RNSH cook-chill system a success.

RNSH cook-chill system a success.


Working towards a total lab management system.


Dental authority first in Australia.

Dental authority first in Australia.


New heart unit leads the way.

New heart unit leads the way.


NMR scans have a big potential.

NMR scans have a big potential.


Assessing your appraisal style.

Assessing your appraisal style.


Why are people indecisive?

Why are people indecisive?


Society of Hospital Pharmacists of Australia: planning for a hospital pharmacy.


Increasing your credibility.

Increasing your credibility.


Reagan's policies strike the hardest at the poorest of America's elderly.


Curing turnover: Pennsylvania hospitals use day care to entice staff.


Tracking the cost of a plan.

Tracking the cost of a plan.


Wisconsin seeks direct provider arrangement.


Employee assistance programs well worth their cost, employers say.


Du Pont builds cost containment into optional self-insured health plan.


Communications ease introduction of new health plan.


Little relief in sight for soaring health premiums.


Hospital settles malpractice suit for $1.6 million.


No smoking. Employers say restrictions can cut costs.


Commerce Court Medical Centre: medicine goes downtown.


The legal implications of letting newborn babies die.


Successful hospital computerization depends on a sound acquisition plan.


New wave telephones: investing in interconnection.


Marketing myths, mystiques and misconceptions.


What you should know about Canada's organ transplant laws.


Can law protect a patient's rights?

Can law protect a patient's rights?


Performance appraisals can improve efficiency.


Educational and research facets of the hospital information system.


Freedom machine: Canadian diabetics adapt to life on insulin-infusion pumps.


The collective force of salaried pharmacists.


Ayerst shutdown demonstrates some patent problems with compulsory licensing.


Practical advice on forming your own association.


Homemaker-home health aide service essential to home care.


Legal aspects of the client's record: a guide for community health nurses.


The M.A.O. home care model offers hope for the future.


Aerospace technology comes home.

Aerospace technology comes home.


Advanced degrees for home care administration?


Reach out, reach out and touch someone ... but do it aseptically.


Cable television: new opportunities for nonprofits.


Quality assurance for infection control.


A review of disinfectants. Part II.

A review of disinfectants. Part II.


A review of disinfectants. Part III.

A review of disinfectants. Part III.


A rational review of rules, regulations and recommendations.


A system upgrade experience from store and forward (batch) to on-line objectives and results.


Trends in ambulatory care information systems.


Guidelines for selecting a computer system for your medical practice.


"The computer system is neutral--how you use it determines success or failure!".


"The physician's need for an informational system in an ambulatory care setting".


The Williamsport Hospital: providing community health care leadership.


"Facilities management--a new solution for hospital information systems". Interview by Bill Childs.


Peer review of psychodynamic psychotherapy. Experimental studies of the American Psychological Association/CHAMPUS program. Two factorial experiments examined the effects of reviewer theoretical orientation, documented treatment progress, and patient concurrence data on the peer review of clinical treatment reports that described long-term psychodynamic psychotherapy with a depressed, female outpatient. The experiments employed an unobtrusive methodology; peer reviewers believed that their evaluations would affect the disposition of actual mental health insurance claims. Subjects (n = 105) were American Psychological Association/Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) peer reviewers of a psychodynamic, behavioral, or eclectic theoretical orientation. The psychodynamic reviewers, compared with the behavioral and eclectic reviewers, were more positive in their ratings of treatment and more generous in their future care reimbursement recommendations. Additionally, the data demonstrated that APA/CHAMPUS peer review was sensitive to reported treatment progress, and that reviewers of diverse orientations were equally responsive to documented progress in psychodynamic psychotherapy. The patient concurrence manipulation had little effect on the dependent measures. Implications for mental health quality assurance programs are discussed.


Managing hospital information: the accelerating need.


Problems in measuring the cost of illness. Cost of illness (COI) studies have grown in importance in the last decade. They are frequently used in funding decisions for selected health care programs. Cost of illness study proponents present their results as objective, unbiased analysis. Yet, there are severe conceptual and methodological difficulties with the technique. Given its methodological weaknesses, the singular use of COI analysis to reach policy decisions may be no better than the political decision process it was intended to replace.


Measuring the effects of administrative intervention. A technique. The present study constituted a field test of a technique designed to measure the effects of administrative interventions. An organizational blockage instrument was administered prior to and following the institution of certain organizational changes by a new nursing dean. An analysis of the results indicated (1) a significant reduction in perceived blockages and (2) that the magnitude of specific changes could be moderately predicted (r = .76) prior to the second data gathering. The authors concluded that these results augured well for the tested methodology as an administrative evaluation tool.


A fully integrated hospital management system.


Single vendor responsibility--sales pitch or caveat emptor.


The computer in your future--not if--but when!


Hospitals with computers reap tax benefits from exports.


"Paper clips and prerequisites".

"Paper clips and prerequisites".


The race to the year 2000: who will survive?


Health in the post medical era.

Health in the post medical era.


Block grants: the states take the money and run.


Purchasing forms on consignment.

Purchasing forms on consignment.


Purchasing/inventory control: new system successful for small hospital.


Exchange cart vs. par stock: which is the best distribution system? Part II.


Favorable capital market likely to continue, investor-owned company executives believe.


Hospital industry girds for capital crisis and impact of shortfall expected in 1980s.


Study by ICF indicates hospitals' unmet capital needs to total $54 billion by 1990.


Contracting refinement saves one hospital $600,000.


An overview of inventory control.

An overview of inventory control.


Traveling requisitions: a means of nonstock supply control.


Competition for capital looms as a major challenge for hospitals during the 1980s.


Challenge to hospitals: learning how to evaluate new technology.


Reimbursement pressures can impact industry's capacity to raise capital.


Hospital capital raising after TEFRA: more changes for the industry.


Violence against hospital administrators warrants executive protection measures.


Business coalitions grow in size, scope and impact on health industry.


Personal liability: how vulnerable are you?


An interview with Donald E. Bogardus.

An interview with Donald E. Bogardus.


Multi-hospital system chief sees capital financing as industry's most pressing issue.


Infection perspective: infections of the upper respiratory tract.


Anesthetic levels in OR often high; hygienist suggests safety measures.


Discovering your hospital's unconscious.


How to create an outstanding hospital culture.


The role of the "American culture" in patient care and employee relationships.


Carner's codes, Chapter 5. Managing issues.


The importance of a wind tunnel investigation in the design of hospitals.


Laundry design and layout.

Laundry design and layout.


Patient crisis, nursing stresses respond to psychiatric liaison nurse.


CHA Task Force on Stewardship survey report, Part III. CEOs' views of the Catholic health care ministry.


Voluntary time off helps control costs.

Voluntary time off helps control costs.


Reagan's health policy at midterm: fairness remains key issue.


Maintaining Catholic identity in a pluralistic society: some reflections.


Hospital marketing strategies require sensitivity to consumers, providers.


Labor relations raises consciousness issues for Catholic administrators.


Proposed pastoral care document useful tool in health care ministry.


Protecting confidential patient records: what is the hospital's duty?


How should Catholic health facilities formulate a policy on omitting CPR?


Hospital liable for actions of its agents, including volunteer aides.


1982 tax wrap-up.

1982 tax wrap-up.


Hospitals responsible for taking reasonable precautions to ensure patients' safety.


Changes in admissions, average daily census, and outpatient visits.


NLRB enunciates two-tier test for determining appropriateness of bargaining units in health care field.


Quality control circles in the hospital.


Filing system.

Filing system.


Cost, motion, and time studies comparing a new cephalosporin admixture system.


Purchasing through a wholesaler via a microcomputer.


Recycled unused piggyback admixtures through the use of tamper-proof safety caps. The purpose of the project was to develop and implement a method whereby unused intravenous preparations could be redispensed for a subsequent dose to another patient. Even if the stability and sterility of the solution can be assured, since the admixture has left the controls of the Pharmacy, it cannot be reused because of the possibility that further additions have been made. If the pharmacy could assure that an admixture has not been altered in any way, it could be redispensed. Tamper-Proof Safety Caps have been placed over the additive port of Viaflex minibags after preparation, thereby rendering it impossible for further additions to be made, and therefore these admixtures can be reused for a different patient. The Department of Pharmaceutical Services has begun to recycle admixtures and has experienced an annual cost savings in 1981 of $64,512. The cost of the program for the protective caps was $17,810. This cost savings has been accomplished without further additions to the staff.


A computerized assisted pharmacy automatic stop order procedure. Automatic stop orders, which still seem to plague many hospitals, can be instituted with the cooperation of the medical staff, legal counsel, nursing service, and administration. The use of a computerized assisted pharmacy system, described here, allows compliance with Joint Commission on Accreditation of Hospitals' regulations and also prevents possible legal complications. By utilizing computer-generated reports, appropriate labels, and a drug order entry system for entering a discontinue/renewal time and date, compliance with established policies is possible.


A maternal and child health program to prepare and support parents in the postpartum. The Maternal and Child Health Program Kit has been developed to prepare and support parents in the postpartum. The kit responds to four objectives: to help families to get to know their babies; develop feelings of competence; set realistic expectations for the postpartum; and to identify and use supports and resources. In developing the kit, two target groups have been identified--the primary group, the parents; the transmitter group, the educators. The kit includes question booklets at the bedside that encourage mothers to ask questions; resource cards for health professionals that facilitate consistency in information giving; information sheets to provide concise information on topics that cover detailed information or emotional areas; four slide-tape shows on breastfeeding and a coloring book for siblings. The Maternal and Child Health Program Kit is currently being evaluated.


Use and design of low protein diets for children with inborn metabolic disorders. Low protein diets are used to treat infants and children with hyperammonemia due to urea cycle and other metabolic disorders as well as a number of amino and organic acidopathies. The incidence of these disorders is small and many are life-threatening. As a result, there is little in the literature on the dietary management of these patients. This paper draws on 10 years of clinical experience at the Hospital for Sick Children in Toronto, Ontario and presents a guide to the preparation of infant formulas providing levels of protein intake from 0.5 to 2.0 g per kg. Also described is a low protein equivalency system that is a useful guide for measuring both baby foods and table foods for affected children up to about six years of age. This dietary information is accompanied by a description of the disorders amenable to low protein diets, some of the adjunctive therapies employed and the nutritional concerns associated with severe restriction of protein.


Health services in Japan.

Health services in Japan.


Revision of the Ontario phenylalanine equivalency system and development of a low protein equivalency system. The Phenylalanine Content of Foods, an equivalency system used in the dietary treatment of phenylketonuria, was prepared in 1975. Recently this system was revised to include a total of 372 food items in various raw and processed states. Food lists are available in a simple version for parents listing the serving size per phenylalanine equivalent, and in a more comprehensive version for dietitians providing weights for the serving sizes as well as values for phenylalanine, protein, and energy per equivalent. Subsequently, the system was modified to form a low protein equivalency system for use in designing low protein diets for a number of other inherited metabolic disorders.


Oriental medical ethics from the standpoint of life science.


Bioethical approach to medical care.

Bioethical approach to medical care.


Nursing system and nursing services in Japan.


The present condition of the human dry dock in Japan and its outlook for the future.


Safety and security of medical information system.


Time series analysis of out patients at Urban Health Centre, Suraj Kund, Meerut. Time series analysis of out-patients at Urban Health Centre, Suraj Kund, Meerut, was done using the out-patient attendance of last five years, with the aim to find out the values to help in coping up with the problem of health administration and management. The least square method and ratio-to-trend method were adopted for calculating the secular trend and seasonal variations respectively. There was an increasing trend in out-patients attendance indicating the increasing popularity of the Urban Health Centre. It was found that in second and third quarter of the year the out-patient attendance increased extraordinarily due to various reasons. The two more aspects of time series, i.e. cyclical trend and irregular flactuation could not be analysed due to their insignificant impact over the health management system. Time series analysis of out pateints at Urban Health Centre, Suraj Kund, Meerut, was done using the out patient attendance of the last 5 years.  The analysis was undertaken to determine methods of coping with various problems of health administration and management.  The least square method and ratio-to-trend method were adopted for calculating the secular trends and seasonal variations, respectively.  There was an increasing trend in out patient attendance indicating the increasing popularity of the Centre.  It was found that in second and third quarters of the year, the outpatient attendance increased due to various reasons.  No attempt was made to analyze cyclical trends or irregular fluctuation, due to their insignificant impact on the health management system.


Organizational burn-out. Symptoms & prevention.


Function of the Japan Hospital Association.


Fire plan: the preface.

Fire plan: the preface.


The physician as advocate.

The physician as advocate.


Health care manager's notebook: recruiting and interviewing.


Public relations in hospital.

Public relations in hospital. In this paper, the authors have dealt with the salient features of public relations function in a hospital situation while providing health care services to the patients. Public relations is an important function to build up corporate image of the hospitals in the minds of the public and the patients. The authors, therefore, suggest that proper attention may be paid to this aspect for greater appreciation of the services by the community at large.


Canada: higher fees, lower wages.

Canada: higher fees, lower wages.


Hospital Watch Program.

Hospital Watch Program.


Service and communications: two sides of the quality coin.


New Hampshire: implementing the Poor Laws of 1601.


New trends in NLRB law.

New trends in NLRB law.


Employee discipline and due process rights: is there an appropriate remedy?


Self-enforcement under the National Labor Relations Act: disavowals of unfair labor practice conduct.


Innovative approaches to complaint/grievance resolution.


Origins of the union contract. Development of contractual features of union-management relationship.


Middle management today: who's calling the shots?


Health-care, laundry organizations join forces to develop guidelines.


New rules on minimum water temperature in hospital laundries may go into effect.


Linen handling and transport considered most critical areas in JCAH inspections.


Hospitals to face increased regulation in disposing of hazardous substances.


Indiana VA Medical Center to start construction on new $2 million laundry.


Scrub suit control program to cut costs at Florida hospital by 30%.


Reagan administration drops plans to enact hospital reporting system.


Computer update: new capabilities can ease a laundry manager's job.


Looking to reduce linen usage? Check hidden problem areas.


New laundry in Albany County will service two nursing homes.


The question of informed consent: a progress report.


Does your hospital really care what you think?


Let employees pick their own fringe benefits?


Test yourself: do you know your hospital's charges?


How to write-and read-letters of recommendation.


Has doctor policing gone too far?

Has doctor policing gone too far?


The six commandments of referrals.

The six commandments of referrals.


New inroads into confidentiality.

New inroads into confidentiality.


My confidentiality rules make everyone angry-except patients.


Peer review is great. Duplicate review is absurd!


Why you'd better not take hospital privileges for granted.


How could a doctor steal so much?

How could a doctor steal so much?


These doctors broke the countersuit barrier.


Could you break the countersuit barrier?


Your own hospital may be your toughest competitor.


Emergency treatment for hospital sales training.


Are you ready to market to patients?

Are you ready to market to patients?


Will electronic media transform physician and patient education?


The future has no room for "pseudopharmacy".


A sound future for PRN?

A sound future for PRN?


Home care is where the dollars are.

Home care is where the dollars are.


Cable Health Network--a direct-to-consumer market approach.


Cable Health Network is on the air.

Cable Health Network is on the air.


Philosophy wears a clinical hat at N.Y. hospital.


The Robert Wood Johnson Foundation: billion dollar force for health-care change.


High court nixes fee ceilings for 'medical-care foundations'.


Musicians whose hands are out of tune get a work-up by Mass. General physicians.


Schweiker on health policy. Interview by Larry Frederick.


Do your patients get fact or fancy from trendy health mags?


Hospital-wide BP screen aims to spot borderline hypertensives.


Economic outlook. It's dangerous to ignore impact of medical technology advances.


Economic outlook. Supply price increases will dip, but they'll still top inflation rate.


Equipment planning. New magnet may lower cost of NMR.


Equipment planning. Firms bullish about technology markets.


Equipment planning. It's hard to make a profit on ultrasound.


Equipment planning. Competing imaging methods slow down nuclear medicine's growth.


Equipment planning. ICU monitors boost nurse efficiency.


Grass-roots relationship cultivated between HMO's trustees, members.


Brace yourself for a deluge of rhetoric.


Truth's a strong weapon in firing worker.


Credit pooled to lower interest rates.

Credit pooled to lower interest rates.


Sale of SHARE expands its power.

Sale of SHARE expands its power.


Hospitals must shop around for buyer.

Hospitals must shop around for buyer.


Outpatient visits double after hospital opens new ambulatory care center.


Hospitals react with low-frequency response to potential of cable TV.


Coalitions hungry for hospital data.

Coalitions hungry for hospital data.


Diversification is hospital's first move in $485 million game plan to survive.


Economic outlook. Governments shear spending; hospitals must rethink strategy.


Economic outlook. Critical media sway consumers.


Economic outlook. Staff growth may be cut abruptly.


Economic recovery expected in health care markets, too.


Inside sales, telemarketing--a new prominence in the '80s?


Employers and health care cost containment.


RX for '83: bargain for health-care cost curbs.


Physician/CEO partnership vital to success.


You are an effective leader . . . are you a statesman too?


Justify CON applications thoroughly.

Justify CON applications thoroughly.


Who will lead the computer revolution?

Who will lead the computer revolution?


Managing technostress: optimizing the use of computer technology.


Preretirement planning: an employee benefit that has come of age.


The how, what and why of stress management training.


Guidelines for effective and defensible performance appraisal systems.


Compensation and benefits.

Compensation and benefits.


A CEO's view of the human resources function.


The elements of effective salary administration programs.


Are you a skilled interviewer?

Are you a skilled interviewer?


Let's put appraisal back in performance appraisal: Part I.


Outplacement: program guidelines that ensure success.


Recruitment: a prescription for hiring headaches.


Avoiding religious discrimination in the workplace.


Recruitment: what you should know about display advertising.


Employee selection: must every job test be validated?


How to make quality circles work for your organization.


Conducting an employee attitude survey.

Conducting an employee attitude survey.


Negotiating the initial union contract.

Negotiating the initial union contract.


Smoking in the workplace: a review of human and operating costs.


A human resources counseling model: the alcoholic employee.


Employee assistance programs: basic concepts, attributes and an evaluation.


Senior management views the human resource function.


A programmatic procedure for evaluating personnel policies.


Concession bargaining: the time is now! A response to economic necessity.


Using OB Mod to increase hospital productivity.


Interest arbitration examined. It's not the panacea some believe it to be.


The decertification of a union: the rules of the game.


Blood drive #2. Hospital blood drive beats record.


Selecting an arbitrator for a discrimination grievance. Elements to be aware of.


Blood drive #3. Community recruiting for blood donors.


Tent cards for patients. They can learn something while lying there...


Health education: simplifying eating out.


Babysitting clinic.

Babysitting clinic.


Anniversary PR: using your departments as PR auxiliaries.


Promoting a parking lot maternity unit.

Promoting a parking lot maternity unit.


Neonatal transfer package: babies and their required forms.


A magazine for physicians: reinforcing your referral resources.


Blood drive #1. Gift of life.

Blood drive #1. Gift of life.


Activities in social responsibility.

Activities in social responsibility.


Employee cookbook.

Employee cookbook.


Direct mail fund raising. Using an accident in the annual appeal.


Mini-medical guide.

Mini-medical guide.


A challenging centerspread.

A challenging centerspread.


Advertising for legislative leverage.

Advertising for legislative leverage.


Nurse newsletter.

Nurse newsletter.


Physical fitness guide. The conversion of a calendar.


Quarterly magazine insert.

Quarterly magazine insert.


I recently read an article about "demarketing" and am somewhat confused; are we supposed to market or demarket our hospital?


Post acute services booklet: promoting rehab and its facility.


A modern approach to injury record keeping.


Prepaid care pushed by industry and private investors.


Hospital board membership can put you in control.


How a new filing system saved one office.


Why your hospital may go out of business.


Are physician-owned malpractice insurers viable?


Make your patients feel you really understand them.


Teambuilding strengthens your practice.

Teambuilding strengthens your practice.


Dealing with overcompetitive colleagues.


Putting health insurance under physician control.


Are you heading for physician burnout?

Are you heading for physician burnout?


What a malpractice attorney looks for in medical records.


Assaults on the medical profession.

Assaults on the medical profession.


Medical records: the physician's rights and responsibilities.


10 ways to avoid medical office problems.


Congruent communications.

Congruent communications.


"If I'd known then what I know now . . .".


Budgeting. Realistic budgeting for public relations requires consideration of three components: a competent staff; facilities; and funds.


Future-based budgeting.

Future-based budgeting.


Measuring individual performance.

Measuring individual performance.


11 signal trends in not-for-profit public relations.


How to help your lobbyists win.

How to help your lobbyists win.


Think you've got problems starting a health promotion program? Wait 'til it succeeds!


The single most important event in a PERT chart. PERT is becoming a necessary approach for controlling the many events that contribute to the success or failure of initiating new diagnostic imaging services. This article first describes the development of a PERT program and offers advice on how to optimize the chance for successful results. It then describes the one single event that is the most critical one that impacts on the total results which are obtained.


Smokestacks, widgets and radiology: perspectives on productivity. Productivity in radiology is a complex and elusive issue. The fact that radiology is the practice of medicine makes management of it very different from management in traditional "smokestack" industry. Management itself is very young, and more familiar with smokestacks and widgets than with radiology or any other service industry. Before management can hope to affect productivity in radiology, it must first come to understand what it (radiology) is, and how it works.


Personnel scheduling--making it work for everyone.


Operational budgeting and budgetary control in diagnostic radiology. This article is concerned with establishing a revenue and expense budget for a diagnostic radiology department. It deals with setting up a breakout of examinations into specific categories and projecting the volume in each category. The volume should be expressed in RVUs rather than examinations. The volume predictions for the upcoming year would then be decided by factoring in such things as new procedures, new technology, patient day projections, ER projections, and any known outside influences. Once the volume is projected, expenses should be matched to these increases or decreases. These expenses would be prior to adding inflationary impacts. Finally, a follow-up should be performed on a monthly basis to ensure that the percentage change in volume is being matched by the same percentage change in expenses.


The politics of fund raising through grantsmanship in the human services. Funds for human service programs and services are declining, and selection criteria for funds are becoming more objective. These conditions are creating an imbalance in the system which will result in a significant change in human service funding and delivery. The climate is ripe for increased competition among those who obtain funds for human services. This article attempts to define how that competition will ultimately generate a spirit of cooperation among the survivors. To reach that point, however, grantsmen/providers, to be competitive, will need to sharpen their technical writing skills and their political skills, that is, they need to become more shrewd, prudent, and diplomatic. This article suggests some methods for improving technical grant-writing skills and developing political skills among grant writers.


Investing in policy evaluation: some guidelines for skeptical public managers.


Legal forum: antitrust litigation.

Legal forum: antitrust litigation.


Assessing the believability of research results reported in the environmental health matrix.


Who is "due" process?

Who is "due" process?


Compressed shift schedules: altering the relationship between work and non-work.


Designing an on-line system for radiology.


The new informationist.

The new informationist.


Medical corporations aim for large share of SDS market.


Infection control standards are crucial, but easy to follow.


From MBO to MBR.

From MBO to MBR.


Legal case demonstrates need for thorough consent records.


Beyond polarization: the holistic approach to family practice.


Third-party vendorship: an imperative for the 1980s.


Emotional components of supervision: an EAP workshop.


Wrongful life: a misconceived tort.

Wrongful life: a misconceived tort. Recent advances in prenatal genetic counseling have expanded the scope of malpractice liability. Parents and children have both brought tort actions for negligent prenatal genetic counseling. The child's "wrongful life" claim is a unique and difficult moral and legal issue. This comment examines wrongful life and the parents' "wrongful birth" action, and suggests a model of recovery for wrongful birth that avoids the insoluble problems inherent in a wrongful life claim while providing for the needs of the disabled child.


A strategic analysis of the textile rental industry.


Task analysis: training's enduring workhorse.


A trainer's guide to successful productivity improvement planning.


Eight steps to clarify a training philosophy for you and your department.


How to plug into teleconferencing.

How to plug into teleconferencing.


Reach out and train somebody.

Reach out and train somebody.


Who uses teleconferencing for training?

Who uses teleconferencing for training?


Blood and black bile: four-style behavior models in training.


Study tour in England. An architect's view.


Study tour in England. An organiser's view.


Study tour in England. A nurse's view.

Study tour in England. A nurse's view.


Study tour in England. An administrator's view.


Study tour in England. A psychiatrist's view.


Study tour in England. A medical view.

Study tour in England. A medical view.


Study tour in England. An engineer's view.


Study tour in England. The guests' programme.


Health care in big cities: New York and Detroit.


Trends affecting U.S. hospitals.

Trends affecting U.S. hospitals.


Study tour in England. General report.

Study tour in England. General report.


Will you ever collect a pension?

Will you ever collect a pension?


Study tour in England. Setting the scene.


The doctor as toy-fixer: a combination of art and play therapy.


PACT: a pet placement organization for the elderly living at home.


Humanistic health care components in a course on the geriatric patient: a rationale and a strategy.


An introductory clinical course--orientation to patient care settings.


No room for pets.

No room for pets.


Pet programs for the elderly: rewards and responsibilities.


States' activities on block grants outlined.


Depressed economy, budget cuts called public health threat.


The morning report: starting the day right at a teaching hospital.


Breaking free from institution walls.

Breaking free from institution walls.


A decade of discontent ... or decision? Medicine in the '80s.


Study shows hospital closings in US cities are predictable.


Doctors in US can learn from Canadian experience ... medicine and government need to cooperate.


The lame-duck session: will health bills pass or go back to the drawing board?


Pet therapy for the elderly.

Pet therapy for the elderly.


Counseling patients on nutrition.

Counseling patients on nutrition.


ACP will show internists at work.

ACP will show internists at work.


Canadian hospitals feel financial pressure.


For shift workers apply circadian principles to work schedules, say researchers.


The 'Me Generation' meets medical practice.


When language becomes a destructive force.


Emergency room misuse cut. County group serves poor by rotation.


Are companion animals good for your health?


Professional liability. The roots of a crisis.


Physicians and lawyers face similar conflicts. . . .


Professional liability. The perspective of a plaintiff's lawyer.


Professional liability. The national perspective: a crisis may be in the wings.


Making the body transparent.

Making the body transparent.


Fraud in a Harvard lab.

Fraud in a Harvard lab.


Request of General Electric Company to exempt medical diagnostic equipment from the Commission's rules--Federal Communications Commission. Report & Order in Gen. Docket 81-461. This Order establishes an exemption for certain electronic medical equipment from FCC regulations designed to minimize radio interference caused by devices that employ digital circuitry. The costs of testing for compliance with specific emissions limits would be severe and most medical equipment has characteristics which inherently reduce the likelihood of interference. The Commission in this action amends the rules to relieve the compliance burden.


Prescription drug products; revocation of patient package insert requirements--Food and Drug Administration. Final rule. The Food and Drug Administration (FDA) is revoking its final rule establishing requirements for the preparation and distribution of patient package inserts (PPI's) for prescription drug products for human use. This action is taken because the agency has determined that a mandatory pilot PPI program is unjustifiable, and that it is now preferable to encourage alternative patient information efforts. The agency believes that cooperation with health professionals and others in both the public and private sectors and reliance upon expanding privately sponsored initiatives in patient education should serve to provide patients with needed information about prescription drugs.


Prescription drugs; revocation of final guideline patient package inserts and withdrawal of draft guideline patient package inserts--Food and Drug Administration. Notice. The Food and Drug Administration (FDA) is revoking the final guideline patient package inserts for 5 classes of drugs and is withdrawing the draft guideline patient package inserts for 5 other classes of drugs. Elsewhere in this issue of the Federal Register, the agency is revoking the regulations that established general requirements for the preparation and distribution of patient package inserts for prescription drug products. Those regulations had established a pilot program that would have been applied to 10 classes of drugs for 3 years. This notice revokes the draft and final guidelines which described how manufactures might comply with the regulations with respect to affected classes of drug.


Privacy Act of 1974; proposed major alterations to an existing system of records--Public Health Service. Notice of proposed major alterations. In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing a notice proposing major alterations in the Privacy Act system of records entitled "Grants Act system of records entitled "Grants: Research, Research Training, Research Scientist Development, Education, Demonstration, Fellowships, Clinical Training, Community Services, Cooperation Agreements, "HHS/ADAMHA/OA, 09-03-0027. The system contains the official documentation of the grant programs of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA). The proposed alterations are necessary to ensure compliance with recently added provisions in the Public Health Service Act (PHSA). Section 303 (42 U.S.C 242a), concerning clinical training awardees' payback obligations.


Hazardous waste management system: standards applicable to generators of hazardous waste and standards applicable to owners and operators of hazardous waste treatment, storage, and disposal facilities--Environmental Protection Agency. Proposed rule. The Environmental Protection Agency (EPA) is today proposing amendments to its hazardous waste regulations under Subtitle C of the Resource Conservation and Recovery Act (RCRA). These amendments would replace the annual reporting requirements for hazardous waste generators and owners and operators of hazardous waste treatment, storage, ad disposal (TSD) facilities with a biennial survey of representative samples of those populations. This approach will provide verifiable data on a wider range of topics, better serve EPA's long term regulatory needs under RCRA, and reduce significantly the information burden on the regulated community.


Designation of medically underserved areas; list of final deletions--Health Resources and Services Administration. Notice. This notice is to advise all interested individuals and organizations, particularly Health Systems Agencies and State Health Planning and Development Agencies, of the final deletions from the list of areas that have been designated as medically underserved areas (MUAs). The final deletions result from analysis of comments received since the publication on October 28, 1981, in the Federal Register [46 FR 53320] of areas proposed for deletion.


Requests that certain areas be designated as medically underserved areas--Health Resources and Services Administration. Notice. This notice is to advise all interested individuals and organizations particularly Health Systems Agencies and State Health Planning and Development Agencies, that the Department is reviewing a number of requests that certain areas be added to the current listing of areas designated as Medically Underserved Areas (MUAs). Governors of affected States will be consulted by letter regarding the proposed designations in their States. These areas are being reviewed as the result of requests for designation submitted by Health Systems Agencies.


National guidelines for health planning; rescission of computed tomographic scanner standards--Public Health Service. Final rule. This document removes from regulations Federal standards for computed tomographic (CT) scanners with respect to the appropriate supply, distribution and organization of health resources. Based on concerns discussed in the notice of proposed rulemaking published on May 20, 1982, and subsequent comments, the Secretary has decided the standards are too rigid and inflexible, and that they to not take into account recent advances in the state-of-the-art in scanning technology. This action gives states and local communities the fullest possible discretion and flexibility in the review and planning for expenditures related to this technology. The Department is making non-regulatory technical information materials concerning CT scanners available to the public.


Taxing health insurance--revenue boost only the tip of the savings iceberg.


Congress weighing plight of people out of work, out of health insurance.


From doctors to dairy farmers, critics gunning for the FTC again.


Birth centers deliver lower maternity costs.


Benefit costs rise despite cuts, survey shows.


Hospitals evaluate risks before acquisitions.


Lack of rules hurts birth center movement.


Chronic pain. Quick employer action cuts long-term costs.


Grants to train health care policymakers.


Social Security fix could hike pension costs.


Looking homeward for savings. Company cuts costs by going 'home'.


Florida proposing reform of malpractice system.


Training for independent living unit: its function in a rehabilitation convalescent setting. This article describes a Geriatric Self-Care Unit in a 92 bed Rehabilitation Convalescent Hospital. Ten beds are set aside for this unit. The overall goal of the Self Care Unit (S.C.U.) is to facilitate the patients' discharge into the community. This pilot project has been in effect for six months with 47 patients having completed the program. Results of the program, its problem areas and progress are outlined.


Care of the elderly at home: serving the family in the community. This is a report on a community seminar, jointly sponsored by Toronto East General and Orthopaedic Hospital and the Borough of East York. The object was to provide information, support and a milieu for discussion for those caring for an elderly person at home. The planning committee included health-care professionals and agencies from both the hospital and the community. Two questionnaires were distributed and results indicated that the objectives had been met.


Public policy toward the elderly: the multicultural approach.


Support services enable elderly people to remain at home. This paper describes the community rehabilitation team's role in providing services which enable the elderly to remain in their familiar surroundings. The occupational therapist's contributions as a member of this team are outlined, including environmental modifications and adaptations, activities of daily living training, and use of activities to meet specific aims. Finally, the importance of the team members'p attitude is discussed. A positive and understanding attitude is a determining factor in the success of intervention programs for the elderly.


Seniors helping seniors: a model of peer counseling for the aged.


Elderly people's social strategies for survival: a dynamic use of social networks analysis.


How Washington State got the "Blues".

How Washington State got the "Blues".


Bringing corporate structure to nonprofits: a case study.


The Visiting Nurse Association of Washington, D.C.


Patients and doctors. The changing physician-patient relationship.


Disability income insurance.

Disability income insurance.


Reimbursement for RN's.

Reimbursement for RN's.


CO, CU, divestiture and dimension: trying to uncross some telephone lines.


The RN clinical advancement ladder: more hospitals are climbing on.


Understanding employee theft.

Understanding employee theft.


Home IV programs.

Home IV programs.


How to get your PSAs on the air.

How to get your PSAs on the air.


A report on a survey of teleconferencing users.


Healthcare planning expertise boosts dealer's total sales.


Utilization review.

Utilization review.


How employees benefit from your corporate fitness program.


Perceptions of a new hospital trustee.

Perceptions of a new hospital trustee.


Home support for elderly persons: a futuristic example.


Certification to strike: where do trustees fit in?


Whither goest Social Security?

Whither goest Social Security?


"There's a new world coming"--the third generation of health and welfare plans.


How to use your consultants most effectively.


Trends and outlook for the '80s.

Trends and outlook for the '80s.


The future shape of EM? Dallas group report outlines EM needs.


Avoiding malpractice helped by 'practice sessions'. Interview by Jean McCann.


Economy driving EP's to FEC's? Ass'n head thinks so.


Triage strong point in economy of emergicenter, says one EP.


Salvaging the health services plan in Canada.


Evolution of a community-based home care hospice program.


Hospice in an existing home care agency.


Hospice of the Monterey Peninsula and its free-standing inpatient facility.


Hospice bereavement services: creating networks of support.


The evolution of an urban-based hospice program.


Feature article: prospective caring--continuing health education of the community.


Arenas for practicing health promotion.

Arenas for practicing health promotion.


Auxiliaries: tapping their full potential.


Health promotion and disease prevention: improving health while conserving resources.


Health marketing: implications for health promotion.


Vietnam combat veterans: from perpetrator to victim.


Volunteers lend a hand.

Volunteers lend a hand.


The primary care physician in cancer prevention.


Behavioral science approaches to improving productivity. We have suggested that improving the productivity of an individual or of one group of workers is not the same thing as improving the productivity of the organization overall. Further, because work units in hospitals are interdependent, attempts to improve productivity ultimately involve a reexamination of the organization's values and culture. Until this fundamental realization occurs, little can be done to improve the organization's productivity. As such, productivity is not simply a day-to-day managerial issue as a long-term leadership issue. Thus, we ought to begin mapping out productivity strategies for the long run. Some of the elements of such a strategy have been highlighted.


Quality circles: a management concept whose time has come.


Going in circles?

Going in circles?


Demonstrating accountability.

Demonstrating accountability. Clearly, the department of education has an important role to play in assisting the hospital to become more effective and efficient. The key competencies required of today's manager and practitioner are educational needs assessment, evaluation, and measurement. ASHET educational programs, including the highly successful teleconference "Productivity and Performance Improvement" broadcast nationally last fall, are addressing this need for increased knowledge and skill in educational diagnosis. The key to the success of the health care education and training field depends, to a large extent, on the value, productivity, quality, and cost-effectiveness of our education programs and activities. With the advent of cost-per-case reimbursement, these will play an increasingly important part in the expectations that will be placed on education in the coming years.


Toward a unified theory of copyright infringement for an advanced technological era.


Freestanding emergency centers.

Freestanding emergency centers.


The trauma drama. Interview by Carol R. Summer.


An evaluation of a combined terrestrial/satellite EMS communications system: medical aspects, Part II.


State directors accept the challenge.

State directors accept the challenge.


Here come McDentists.

Here come McDentists.


Licensure by endorsement.

Licensure by endorsement.


Energy accounting.

Energy accounting.


Supply cost management: a new frontier.

Supply cost management: a new frontier.


EMS research.

EMS research.


The ob/gyn office of tomorrow.

The ob/gyn office of tomorrow.


What vendors can do for you other than deliver.


Another kind of corporate contribution: nonprofits may be overlooking their best bet.


The exceptional child. Group practice as provider of comprehensive care.


Lab analysis. Breaking the volume barrier.


What functions or departments should be included under the management control of the materials manager?


Key to loss prevention--communication.

Key to loss prevention--communication.


Legal and ethical issues of accepting vendor gifts.


Evaluating vendor performance.

Evaluating vendor performance.


Corporate restructuring in a nutshell.

Corporate restructuring in a nutshell.


Focusing in on your market.

Focusing in on your market.


Public wants best health care, despite high cost.


Drucker's management by objective concept.


Philanthropy can play important role in hospital finances.


Who needs the office of the future?

Who needs the office of the future? The office seems to be the last outpost of resistance to automation, if one can judge by the small amount of money companies are now spending on it. Yet more than a trillion dollars will go for salaries and support of white-collar workers in 1982. Booz, Allen & Hamilton Inc., the management and technology consulting firm, studied so-called knowledge workers to determine how they spend their work day and whether the enhancements of the office of the future could make them more productive. Harvey Poppel discusses the results and points out that many of the frustrating, unproductive activities that the study revealed could be reduced by the appropriate mix of new office systems.


Restrictive covenants: are they legal?

Restrictive covenants: are they legal?


Today's organizational structuring trends.


Agency extends support services, spearheads association's birth as home care continues expansion.


Non-profit tax expert provides insight into home health agency financial situation, restructuring.


Building depreciation: which method pays off?


Community benefits from hospital, home health agency co-op.


An unmanaged computer system can stop you dead. Many businesses today are discovering that technology alone will not ensure the success of their information systems. In fact, the growing availability of computer-driven technology has made it harder for many companies to keep pace, and some have already fallen behind. Complicating this grim picture is a growing shortage of trained personnel. Such serious problems jeopardize not only the computer systems but the very existence of some companies, says Brandt Allen. Senior executives must become closely involved with their information systems to reassess and perhaps reorganize their computer resources. He details some measures for first aid and long-term care of the information system that should help to avert life-threatening situations.


New tools available for promoting security awareness and your department's image.


Coping with the emergency room dilemma.

Coping with the emergency room dilemma.


American Medical Association, Division of Library and Archival Services.


The University of Chicago Graduate Library School.


Borrow from industrial hygiene to control hazards.


The urge to merge. An editorial concerning the merging of two or more libraries.


Hospital employees made up 14% of California rubella cases.


Experts give advice on improving rubella immunity.


What causes those health problems reported by VDT users?


Protect hospital staff by identifying NANB hepatitis cases.


Experts praise, criticize EPA infectious waste manual.


Use high efficiency surgical masks.

Use high efficiency surgical masks.


Telephone systems in hospitals.

Telephone systems in hospitals.


CB interference.

CB interference.


Urgent communication.

Urgent communication.


Micro-electronic technology in Health Service communications.


Telecommunications in the Health Service.


CAPS focuses on pregnant teenagers' counseling, medical needs.


Hospital asks suppliers to reduce price increases.


The health apostolate: service, understanding, wonder.


Monitoring professional relationships: what is the trustee's role?


Innovative home care program offers appropriate alternative for elderly.


Survey discloses NFP practices, preferences in U.S. Catholic hospitals.


Pope John XXII Medical-Moral Research and Education Center. May Catholic health facilities permit determination of death by brain criteria?


Trends in U.S. Catholic hospitals and all other nonfederal U.S. hospitals, 1970 to 1979: CHA study report, Part III. Changes in occupancy, length of stay, and births.


Expanded corporate liability exposure limited by peer review protection.


Hospital's refusal to disclose records underscores crucial privacy issues.


Hospital's self-assessment for liability important in cases related to phobia charges.


Competition: new moral dilemmas for physicians, hospitals.


Judicial scrutiny prevails over decisions by hospitals' credentials committees.


Perspectives on capital equipment. The financial manager.


Perspectives on capital equipment. The large hospital.


Hospital capital equipment purchasing in an investor-owned environment.


Capital equipment purchasing: a group purchasing director's perspective.


Cost containment through component depreciation analysis.


Capital equipment considerations for users and material managers.


Considerations in capital equipment purchasing.


Product specifications.

Product specifications.


Life-cycle maintenance for capital equipment.


Perspectives on capital equipment. The material manager.


Property assets management program.

Property assets management program.


Capital equipment acquisition.

Capital equipment acquisition.


There still are disadvantages to leasing.


Perspectives on capital equipment. The vendor.


Advantages of procuring capital equipment through a distributor.


California Supreme Court requires judicial deference to initial hospital medical staff decisions.


Hospital construction moratoriums and preferred provider organizations are emerging issues in various states.


Coordination is key to increased productivity.


Appraisal feedback interviews.

Appraisal feedback interviews.


What it takes. Leadership.

What it takes. Leadership.


Health care team management requires savvy.


A supervisor for the eighties.

A supervisor for the eighties.


Versatility: key to productivity.

Versatility: key to productivity.


Who's second in command?

Who's second in command?


Holistic approach to quality.

Holistic approach to quality.


The case of the missing nurse.

The case of the missing nurse.


Catcalls blur the real issue.

Catcalls blur the real issue.


Reality strikes homecare.

Reality strikes homecare.


How a university teaching hospital implemented CPR training for its medical staff.


Nurses and registries: fragments of a history.


Interdependence is new mode for medical staff members.


Where power should lie in credentialing disputes.


Ebb tide for allied health professions.

Ebb tide for allied health professions.


How hospitals can solve the nursing shortage.


How can the medical staff interact with pharmacists to improve drug utilization practices in hospitals?


The need to improve hospital investigational drug policies and procedures.


Nursing attitudes toward the constructed environment of nursing homes.


Follow-up file and system.

Follow-up file and system.


Why RNs quit: the need for management reappraisal of the "propensity to leave".


Revised classification and filing system for hospital pharmacy.


Computer use and undergraduate education for computer use in Canadian health care foodservices. Surveys were conducted to assess the computer use in 50 selected Canadian health care foodservice facilities and to determine the educational preparation for computer use in seven selected Canadian post-secondary education institutions which educate potential foodservice personnel. Both the foodservices and post-secondary educational institutions selected were represented at two workshops on computer-assisted foodservice management held in June 1980 and in May 1981. Only seven facilities used a computer for foodservice functions; nine foodservices planned to use a computer within the next two years. A list of applications in use, being planned and of future interest showed the priority areas for these foodservices. Only one post-secondary educational institution actually had an educational foodservice application for student use. The other six educational foodservice facilities covered the subject matter content by readings, lectures and discussions.


Long term care facilities: the benefits of having a dietitian. This article describes the improvements made by a dietitian in two long term care facilities. Neither facility had previously employed a dietitian. Nutritional status of residents was improved by menu revisions that included more dairy products. Accurate serving of calculated diets was instigated. Administrative tools such as policy and procedure manuals and standardized recipes were introduced. It is to be hoped that the positive experiences of these long term care facilities in employing dietitians will encourage other facilities to follow suit.


Profit maximization and hospital-based outpatient services.


Determining the true cost of hospital-based ambulatory care.


Financial modeling: the impact of ambulatory care services on the hospital.


Hospital-based physician group practices in teaching hospitals: a national survey.


Nursing care structures and productivity.


"Stringing" phenomena: an analysis of nursing absenteeism.


HMOs: competitive threat or strategic opportunity?


Cooperative education benefits students.


Diversification: a growing trend.

Diversification: a growing trend.


Consumer advocacy and long term care.

Consumer advocacy and long term care.


Using research to plan nurse aide training.


Continuing education. The community hospital's role.


Triage 1982. You've trained for "the big one," but are you ready for the little disaster?


Educating the ED nurse.

Educating the ED nurse.


The private ambulance industry comes of age.


Understanding your pension plan.

Understanding your pension plan.


How good is your plan?

How good is your plan?


The Kenner airliner disaster. A 727 falls into a New Orleans suburb.


Wyoming's five-year EMS action plan.

Wyoming's five-year EMS action plan.


Nontransport lawsuits.

Nontransport lawsuits.


EMS in Sheldon, Iowa.

EMS in Sheldon, Iowa.


When disaster strikes...the critical incident stress debriefing process.


Fringe benefits with base salaries. 1983 salary survey.


Putting the statistics in perspective. The EMS universe.


1983 ambulance survey.

1983 ambulance survey.


A survey measures EMS patterns. Life in the big city.


Who knows CPR?

Who knows CPR?


Measuring your system.

Measuring your system.


Revisiting the Kenner disaster.

Revisiting the Kenner disaster.


Medical priority dispatch--it works!

Medical priority dispatch--it works!


Call screening in Dallas. Triage with care.


Principles of group treatment in a nursing home.


The impact of resident councils.

The impact of resident councils.


Developing a career ladder for nursing personnel.


Granting academic credit for experimental learning.


A method to determine a non-economic personal value of life. This paper presents a method for estimating a non-monetary personal value for death in the context of a decision problem. The method evolved from a case study of a personal decision strategy for choosing whether to receive the swine influenza vaccine, based on the predicted epidemic in the United States in the fall of 1976. Rather than dealing with the decision-maker's assessments of utilities associated with extreme outcomes such as one's own death, the basic approach considers probabilities representing marginal reductions in the probability of death. An application to the swine influenza decision is included.


Employee orientation program.

Employee orientation program.


Automatic collection correspondence series better than in-house collections.


A public relations course for business office employees.


How safe are air ambulances?

How safe are air ambulances?


I won a battle for good medicine in spite of myself.


What it will take to solve the malpractice crisis.


Why "me first" is ruining medicine.

Why "me first" is ruining medicine.


Management by objective: how to make it work in the business office.


How much of your turf do the non-M.D. doctors have?


I went to jail for refusing to treat a patient.


What nurse practitioners are really doing.


Managing the accounts receivable investment.


Why the group-practice brainwash is hogwash.


Fee increases: restraint takes over.

Fee increases: restraint takes over.


These doctors didn't harm anyone!

These doctors didn't harm anyone!


Bad checks a problem -- will new state laws provide a solution?


Unemployment hits British specialists.

Unemployment hits British specialists.


UC Davis Medical Center gets back its accreditation, but suits go on.


Blues reward office surgery.

Blues reward office surgery.


With less federal money, clinics cut back on health care for the poor.


"I won't be in today".

"I won't be in today".


Ambulatory care centers: off and running.


Employee selection simplified.

Employee selection simplified.


Alternative care: the increasing clout of HMOs.


Situational leadership: flexibility is the key.


Building a career ladder for the upward climb.


Type and screen: seven steps to success.


Designing tomorrow's laboratory today.

Designing tomorrow's laboratory today.


UP clinic weathers tragic time.

UP clinic weathers tragic time.


I am your patient.

I am your patient.


Employee style affects patients' view of hospital.


"Tie one on.".

"Tie one on.".


The personal touch in a large hospital.

The personal touch in a large hospital.


Analysis of OHMA proposal to limit capital expenditures.


Innovations in debt financing.

Innovations in debt financing.


Remember me? I'm the patient!

Remember me? I'm the patient!


Tax-exempt bonds.

Tax-exempt bonds.


Capital financing trends.

Capital financing trends.


GAO offers mixed blessings to elderly home care options.


VHA wins first round in paper forms case.


Are you boring your audience?

Are you boring your audience?


Public misled on Social Security.

Public misled on Social Security.


$4 billion needed for jobless health cover.


HIAA blasts Reagan health tax Rx for curbing nations's medical costs.


Planning techniques supporting your decisions.


Capital financing. Working with your advisors.


Tomorrow's CEO--today's marketing leader.


Manage insurance costs. Don't let them manage you.


Magistrate's Court--a collection alternative.


How hospital business office personnel can become patient oriented.


Competition and market forces: an answer to cost containment in health care?


Corporate medicine. What's the bottom line for physicians and patients?


The AMA's big loss in Congress.

The AMA's big loss in Congress.


Patient consent in seven medical-care institutions. An exploratory study of the patient consent process was conducted in seven large medical-surgical institutions. Analysis of the most recent literature on consent and of data provided by knowledgeable persons in each facility led to the conclusions that (1) the primary intent of obtaining patient consent is to legally protect the hospital and the physician, (2) legal and educational objectives are confused and entangled in the consent process, (3) legal objectives are not adequately met in any facility, and (4) the potential for sophisticated patient education is dim given existing procedures.


Comparison of two teaching methods for self-care training for patients with chronic obstructive pulmonary disease. Group instruction in self care is a widely used adjunct to the medical management of chronic obstructive pulmonary disease (COPD). Such classes are neither convenient nor accessible to all COPD patients, however, especially those in rural areas. A self-teaching module could be a practical means of serving hard-to-reach patients. This study compares the results of a self-teaching module with those of an established group method in teaching 13 self-care skills to COPD patients. On referral from their physicians, patients in eight rural locations were randomly assigned to receive training through a group or a self-teaching process. Knowledge gain, skill attainment, skill implementation, and beneficial results were measured at the end of instruction and again six months later. The two teaching methods were compared by analyzing the data on 34 patients matched for the variables of smoking, diagnosis, and severity of disease. No statistically significant difference was observed between the two educational methods in any of the parameters measured. The fact that approximately three out of four patients benefited through either process suggests that the self-teaching module is as effective as group instruction.


Social networks and health status: linking theory, research, and practice. Social support and social networks are among the psychosocial influences of physical and mental wellbeing. This literature review attempts to link the theory, research, and practice relevant to social networks and their association with health status. It is necessary that we extend our intervention strategies to build upon and collaborate with the individual and collective expertise of social networks.


Coping with the menopausal hot flash.

Coping with the menopausal hot flash. No data are available regarding alternatives to estrogens to help women cope with the menopausal hot flash, a condition labeled vasomotor instability of unknown etiology. This article answers questions most frequently asked by women about the hot flash, places the menopause and associated body changes within a normal growth and developmental framework, and describes methods other than estrogens that women use to cope with the hot flash.


Design considerations for adult patient education. A variety of factors require attention in the design of patient education programs for adults. Andragogy, the art and science of helping adults learn, describes certain conditions of learning that are more conducive to growth and development for adults and prescribes practices in the learning-teaching transaction to meet them. Stigma, a special discrepancy between virtual and actual social identity, reduces a patient's self-esteem and fosters a feeling of dependence on others for care. Anxiety related to diagnosis and illness creates a situation in which patients cannot productively learn. The stages in acceptance of diagnosis provide a roadmap for understanding a patient's feelings/psychological processes and insight into opportunities to intervene with patient education. The specific disease a patient has effects his ability to learn. Each of these factors is considered with implications described for designing and implementing patient education activities for adults.


A one-year follow-up of participants in a smoke stoppers program. A follow-up study of Smoke Stoppers participants was conducted at least one year after participation to determine the effectiveness of this approach and to identify the characteristics of those who had remained nonsmokers. The overall program success rate was determined to be 40% at best, but no worse than 32%, depending on the denominator. The following characteristics did not show a statistically significant correlation with stopping smoking: age, education, number of attempts to stop smoking, reasons for wanting to stop, total life stressors, moral support for quitting, companions with whom participants attended classes, number of cigarettes smoked, number of years smoking has continued, and employment with the hospital. Those who stopped smoking had attended significantly more classes and had a greater proclivity to gain weight than did those who resumed smoking, although large weight gains were not a problem.


Patient education: a component of health education. Because health education is aimed at influencing behavior capable of affecting health and disease, patient education is a important constituent of health education. Patient education should demonstrably lead to increased self-assurance, reduced anxiety, better insight into one's ailments, more knowledge about the effects of medicines administered, greater self-acceptance after surgery, and improved social contacts among the chronically ill. It well deserves a place in primary health care. Patient education is not widely practiced in the Netherlands. Small-scale experiments are needed to establish effective modes of intervention.


A holistic methodology for modeling consumer response to innovation. A general structural equation model for representing consumer response to innovation is derived and illustrated. The approach both complements and extends an earlier model proposed by Hauser and Urban. Among other benefits, the model is able to take measurement error into account explicitly, to estimate the intercorrelation among exogenous factors if these exist, to yield a unique solution in a statistical sense, and to test complex hypotheses (e.g., systems of relations, simultaneity, feedback) associated with the measurement of consumer responses and their impact on actual choice behavior. In addition, the procedures permit one to model environmental and managerially controllable stimuli as they constrain and influence consumer choice. Limitations of the procedures are discussed and related to existing approaches. Included in the discussion is a development of four generic response models designed to provide a framework for modeling how consumers behave and how managers might better approach the design of products, persuasive appeals, and other controllable factors in the marketing mix.


Here's a compact primer for pharmacists on computers in pharmacy.


Prescription confidentiality.

Prescription confidentiality.


Alcoholism as a human factor.

Alcoholism as a human factor.


A concept of health administration: implications for education and quality control.


Ethics in public relations: philosophy of ethics.


Ethics in public relations: ethics and the real world.


The private psychiatric hospital: the impact of current trends.


Mental health delivery systems: then, now, and beyond.


Some observations regarding psychoanalytic psychotherapy in a hospital setting.


The nature of the psychiatric hospital: an exploration into the development of one such.


Work sampling: a means of determining physiotherapy activities and reviewing caseloads. Work sampling is a tool used to examine the activities involved in performing a job. A work sampling study was designed to examine the components of physiotherapy care in a 350-bed teaching hospital. The components were related to a physiotherapist's activities and included an examination of the time related to patient treatment, attendance at meetings, record-keeping and preparation, travel, teaching, continuing education (in-service), talking to colleagues (doctors, occupational therapists), and other activities. The purpose of the study was to quantify a therapist's nontreatment activities, and to compare observations concerning treatment with the work sampling data obtained in compliance with the Canadian Schedule of Unit Values and, in particular, its weighted units. The study showed that there was no difference between the "observed" time (sampling time in percentage of total time) spent in direct patient contact, and the weighted units, when the latter was converted to a percentage of time. The Nova Scotia government's standard of 50 000 work units per year was found to be useful in justifying staffing levels; a useful indicator of productivity was also developed using weighted units expressed as a percentage of worked or paid hours. Work sampling would thus appear to be a useful tool for physiotherapy department managers.


Psychiatry's image, issues, and responsibility.


The NAPPH tradition.

The NAPPH tradition.


Perspectives on the physiotherapy profession: a survey of Canadian Physiotherapy Association members. This study was designed to assess the professional satisfaction of a national sample of physiotherapists, all members of the Canadian Physiotherapy Association (CPA). A questionnaire was sent to 984 CPA members; 82.1% responded. Rather than analyzing the satisfaction items separately, the investigators used factor analysis to search for underlying structures in the responses. The principal component analysis indicated that there were four discrete patterns of covariation in the responses, and the resulting factors were labelled "professional interests," "patient care", "supervision" and "work conditions", in accordance with the content of the items grouped into each factor. The combination of these cores plus the results of a global ranking of the profession indicated a consistently high level of overall satisfaction on the part of the CPA therapists. As for characteristics and career patterns, the female CPA members appeared to move in an out of professional practice while the male members pursued careers. The reasons for the low level of professional satisfaction on the part of an albeit small minority of physiotherapists were found to be associated with dissatisfaction with working conditions. Further research is required to relate physiotherapists' satisfaction with their profession to their career decisions.


Professions as "callings".

Professions as "callings". The idea of an occupation as a "calling" refers to some moral and perhaps religious motives and to a vision of the larger ends and purposes that work serves. Professions are characterized by mastery of technical information, concepts and theories that guide choices, institutionalization that exercises social controls, and, at least traditionally, a service orientation. "Calling" without professionalization is inept, and a profession without a calling lacks moral and humane roots, loses human sensitivity, and restricts the vision of the purposes of human good that are served.


Tapping the client's own potential: a strategy for the resource-short patient educator.


Family impact analysis: its promise for social welfare.


The benefits of in-house cleaning.

The benefits of in-house cleaning.


The board of directors and agency accountability. The demand for greater accountability in the social service arena has forced those responsible for funding and operating programs to look for more efficient ways to evaluate them. The board of directors of the nonprofit organization, as legally constituted, is the most appropriate body to exercise the accountability function.


Separation difficulties between parents and young adults.


In vitro fertilization and embryo transfer: fertile areas for litigation. Is the family primarily a biologic unit composed of a fertile male, a fertile female and children who are genetically theirs, or is the family an essentially consensual unit wherein a man and a woman who are married to each other agree to have and raise children, to regard themselves and the children as a family, and to give each other the comforts of material and emotional support, regardless of any genetic nexus?


Microprocessors: new ways to control HVAC and energy use.


Shrinking budgets and the shrinkage of budget theory.


The dangerous dilemma of TEFRA vs. professional satisfaction.


How to recognize medical staff bylaws that require revision.


Technical issues in allocation formula design.


The role of therapeutic recreation in stroke rehabilitation.


Trainer tally varies--depending upon who is counted.


Training budgets: where does the money go?


Using testing instruments in your training effort.


Use the Q-test to sort your statistical odd ducks.


Wellness. The process of creating awareness of health risks, influencing attitudes, and identifying alternatives.


Staywell program: exemplifies corporate concern for employee health.


Managing transcription costs. Former employees handle overflow work efficiently, cost-effectively.


Smoking: what are the cost implications to hospitals?


Hospitals & business: a fit partnership.


Case studies: a look at three top-notch health promotion programs. Memorial: School of Community Health; Seton Medical Center: Good Health School; Baylor: Department of Health Promotion.


Interview: Kenneth Cooper, MD, "The father of aerobics". Interview by Sue Durio.


Town meetings give employees a voice.

Town meetings give employees a voice.


MBO. An effective way to improve productivity in a teaching hospital.


Cost considerations of the hepatitis B vaccine.


Prudent use of supplies can lower costs.


Denial of staff privileges.

Denial of staff privileges.


Parallel review allows teamwork.

Parallel review allows teamwork.


The best laid plans of mice and men need men (or mice) and money.


Less than double-digit inflation finally in sight for hospitals.


Capital planning strategies in an era of changing ground rules. Changes in federal reimbursement policies and in the private health insurance system will affect boards' capital planning strategies. Actions recommended here include increased attention to debt service costs, return on investments, new capital sources, the efficient use of existing capital, and the substitution of capital for labor.


Marketing strategies, or, it wouldn't be competition without competitors. Predicting that in an environment of limited resources, the hospital's competitive strategy will assume greater importance, the author reviews the relationship of positioning to market success. He also discussed how such strategies as differentiation, overall cost leadership, and market focus can be applied to hospitals.


The financial exchange. Funded depreciation.


Planning tips for ambulatory care construction projects. The growing ambulatory care market has attracted the attention of many hospitals. This article details the ownership, organizational, financing, marketing, and design considerations that must be addressed as part of the planning for construction of ambulatory care programs.


The construction manager can be the hospital trustee's ally. The construction manager's expertise in accurate cost estimating can help trustees engaged in the process of securing a certificate-of-need authorization and seeking bond market financing for the project. The application of these skills to two recent hospital construction projects is detailed here.


The impact of telephone deregulation on next year's capital budget.


As I see it. Hospital liable for damages along with the doctor?


What those Social Security changes mean to you.


Pro and con. Tax workers for health insurance?


Supergerms: the new health menace.

Supergerms: the new health menace.


Forces of change in health services. Implications for pharmacy.


The delivery of health information. The role of industry in patient education.


Mileage deductions for volunteers.

Mileage deductions for volunteers.


Reimbursing volunteers for expenses.

Reimbursing volunteers for expenses.


How about firing the 'big' volunteer?

How about firing the 'big' volunteer?


Putting together a community forum.

Putting together a community forum.


How to evaluate -- and enhance -- your meeting.


Role review.

Role review.


A volunteer program evaluation checklist.


Paving the way for women's re-entry.

Paving the way for women's re-entry.


The community services audit.

The community services audit.


The volunteer professional.

The volunteer professional.


Volunteers are the medium for the medic alert message.


Global, personal challenges seen looming over volunteerism horizon.


Health care crunch to place volunteers in limelight.


Support for the terminally ill: letting conscience by the guide.


Perspectives. Tax exclusion cap is back.


EEG in the operating room: artifacts and unusual waveforms.


Physicians, hospitals discovering many new uses for microcomputers.


Patient liaison group formed. British MDs' group seeks counsel from laymen.


12-point program. Utah seeks to encourage competition.


Study finds Army health care system is shaping up.


On smaller scale British care system faces U.S. problems.


ACP position papers: orphan drugs.

ACP position papers: orphan drugs.


An interim index of Victorian hospital wage & salary movements, 1980-82.


The rationale for the Department of Geriatric and Rehabilitation Medicine at the Royal Adelaide Hospital.


Rationalisation of paediatric services.

Rationalisation of paediatric services.


On trust, good management and cost containment.


Management practice in Australian hospitals.


The economics of endoscopy in a private hospital.


Continuing cost constraint in a world of excesses.


Patients' complaints.

Patients' complaints.


4th annual National Hospital Activity Data Study.


Resources allocation--why should hospitals be different?


The medical record in the private hospital.


Computers in radiology management.

Computers in radiology management.


Superior surgical residents: who are they?


Using medical journals as educational tools.


American College of Surgeons. A report to the Fellows, 1982.


Live from the operating room. Open-heart surgery as entertainment.


The evaluation of residents.

The evaluation of residents.


Life and death and the law.

Life and death and the law.


Congress avoiding political abyss by approving Social Security changes.


Reagan's cancer wars.

Reagan's cancer wars.


A course on computed tomography for radiologic technologists: a conceptual framework.


How to pick winners.

How to pick winners.


Intensive care of the brain-injured patient.


Predictors in brain resuscitation.

Predictors in brain resuscitation.


Pharmacy ethics in the '80s.

Pharmacy ethics in the '80s.


Policy and procedure manual: hospital employee relations.


Competing for scarce resources: the institutional pharmacists' challenge.


The pharmacy troika: a participative approach to the development of professional competency standards.


Reagan proposes tax on employee health insurance premiums.


The National Association for Home Care. 1983 position paper on legislative and regulatory issues--a blueprint for action.


Health insurance and the unemployed.

Health insurance and the unemployed.


Social security Reform Commission issues final report.


A pharmacy IV admixture/solution distribution program benefits patients, staff--and pharmacy.


Business coalitions. Friend, foe--or a different monkey on your back?


The future of healthcare computer systems.


Upgrading data processing: St. Louis Park Medical Center.


The personal computer: another view.

The personal computer: another view.


The need for an independent National Health Information Center.


The hospital data center: who pays for it?


Financial management systems perspective. Interview by Jean Schadt and Mary Millar.


The changing role of the physician in the 80's. Interview by Jean Schadt and Mary Millar.


Changes in financial management. Interview by Jean Schadt and Mary Millar.


Focus: the European community.

Focus: the European community.


Developing a collection philosophy and policy statement.


Financial self-sufficiency in regional EMS systems.


EMS and health planning: an opportunity for integrating research and policy.


Waiting time and patient satisfaction with emergency room care.


The persistence of ventricular fibrillation and its implication for evaluating EMS.


Using observer methods in EMS research.

Using observer methods in EMS research.


Determining need for clinical technology.


Handling procrastinators.

Handling procrastinators.


After contract cleaning.

After contract cleaning.


Contract management: is 50% of the hospital market within reach?


The work of the English Regional Medical Service.


Effective programs don't have to cost a bundle.


An evaluation of a combined terrestrial/satellite EMS communications system. Part I.


Hand-held portable radios in EMS communications.


The trauma drama. Interview by Carol R. Summer.


Dade County, Florida, EMS communications system.


The organization of pain relief services: guidelines for those wishing to set up a local service.


EMS communication in Virginia.

EMS communication in Virginia.


Total telecommunications interface for a coordinated EMS system.


A survey of pain relief clinics in the South Western Region. All the district general hospitals in the South Western Health Region have a pain relief service in existence or planned for the immediate future. Almost all are recognized by the allocation of anaesthetic consultant sessions. In most cases, this allocation is less than the time required for pain relief. All the consultants concerned work in single disciplinary clinics and accept both in-patient and out-patient referrals. They provide an advisory and therapeutic service to patients in the care of other clinicians and give tuition, mainly to junior anaesthetists. Most also undertake domiciliary assessment and treatment. In most clinics the Pain Relief Service is hampered by inadequate facilities. The minimum facilities for a basic efficient service are here reviewed.


Residential facilities for mentally handicapped children: evaluation of a development project in Sheffield. Aspects of residential units provided for children under the Sheffield Development Project were studied. A variety of issues were raised which could be helpful in planning future services. The demand for places was considerably less than had been expected under the Project plans, and a greater than predicted proportion of the children had severe handicaps. Units had not specialized as intended, but had developed their own admission criteria. All unit heads felt smaller group sizes would have been preferable and most favoured smaller bedrooms. Fewer institutional staff management practices took place in the more domestic environments. Provision for outdoor play tended to be neglected.


General-purpose computed tomography scanners in England and Wales.


The association between frequency of diagnostic radiological examinations and allocation of resources in the National Health Service: implications for future demand. A highly significant association is noted between the frequency of diagnostic radiological examinations and the relative level of funding in the English Regional Health Authorities as calculated by the Resource Allocation Working Party in 1977 (DHSS, 1976). It is argued that this supports the recommendations of the Resource Allocation Working Party, and their suggestion that Standardized Mortality Ratios can be used as a proxy measure for morbidity. The finding implies that the level of diagnostic radiology is likely to rise if more funds become available, and this conclusion is supported by consideration of the level of diagnostic radiology in other industrialized countries. The correlation with level of funding is also investigated for a number of other indicators of hospital use. Strong associations exist for some usage indicators for out-patients, but not for in-patients.


Post-marketing surveillance of licensed medicinal and other products. The term post-marketing surveillance is a term which should be applied to all forms of monitoring marketed drugs for all aspects of their potential to produce adverse reactions. Post-marketing surveillance to identify dangers arising from the use of medicinal products is undertaken to detect both pharmaceutical and medical hazards. Pharmaceutical hazards are sought by sampling products for evidence of contamination, mislabelling and loss of potency. Four methods currently used for the detection of medical hazards are:--(1) Quality tests, performed on batches of new products which cannot be fully evaluated by physical or chemical means (eg vaccines and blood products). (2) The "yellow card system", in which the Committee on Safety of Medicines asks doctors spontaneously to report all suspected adverse reactions to drugs. (3) Monitoring the release of a new drug, which is subject to certain restrictions that oblige doctors to feed back information to the regulatory authority. (4) Literature screening, which must be regarded as important in any comprehensive scheme of post-marketing surveillance. In addition two further methods of surveillance are described under (5) and (6):--(5) Local investigations such as intensive monitoring studies on patients receiving a particular treatment in a district general hospital or in its catchment area have been conducted in a number of centres and are cheap and successful and generate local interest and co-operation. (6) Various schemes have been proposed for national recorded release or event monitoring in which extensive studies of the clinical progress of many patients receiving the new drug are monitored.


The problems of out-patient visits.

The problems of out-patient visits.


Career preference of doctors qualifying in the United Kingdom in 1979.


Trends in cancer morbidity in England and Wales. The Office of Population Censuses and Surveys has recently published statistics relating to cancers first diagnosed in 1975. The data suggest a continuing increase in the incidence of laryngeal and bronchial carcinoma in women, malignant melanoma and testicular tumours, and a fall in the incidence of carcinoma of the lip in men. Some cancers, for example carcinoma of the oesophagus, stomach, prostate and lip, and malignant melanoma, show notable geographical variations in incidence. Carcinoma of the bladder, stomach, bronchus and (in women) larynx occur more frequently in conurbations, while rates for carcinoma of the prostate and lip are highest in rural areas. A number of interesting occupational associations emerge. Possible explanations for these and other trends are discussed.


Public Health Laboratory Service/National Health Service Working Party on Hospital Infection. Infection control organizations in hospitals in England and Wales, 1979. A survey of infection Control Organizations operating in hospitals in England and Wales is reported. Replies to the questionnaire which were received from organizations covering 95% of acute hospitals showed that an organization existed in virtually all acute hospitals; that a Control of Infection Officer and Committee existed in about 90%; and that an infection Control Nurse had been appointed in about 65% of hospitals covered by the survey.


Child health--a time for better understanding? The importance of community and preventive child health services is generally recognized, but the questions raised about the delivery of these services are jeopardizing their development. The sequelae to the Court report have clouded the future for clinical medical officers; there are arguments about the relationship between general practitioners and the community services, whose management in turn may be reduced by NHS restructuring; while the debate about computer systems has caused further acrimony. However, an analysis of basic objectives and methods shows no valid ground for conflict, and instead all that is needed is agreement on how to implement the most efficient pattern of prevention for the benefit of all children.


RTSS--a closer look at a cost-cutting concept, Part II.


The place of general practitioner hospitals in the organization of hospital services. After many years in which general practitioner hospitals have had little encouragement towards constructive planning they now find themselves being viewed in a more favourable light. Health Authorities should attempt to assess the potential of such hospitals and make plans for their future. It will be necessary for the isolation of the hospitals from the mainstream of district planning to be yielded up in return for an assurance of a fully effective future role.


A study of six general practitioner hospitals in Tunbridge Wells Health District. At the reorganization of the NHS in 1974 Tunbridge Wells Health District inherited an unusual distribution of beds: more than 25% of beds in general medicine, geriatrics and surgical specialties were in general practitioner hospitals. This article describes a study that attempted to obtain information about the work being done in the GP hospitals, assess their potential and plan their future. The ways in which the DMT is following up the study are outlined. A subsidiary study on transfer from general hospital to GP hospitals is also described.


Medical Manpower Division, DHSS. Medical and Dental staffing and prospects in the NHS in England and Wales, 1981.


Screening for cervical cancer: revised policy. The recommendations of the DHSS Committee on Gynaecological Cytology.


The clinical accountable team.

The clinical accountable team. This paper examines an experiment in an unusual method of accounting and budgeting, and discusses its implications to clinicians. Clinical teams were made responsible for their own expenditure. They were supplied with a breakdown of their expenditure and a budget based on previous expenditure. Each team, at its own discretion, could use savings made from reducing expenditure in one sphere to provide unrelated services. Reduced expenditure was achieved and new projects started.


Gastrointestinal endoscopy services--a review of the 70s with predictions for the 80s. Information obtained from 3 questionnaires circulated to British gastrointestinal endoscopists has been used to trace the development of endoscopy services during the 1970s. Oesophagogastro-duodenoscopy became available in most hospitals; colonoscopy services were slower to develop and endoscopic retrograde cholangio-pancreatography was performed in under 50% of hospitals. Various therapeutic techniques followed the diagnostic procedures and by the end of the decade constituted one of the major areas of growth. The impact of gastrointestinal endoscopy on other disciplines, diagnostic radiology, surgery, pathology and general practice is reviewed. Organizational aspects of endoscopy services with emphasis on staff, premises, instrumentation and finance are discussed. Analysis of the trends during the 70s has allowed some predictions of the likely developments in the 1980s.


Health professionals in the European Community.


School health in the wilderness.

School health in the wilderness. Concern is expressed for the school health service which has been overlooked in the current controversy about child health services. Reference is made to a study of health services in 15 primary schools in London in demonstrating the objectives and the value of the school health service. The study also shows the need for a combination of preventive and therapeutic roles on the part of doctors practising primary child health care, and for community child health services (which include health services in schools) to be planned as supplementary rather than complementary to the family doctor services.


Clinical pharmacology in the Health Service: a progress report.


Levels of provision and of dependency in residential homes for the elderly: implications for planning. Two surveys of dependency among elderly residents in local authority homes are reported. Dependency levels are compared in the light of the large difference in the amount of accommodation provided by the two authorities. Dependency levels are shown to be unrelated to level of provision. The authors suggest that this finding contradicts assumptions frequently made in planning institutional provision for the elderly. Reducing the number of places in residential care, providing specialist homes or establishing nursing homes may not therefore have the intended effect of changing the dependency mix in institutional care.


The development of the Mental Health Advice Centre in Lewisham Health District. The Mental Health Advice Centre in Lewisham, South East London, represents an innovation in psychiatric service aiming to integrate primary health care with mental health professionals and to provide easy access for patients to psychiatric and psychological help. The Centre has been operating for 3 years and is staffed by a multi-professional team comprising psychiatrists, clinical psychologists, psychotherapists, social workers, community psychiatric nurses, occupational therapists, research workers, and volunteers. This report outlines the development of the Centre and presents the results of two years' evaluative work. Social, demographic, and psychiatric characteristics of the clients who attended the Centre during these two years are described.


Health and illness among the elderly of minority ethnic groups living in Birmingham: some new findings. The number of people over pensionable age who are of ethnic minority (New Commonwealth) origin is increasing rapidly. A limited survey of 348 Afro-Caribbean and Asian elderly people and 52 elderly Europeans living in Birmingham was recently carried out to investigate, among other things, their health and use of health services. The main survey findings on the proportions of the elderly needing to visit their doctors or go to hospital for treatment, the proportions suffering problems of sight, hearing and walking or having dental problems, and other indicators of health and illness are briefly discussed in this paper.


Short-stay surgery in orthopaedics.

Short-stay surgery in orthopaedics. This paper reviews the orthopaedic operations performed on patients from one consultant's waiting list using two short-stay wards. In a twelve-month period over 200 operations were performed with no major complication. The ultimate clinical result was not impaired by the short period of hospitalization. The advantages short-stay wards have over day wards in reducing orthopaedic waiting lists are discussed, as are the precautions necessary to make this a safe method of managing non-urgent orthopaedic problems.


Adult dental health in the United Kingdom, 1978--a review.


Detecting excessive drinking among admissions to a general hospital. A questionnaire combining items on alcohol consumption with the four CAGE questions was used by 27 housemen to detect abnormal drinking among 520 patients of all specialties admitted to a general hospital. 15.6--23.2% of patients were classified as abnormal drinkers with the largest proportions occurring among the emergency surgical, orthopaedic, psychiatric and medical patients. 95% of the abnormal drinkers were detected by the questions on consumption alone, while 22 of the 28 patients who were identified by both the consumption and CAGE questions had been admitted as a direct result of alcohol abuse. With the aid of simple questionnaire and some encouragement, junior medical staff can become quite adept at detecting abnormal drinkers in the course of their routine practice.


Rehabilitation medicine--part or future?