共查询到20条相似文献,搜索用时 15 毫秒
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《Health care cost reengineering report》1998,3(5):71-75
U.S government to the rescue? An energy savings program with the U.S Environmental Protection Agency is saving big bucks for plenty of health care facilities around the country. A good example is St. Joseph Hospital in Lancaster, PA, which is saving an estimated $175,000 each year from new lighting fixtures alone. And that's just the beginning. Here's the story, plus details on how you can tap into this voluntary program. 相似文献
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F Haslam 《Scottish medical journal》1992,37(1):23-26
Hogarth's 'Modern Moral History' paintings, such as "The Harlot's Progress" had proved very popular and had provided him with some measure of financial security and fame, but his ambition was to be a 'great art' painter--that is, a recognised painter of grand themes of an historical, religious or classical nature considered worthy and acceptable by the art critics--helping to place artists on a level with moral philosophers and epic poets in stature. Part of his attempt to attain recognition as such, led to his production of the paintings on the staircase at St Bartholomew's Hospital in 1736-37, paintings which are still admired today. 相似文献
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de Lavaissiere M D'Ortenzio E Dussart P Fontanella JM Djossou F Carme B Marchou B 《Transactions of the Royal Society of Tropical Medicine and Hygiene》2008,102(10):1055-1057
Febrile illness is a common cause of attendance at emergency departments. The purpose of this study was to describe infectious aetiologies of fever in a tropical setting. We prospectively included 1443 febrile patients, all French Guiana residents, who presented at Cayenne Hospital emergency department. This report will propose an overview of aetiologies of febrile illness in French Guiana, and tropical diseases such as malaria and arbovirus infections are discussed. Almost 30% of fevers remained unexplained. Further prospective multicentre studies are warranted to improve the diagnosis of overlooked pathogens in French Guiana. Such studies would lead to conclusions of specific interest in the travel medicine field. 相似文献
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FOX TP 《Hospital progress》1958,39(3):97 passim
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This study examines the co-variates that separate patients who presented an emergent condition without a physician referral and were admitted through the hospital emergency department (ED) from their counterparts who were referred by a physician for the treatment of an elective or urgent condition and were admitted through the admissions department. The analysis was based on 295,945 inpatient admissions in 1999 to short-term acute-care hospitals in Oklahoma. Employing hospital admission as the unit of analysis, logistic regression was used to examine the differential likelihood of admission without a physician referral and through the ED of the uninsured, Medicare beneficiaries, Medicaid recipients, African Americans and Native Americans. The results of the logistic regression analysis indicated that Medicaid recipients and the uninsured were more likely than their commercially-insured counterparts to be admitted, without a physician referral, to an acute-care hospital in Oklahoma following an evaluation in the ED. The findings also suggest that African Americans and, to a lesser extent, Native Americans were more likely than their white counterparts to be admitted through the ED without benefit of a physician referral. 相似文献
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P H Tyrance Jr D U Himmelstein S Woolhandler 《American journal of public health》1996,86(11):1527-1531
BACKGROUND: Many perceive emergency department (ED) overuse as an important cause of high medical care costs in the United States. Managed care plans and politicians have seen constraints on ED use as an important element of cost control. METHODS: We measured ED-associated and other medical care costs, using the recently released 1987 National Medical Expenditure Survey of approximately 35,000 persons in 14,000 households representative of the US civilian, noninstitutionalized population. RESULTS: In 1987, total ED expenditures were $8.9 billion, or 1.9% of national health expenditures. People with health insurance represented 86% of the population and accounted for 88% of ED spending. The uninsured paid 47% of ED costs themselves; free care covered only 10%. For the uninsured, the cost of hospitalization initiated by ED visits totaled $3.3 billion, including $1.1 billion in free care. Whites accounted for 75% of total ED costs. The ED costs of poor and near-poor individuals accounted for only 0.47% of national health costs. CONCLUSIONS: ED use accounts for a small share of US medical care costs, and cost shifting to the insured to cover free ED care for the uninsured is modest. Constraining ED use cannot generate substantial cost savings but may penalize minorities and the poor, who receive much of their outpatient care in EDs. 相似文献
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National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary 总被引:10,自引:0,他引:10
OBJECTIVE: This report presents the most current (2005) nationally representative data on visits to hospital emergency departments (ED) in the United States. Statistics are presented on selected hospital, patient, and visit characteristics. Selected trends in ED utilization from 1995 through 2005 are also presented. METHODS: Data are from the 2005 National Hospital Ambulatory Medical Care Survey (NHAMCS), the longest continuously running nationally representative survey of hospital ED and outpatient department (OPD) utilization. The NHAMCS collects data on visits to emergency and outpatient departments of nonfederal, short-stay, and general hospitals in the United States. Sample data are weighted to produce annual national estimates. RESULTS: During 2005, an estimated 115.3 million visits were made to hospital EDs, about 39.6 visits per 100 persons. This represents on average roughly 30,000 visits per ED in 2005, a 31 percent increase over 1995 (23,000). Visit rates have shown an increasing trend since 1995 for persons 22-49 years of age, 50-64 years of age, and 65 years of age and over. In 2005, about 0.5 million (0.4 percent) of visits were made by homeless individuals. Nearly 18 million patients arrived by ambulance (15.5 percent). At 1.9 percent of visits, the patient had been discharged from the hospital within the previous 7 days. Abdominal pain, chest pain, fever, and cough were the leading patient complaints, accounting for nearly one-fifth of all visits. Abdominal pain was the leading illness-related diagnosis at ED visits. There were an estimated 41.9 million injury-related visits or 14.4 visits per 100 persons. Diagnostic and screening services were provided at 71.1 percent of visits, and procedures were performed at 47.3 percent of visits. Medications were either given in the ED or prescribed at discharge at 76.7 percent of visits, resulting in 204.9 million drug mentions. On average, patients spent 56.3 minutes waiting to see a physician, and 3.3 hours for the full duration of their ED visit. About 12 percent of ED visits resulted in hospital admission. The average total length of stay for those admitted was 5.2 days, and the leading principal hospital discharge diagnosis was nonischemic heart disease. 相似文献
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