: a year can be a very long time.


Performance appraisal: dilemmas and possibilities. Citing avoidance by the supervisor and defensiveness from the subordinate as the two main barriers to effective performance appraisal, the author suggests ways to minimize both. The emphasis is on discussing performance evaluation in a nonevaluative manner.


Cancer hot line to second opinions.

Cancer hot line to second opinions.


Relocating the department of laboratory medicine--decision making at Union Memorial Hospital. Recently the Department of Laboratory Medicine at Union Memorial Hospital, Baltimore, Md., was relocated. Active in the planning and design of his new facility, the author recounts the experience, explaining what decisions were made and how they were made.


An IPA organizer tells why and how.

An IPA organizer tells why and how.


Collective bargaining: warnings for the novice negotiator.


Responding to employment discrimination charges.


Developing leadership potential.

Developing leadership potential.


Win, loss, draw: the grievance process in practice. The grievance procedure can be a very expensive proposition. Here's a listing of the most commonly filed grievances and what to expect when you're confronted by them.


How to handle discipline within the new National Labor Relations Board requirements.


Preventing disease and promoting health: strategies for the '80s.


A strategy for managing the selection interview process.


Selecting and evaluating trustees: effective boardsmanship includes peer review.


Renal dialysis: two views.

Renal dialysis: two views.


5 minutes with pharmacy law: proximate cause--a necessary element.


Expanding hospitals shrink costs by recovering, recycling heat.


Vacation from the machine.

Vacation from the machine.


Hispanic culture is basis of hospital program.


Occupational health hazards in hospitals.


Effective grounding: the key to personnel protection.


Substance vs. symbol in administrative reform: the case of human services coordination. In recent years the most popular strategy of reform in the human services arena has been to foster coordination among agencies serving the same populations. The certainty of difficulties in implementing coordination programs and the uncertainty of achieving improvements in service delivery have not dimmed the enthusiasm among policymakers for these programs. This persistent popularity seems to be rooted in the strong symbolic appeal of "coordination," which has overridden attention to evidence about performance.


In the image of the CEO.

In the image of the CEO.


The morale-productivity relationship: how close? Is there a direct relationship between morale and productivity? According to Robert H. Garin, professor of secondary and higher education at East Texas State University and John F. Cooper, dean of instruction at Patrick Henry Community College, the traditional view that the individual whose morale is high will be highly productive, or vice versa, is not a necessarily valid one. The authors analyzed the historical development of the major representative research studies and concepts concerning the morale-productivity relationship and found that the relationship evolved from one of simple direct correlation to the present viewpoint that a variety of factors--such as the environment, motivation, job levels, and so on--must be taken into consideration before any positive conclusion can be drawn. Because of the national concern over the decline in American productivity standards, Garin and Cooper believe that the morale-productivity relationship is an area ripe for further experimental research.


A stochastic service network model with application to hospital facilities. This paper presents a methodology for estimating expected utilization and service level for a class of capacity constrained service network facilities operating in a stochastic environment. A semi-Markov process describes the flows of customers (patients) through a network of service units. We model the case where one of the units has finite capacity and no queues are allowed to form. We show that the expected level of utilization and service can be computed from a simple linear relationship based on (a) the equilibrium arrival rates at each unit which are associated with the case of infinite capacity, (b) mean holding times for each unit, and (c) the probability that the finite capacity unit is at full capacity. We use Erlang's loss formula to calculate the probability of full capacity, show this calculation to be exact for two cases, and recommend its use as an approximation in the general case. We test the accuracy of the approximation on a set of published data. In the discussion, we present a technique for analyzing collected patient flow data using the results of this methodology.


Perquisites: the intrinsic form of pay.

Perquisites: the intrinsic form of pay. Compensation packages, particularly for executives, are made up of five elements--salary, employee benefits, short-term incentives, long-term incentives, and perquisites. Of these, perquisites are probably the most misunderstood, according to author Bruce Ellig, vice-president of Corporate Compensation and Benefits for Pfizer Inc. The value of perquisites, or "perks," is their degree of exclusivity--that is, their worth as status symbols or "membership benefits" for those employees at or above a certain level in the company's hierarchy. And their value is enhanced when they (as some do) qualify for favorable tax treatment. True perks fall into six categories--time off with pay, executive services, nonperformance awards, health-care, survivor protection, and retirement coverage. Within these categories, perks take many forms. Time off with pay, for example, might include employment contracts, liberalized vacations, the privilege of working at home, disability benefits, sabbaticals, severance pay, or outplacement assistance. The use of perks varies among companies, but is more popular among small companies.


The interpersonal side of internal communications.


Three cheers for conflict!

Three cheers for conflict! Conflict is pervasive and an inevitable part of life--at work and elsewhere. But author Dennis King, organizational consultant for The Procter & Gamble Manufacturing Company, adds that it is also a functional part of the social process. Managing conflict on the job involves the ability to identify, seek out, and utilize the functions of conflict and its outcomes. He identifies fifteen functions of conflict in three major categories: maintaining or reinforcing identity and innate strength, increasing operational effectiveness, and dealing with others. For example, conflict can lead to minor clashes that actually strengthen a relationship because they function as safety valves--preventing the buildup of tension to the stage of explosion. (Note, however, that a conflict over the basic foundation of a relationship spells trouble.) Similarly, in the union-management relationship, both negotiations and grievance handling focus on adjusting or eliminating problem elements so that the employer-employee relationship can exist satisfactorily. Recognizing and exploiting the functions of a conflict situation--that is, functional conflict management--can work to our benefit. If we develop a "functional mind-set," looking for the positive aspects of conflict will become natural.


Community education as a communications tool.


Too many Caesarean births?

Too many Caesarean births?


Are dealers maximizing the advantages of leasing?


Making TV work: some lessons learned by Cleveland's hospital network.


Perks: food service sweetens its benefits to keep its executive talent.


On the job--health care: worried about wages and advancement.


A 'ready' food system that works.

A 'ready' food system that works.


Closed-circuit television: the promise and the problems.


Survey of hospitals suggests solutions to some common CCTV problems.


Perks: benefit package increases.

Perks: benefit package increases.


1981 annual report: health care.

1981 annual report: health care.


Dental plan fees vary widely across U.S.


Employee benefits; risk managers should grab the reins!


The paradox of managing a project-oriented matrix: establishing coherence within chaos. Projects that require the flexible coordination of multidisciplinary teams have tended to adopt a matrix structure to accomplish complex tasks. Yet these project-oriented matrix structures themselves require careful coordination if they are to realize the objectives set for them. The authors identify the basic organizational questions that project-oriented matrix organizations must face. They examine the relationship between responsibility and authority; the tradeoffs between economic efficiency and the technical quality of the work produced; and the sensitive issues of managing individualistic, highly trained professionals while also maintaining group cohesiveness.


SMR forum: improving face-to-face relationships. In this paper, the author suggests that the key element to successful implementation of solutions to managerial problems lies in the improvement of face-to-face relationships. He goes on to articulate the factors involved in building and maintaining effective interpersonal communication. Particular attention is given to the repair strategies and skills needed to mend damaged relationships. Ed.


Politics of interprofessional collaboration: challenge to advocacy. Both interprofessional collaboration and advocacy for clients are highly valued social work activities; yet, when pursued jointly, they pose political dilemmas. An exploration of these activities reveals the potential for ethical dissonance and highlights the need for clear guides to professional behavior.


Socioeconomic class, classification of 'abnormal' behavior and perceptions of mental health care.


Types of medical social control.

Types of medical social control.


Malpractice: future shock of the 1980s.

Malpractice: future shock of the 1980s. Once the therapeutic relationship is established, a client acquires certain rights and the social worker certain duties. If these duties are breached due to negligence, and the client is damaged in any way, the social worker may be financially liable, and this may lead to the cause of action called malpractice.


Ideology and performance: service delivery in a community mental health center. This study examines the relationships between ideology and service delivery performance in an established community mental health center which is beginning major structural changes. Ideological pluralism among several separate and internally-cohesive units within one organization led to diversity in staff productivity. The implications of ideological pluralism for planned organizational change, policy implementation and administration are explored.


Competition in kidney dialysis.

Competition in kidney dialysis.


Fragmentation and integration in health care: the referral process and social brokerage.


Coping with uncertainty: decisions and resources within health authorities.


Boundary encroachment: pharmacists in the clinical setting.


Normal rubbish: deviant patients in casualty departments.


Alienation in the patient role: source of ambivalence and humor in comic get well cards.


Anticipatory problem solving: models for clinical practice and research.


Coping and social action: theoretical reconstruction of the life-event approach.


Trajectories, biographies and the evolving medical technology scene: labor and delivery and the intense care nursery.


Emergency room use and access to alternative sources of care.


The relationship between qualified and unqualified workers in health care: the case of the remedial therapy professions.


The ambulance journey as an information generating process.


Doctors and dirty work--the case of alcoholism.


The role of proximity in the use of hospital emergency departments.


Ethnic minorities and psychiatric services.


Migration, health status and utilization of health services.


Paradoxical consequences of excess in structural complexity: a study of a state children's psychiatric hospital.


A comparative analysis of physician estimates and levels of medical knowledge among patients.


The perils, legal and otherwise, if hospitals do not implement quality appraisal/action plans.